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    • 4. 发明申请
    • CRYOTREATMENT DEVICE AND METHOD
    • CRYOTREATMENT设备和方法
    • US20110282272A1
    • 2011-11-17
    • US13195717
    • 2011-08-01
    • DANIEL M. LAFONTAINE
    • DANIEL M. LAFONTAINE
    • A61M25/10A61M39/22A61N7/00
    • A61F7/10A61B18/02A61B2017/00243A61B2017/00867A61B2017/22002A61B2017/22051A61B2017/22067A61B2018/00041A61B2018/00196A61B2018/0022A61B2018/0212A61B2018/0275A61B2018/0287A61B2018/1861A61B2090/0463A61B2090/064A61B2090/3782A61F7/123A61F2007/0001A61F2007/0063
    • Devices and methods for cooling vessel walls to inhibit restenosis in conjunction with medical procedures such as coronary artery angioplasty. Stenosed vessel walls can be cooled prior to angioplasty, after angioplasty, or both. The invention is believed to inhibit restenosis through cooling to a temperature near freezing, preferably without causing substantial vessel wall cell death. One catheter device includes a distal tube region having coolant delivery holes radially and longitudinally distributed along the distal region. In some devices, holes spray coolant directly onto the vessel walls, with the coolant absorbed into the blood stream. In other embodiments, a balloon or envelope is interposed between the coolant and the vessel walls and the coolant returned out of the catheter through a coolant return lumen. Some direct spray devices include an occlusion device to restrict blood flow past the region being cooled. Pressure, temperature, and ultrasonic probes are included in some cooling catheters. Pressure control valves are included in some devices to regulate balloon interior pressure within acceptable limits. In applications using liquid carbon dioxide as coolant, the balloon interior pressure can be maintained above the triple point of carbon dioxide to inhibit dry ice formation. Some cooling catheters are coiled perfusion catheters supporting longer cooling periods by allowing perfusing blood flow simultaneously with vessel wall cooling. One coiled catheter is biased to assume a coiled shape when unconstrained and can be introduced into the body in a relatively straight shape, having a stiffening wire inserted through the coil strands.
    • 用于冷却血管壁的装置和方法,以与医疗程序如冠状动脉血管成形术结合来抑制再狭窄。 狭窄的血管壁可以在血管成形术,血管成形术或两者之后冷却。 据信本发明通过冷却至几乎冻结的温度来抑制再狭窄,优选不引起实质的血管壁细胞死亡。 一个导管装置包括远端管区域,其具有沿远端区域径向和纵向分布的冷却剂输送孔。 在一些装置中,孔将冷却剂直接喷射到容器壁上,同时将冷却剂吸收到血流中。 在其它实施例中,气囊或外壳插入在冷却剂和容器壁之间,并且冷却剂通过冷却剂返回内腔从导管返回。 一些直接喷射装置包括阻塞装置以限制血液流过被冷却的区域。 压力,温度和超声波探头包括在一些冷却导管中。 压力控制阀包括在一些装置中,以将球囊内部压力调节在可接受的限度内。 在使用液态二氧化碳作为冷却剂的应用中,气囊内部压力可以保持在二氧化碳三重点以上以抑制干冰的形成。 一些冷却导管是通过允许血管流动与血管壁冷却同时支持更长的冷却时间的盘绕灌注导管。 当不受约束时,一个盘绕的导管被偏压成呈螺旋状,并且可以相对直的形状引入到本体中,该导线具有穿过线圈股线的加强丝。