Intracardiac Forward-Looking Ultrasound Imaging Catheters Using Capacitive Micromachined Ultrasonic Transducers

Abstract

Atrial fibrillation is the most common sustained arrhythmia that now affects approximately 2.2 million adults in the United States alone. Minimally invasive catheter-based electrophysiological interventions have revolutionized the management of cardiac arrhythmias. We are developing forward-viewing ultrasound imaging catheters based on two types of transducer arrays using the capacitive micromachined ultrasonic transducer technology: A 10-MHz, 24-element MicroLinear (ML) array with a footprint of 1.7 mm × 1.3 mm, and a 10-MHz, 64-element annular ring array with an outside diameter of 2.6 mm and inner diameter of 1.6 mm. Both arrays are integrated with custom-designed front-end electronic circuitry to overcome the performance degradation associated with long cables in the catheter. The ML and ring arrays provide real-time 2-D and 3-D images, respectively, in front of the catheter tip. Using the ML array, we demonstrated ex-vivo images of the left atrial appendage in an isolated Langendorff-perfused rabbit heart model and in-vivo images of heart through the open chest in a porcine animal model. We used the ring array to demonstrate 3-D images of coronary stents and an anatomic cast of a left atrial model.