Circumferential targeted renal sympathetic nerve denervation with preservation of the renal arterial wall using intra-luminal ultrasound

Austin Roth; Leslie Coleman; Kenichi Sakakura; Elena Ladich; Renu Virmani

doi:10.1117/12.2080260

11 March 2015 Circumferential targeted renal sympathetic nerve denervation with preservation of the renal arterial wall using intra-luminal ultrasound

Austin Roth, Leslie Coleman, Kenichi Sakakura, Elena Ladich, Renu Virmani

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Proceedings Volume 9326, Energy-based Treatment of Tissue and Assessment VIII; 93260G (2015) https://doi.org/10.1117/12.2080260
Event: SPIE BiOS, 2015, San Francisco, California, United States

Abstract

An intra-luminal ultrasound catheter system (ReCor Medical’s Paradise System) has been developed to provide circumferential denervation of the renal sympathetic nerves, while preserving the renal arterial intimal and medial layers, in order to treat hypertension. The Paradise System features a cylindrical non-focused ultrasound transducer centered within a balloon that circulates cooling fluid and that outputs a uniform circumferential energy pattern designed to ablate tissues located 1-6 mm from the arterial wall and protect tissues within 1 mm. RF power and cooling flow rate are controlled by the Paradise Generator which can energize transducers in the 8.5-9.5 MHz frequency range. Computer simulations and tissue-mimicking phantom models were used to develop the proper power, cooling flow rate and sonication duration settings to provide consistent tissue ablation for renal arteries ranging from 5-8 mm in diameter. The modulation of these three parameters allows for control over the near-field (border of lesion closest to arterial wall) and far-field (border of lesion farthest from arterial wall, consisting of the adventitial and peri-adventitial spaces) depths of the tissue lesion formed by the absorption of ultrasonic energy and conduction of heat. Porcine studies have confirmed the safety (protected intimal and medial layers) and effectiveness (ablation of 1-6 mm region) of the system and provided near-field and far-field depth data to correlate with bench and computer simulation models. The safety and effectiveness of the Paradise System, developed through computer model, bench and in vivo studies, has been demonstrated in human clinical studies.

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Austin Roth, Leslie Coleman, Kenichi Sakakura, Elena Ladich, and Renu Virmani "Circumferential targeted renal sympathetic nerve denervation with preservation of the renal arterial wall using intra-luminal ultrasound", Proc. SPIE 9326, Energy-based Treatment of Tissue and Assessment VIII, 93260G (11 March 2015); https://doi.org/10.1117/12.2080260

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KEYWORDS

Tissues

Ultrasonography

Transducers

Arteries

Computer simulations

In vivo imaging

Data modeling

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