Endovascular: pulmonary vein isolation |
Endocardial access for placement within pulmonary vein; single tubular transducer, 6 - 8 MHz; Delivery catheter: 2.7-4.7 mm OD; Cooling balloon; multi-chamber balloon w/parabolic reflector. |
Penetration depth ∼ 6 mmCT/Fluoroscopic guidance during endocardial access. |
Ablation of tissue around pulmonary vein ostium: in vivo canine [90] |
Treatment of atrial fibrillation [91, 95, 96] |
Endovascular: renal denervation |
Configured for vascular placement within renal artery; 360 deg tubular transducer, 1mm OD × 6 mm long transducer, 8-9 MHz; 2 mm OD catheter w/6 mm expandable cooling balloon |
Penetration depth ∼ 7 - 10 mm × 360 deg., with sparing of renal artery; fluoroscopic guidance; |
Ablation of sympathetic nerves surrounding renal artery, decrease in blood pressure; In vivo porcine [99] |
Treatment of resistant hypertension [98] |