Skip to main content
Log in

Ultrasound guided therapeutic catheters: recent developments and clinical results

  • Published:
The International Journal of Cardiac Imaging Aims and scope Submit manuscript

Abstract

The increasing use of intravascular ultrasound technology by clinicians is providing detailed and immediate information about the results of interventions, and this is stimulating the development of new catheters that use ultrasound imaging to control therapy in real time. Cold and thermal balloon angioplasty, atherectomy, embolectomy, laser ablation and rotational recanalization are a few of the interesting capabilities now being added to ultrasound catheters. We report on the development and characteristics of some of these devices and attempt to assess their potential to precisely direct therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Intraluminal ultrasound: a physician's guide. 1990 Strategic Business Development, Inc. Kauai, Hawaii, 96714 USA.

  2. Isner JM, Rosenfield K, Losordo DW, Kelly S, Palefski P, Langevin RE, Razvi S, Pastore JO, Kosowsky BD. Percutaneous intravascular US as adjunct to catheter-based interventions: preliminary experience in patients with peripheral vascular disease. Radiology 1990; 175: 61–70.

    Google Scholar 

  3. Losordo DW, Rosenfield K, Ramaswamy K, Harding M, Pieczek A, Isner JM. How does angioplasty work? Intravascular ultrasound assessment of 30 consecutive patients demonstrating that angiographic evidence of luminal patency is the consistent result of plaque fractures and dissections. (abstract). Circulation 1990; 82: III-338.

    Google Scholar 

  4. Crowley RJ, von Behren PL, Couvillon LA, Mai DE, Abele JE. Optimized ultrasound imaging catheters for use in the vascular system. Int J Card Imaging 1989; 4: 145–51.

    Google Scholar 

  5. Isner JM, Rosenfield K, Mosseri M, Langevin RE, Palefski P, Losordo DW, Razvi S. How reliable are images obtained by intravascular ultrasound for making decisions during percutaneous interventions? Experience with intravascular ultrasound employed in lieu of contrast angiography to guide peripheral balloon angioplasty in 16 patients. (abstract). Circulation 1990; 82: III-440.

    Google Scholar 

  6. Webster WW. Catheter for removing arteriosclerotic plaque. United States Patnet 4, 576, 177 (Issued March 18, 1986).

  7. Angelsen BAJ, Linker D. Laser catheter delivery system for controlled atheroma ablation combining laser angioplasty and intra-arterial ultrasonic imaging. United States Patent 4, 887, 605 (Issued December 19, 1989).

  8. Martinelli MA, von Thuna P. Acoustic image system and method. United States Patent 4, 821, 731 (Issued April 18, 1989).

  9. Aretz HT, Martinelli MA, Ledet EF. Intraluminal ultrasound guidance of transverse laser coronary atherectomy. Int J Card Imaging 1989; 4: 153–57.

    Google Scholar 

  10. Ellis RA, Crowley RJ, Eyllon MM. Ultrasonic imaging catheter 1988; Proc SPIE 904: 127–30.

  11. Crowley RJ. Ultrasound catheter imaging: a functional overview 1989; Proc SPIE: 1068.

  12. Meyer CR, Chiang EH, Fechner KP, Fitting DW, Williams DM, Buda AJ. Feasibility of high-resolution intravascular ultrasonic imaging catheters. Radiology 1988; 168: 113–16.

    Google Scholar 

  13. Borst C, Rienks R, Mali WPTM, van Erven L. Laser ablation and the need for intra-arterial imaging. Int J Card Imaging 1989; 4: 127–33.

    Google Scholar 

  14. Avallone EA, Baumeister T. Mark's standard handbook for mechanical engineers. McGraw Hill, NY. 1978; 13: 73.

    Google Scholar 

  15. Slager SJ, Essed CE, Schuurbiers JCH, Bom N, Serruys PW, Meester GT. Vaporization of atherosclerotic plaques by spark erosion. J Am Coll Cardiol 1985; 5: 1382–6.

    Google Scholar 

  16. Bom N, Slager CJ, van Egmond FC, Lancée CT, Serruys PW. Intra-arterial ultrasonic imaging for recanalization by spark erosion. Ultrasound in Med & Biol 1988; 14: 4.

    Google Scholar 

  17. Yock PG, Fitzgerald P, White N, Linker D, Angelsen AJ. Intravascular ultrasound as a guiding modality for mechanical atherectomy and laser ablation. Echocardiography 1990; 7: 4.

    Google Scholar 

  18. Yock PG. Catheter apparatus, system and method for intravascular two-dimensional ultrasonography. United States Patent 4, 794, 931 (Issued January 3, 1989).

  19. Yock PG, Fitzgerald PJ, Jang YT, McKenzie J, Belef M, Starksen N, White NW, Linker DT, Simpson JB. Initial trials of a combined ultrasound imaging/mechanical atherectomy catheter. J Am Coll Cardiol 1990; 15: 105.

    Google Scholar 

  20. Vallbracht C, Liermann DD, Prignitz I, Beinborn W, Roth FJ, Kollath J, Landgraf H, Kaltenbach M. Low-speed rotational angioplasty in chronic peripheral artery occlusions: experience in 83 patients. Radiology 1989; 172: 327–30.

    Google Scholar 

  21. Crowley RJ, Couvillon LA, Abele JE. Acoustic imaging catheter and the like. United States Patent 4, 951, 677. (Issued August 28, 1990).

  22. Wholey MH, Jarmolowski CR. New reperfusion devices: the Kensey catheter, the atherolytic reperfusion wire device, and the transluminal extraction catheter. Radiology 1989; 172: 947–52.

    Google Scholar 

  23. ten Hoff H, Korbijn A, Smit Th H, Klinkhamer JFF, Bom N. Imaging artifacts in mechanically driven ultrasound catheters. Int J Card Imaging 1989; 4: 195–99.

    Google Scholar 

  24. Griffith JM, Maciel M, Pope J, Henry WL, Zalesky PJ. Ultra-thin acoustic transducer and balloon catheter using same in imaging array subassembly. United States Patent 4, 841, 977 (Issued June 27, 1989).

  25. Mallery J, Gregory K, Morcos NC, Griffith J, Henry W. Evaluation of ultrasound balloon dilatation imaging catheter. (abstract). Circulation 1987; 76-IV: 371.

    Google Scholar 

  26. Hodgson JM, Cacchione JG, Berry J, Savakus A, Eberle M. Combined intracoronary ultrasound imaging and angioplasty catheter: Initialin vivo studies. (abstract). Circulation 1990; 82: III-676.

    Google Scholar 

  27. Hodgson JM, Graham SP, Sheehan H, Savakus AD. Percutaneous intracoronary ultrasound imaging: Initial applications in patients. Echocardiography 1990; 7: 4.

    Google Scholar 

  28. Isner JM, Rosenfield K, Losordo DW, Rose L, Langevin RE, Razvi S, Kosowsky B. Combination balloon-ultrasound imaging catheter for percutaneous transluminal angioplasty: validation of imaging, analysis of recoil, and identification of plaque fracture. (abstract). Circulation 1991 (in press).

  29. Waller BF. ‘Crackers, breakers stretchers, drillers, scrapers, shavers, burners, welders and melters’ — the future treatment of atherosclerotic coronary artery disease? A clinical-morphologic assessment. J Am Coll Cardiol 1989; 13: 5969–87.

    Google Scholar 

  30. Gussenhoven WJ, Essed CE, Frietman P, Mastik F, Lancée CT, Slager CJ, Serruys PW, Gerritsen P, Pieterman H, Bom N. Intravascular echographic assessment of vessel wall characteristics: a correlation with histology. Int J Cardiac Imaging 1989; 4: 105–16.

    Google Scholar 

  31. Diethrich EB, Ferraz da Cunha DI, Bahadir I, Santiago O. Intravascular ultrasound imaging: Use in peripheral laser angioplasty. J Interventional Cardiol 1990; 3: 145–55.

    Google Scholar 

  32. Lennox CD, Noddin RA, Sahatjian R. Device and method for heating tissue in a patient's body. United States Patent 4, 955, 377 (Issued Sept. 11, 1990).

  33. McCowan TC, Ferris EJ, Carver DK. Inferior vena caval filter thrombi: evaluation with intravascular US. Radiology 1990; 177: 783–88.

    Google Scholar 

  34. Pandian NG, Weintraub A, Schwartz SL, Kumar R, Kusay BS, Katz SE, Aronovitz M, Udelson J, Konstam MA, Salem DN, Kreis A. Intravascular and intracardiac ultrasound imaging: Current research and future directions. Echocardiography 1990; 7: 4.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Crowley, R.J., Hamm, M.A., Joshi, S.H. et al. Ultrasound guided therapeutic catheters: recent developments and clinical results. Int J Cardiac Imag 6, 145–156 (1991). https://doi.org/10.1007/BF01797847

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01797847

Key words

Navigation