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    • 8. 发明公开
    • DEVICES, SYSTEMS, AND METHODS FOR ASSESSING A VESSEL
    • VORRICHTUNGEN,SYSTEME UND VERFAHREN ZUR BEURTEILUNG EINESGEFÄSSES
    • EP3120762A1
    • 2017-01-25
    • EP16188188.3
    • 2012-08-20
    • Volcano Corporation
    • ANDERSON, DavidBURNETT, JosephHATTANGADI, NeilDAVIES, Helen Catherine StuartDAVIES, Justin
    • A61B5/0215
    • There is described a system for assessing the severity of a stenosis in a vessel without administration of a hyperemic agent. The system comprises a first instrument and a processing unit. The first instrument is sized and shaped for introduction into the vessel of the patient. The processing unit is in communication with the first instrument. The processing unit is configured to: obtain distal pressure measurements for a cardiac cycle of the patient from the first instrument while the first instrument is positioned within the vessel at a position distal of the stenosis; obtain proximal pressure measurements for the cardiac cycle of the patient from a second instrument while the second instrument is positioned within the vessel at a position proximal of the stenosis; select a diagnostic window within the cardiac cycle of the patient, wherein the diagnostic window encompasses only a portion of the cardiac cycle of the patient; and calculate a pressure ratio between the distal pressure measurements obtained during the diagnostic window and the proximal pressure measurements obtained during the diagnostic window to thereby assess the severity of the stenosis. Ways in which starting and ending points of the diagnostic window are selected are also described.
    • 描述了用于评估血管狭窄严重程度的系统,而不施用充血剂。 该系统包括第一仪器和处理单元。 第一个仪器的尺寸和形状适于引入患者的血管。 处理单元与第一仪器通信。 所述处理单元被配置为:当所述第一仪器在所述狭窄位置的远侧位置处于所述血管内时,获得来自所述第一仪器的患者心脏周期的远端压力测量值; 从第二台仪器获得患者心脏周期的近端压力测量值,而第二台仪器位于血管狭窄狭窄位置附近; 在患者的心脏周期内选择诊断窗口,其中诊断窗口仅包括患者心脏周期的一部分; 并计算在诊断窗口期间获得的远端压力测量值与在诊断窗口期间获得的近端压力测量值之间的压力比,从而评估狭窄程度的严重性。 还描述了选择诊断窗口的起点和终点的方法。