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Proceedings Paper

Circumferential targeted renal sympathetic nerve denervation with preservation of the renal arterial wall using intra-luminal ultrasound
Author(s): Austin Roth; Leslie Coleman; Kenichi Sakakura; Elena Ladich; Renu Virmani
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Paper 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.

Paper Details

Date Published: 11 March 2015
PDF: 10 pages
Proc. SPIE 9326, Energy-based Treatment of Tissue and Assessment VIII, 93260G (11 March 2015); doi: 10.1117/12.2080260
Show Author Affiliations
Austin Roth, ReCor Medical, Inc. (United States)
Leslie Coleman, ReCor Medical, Inc. (United States)
Kenichi Sakakura, CVPath Institute Inc. (United States)
Elena Ladich, CVPath Institute Inc. (United States)
Renu Virmani, CVPath Institute Inc. (United States)

Published in SPIE Proceedings Vol. 9326:
Energy-based Treatment of Tissue and Assessment VIII
Thomas P. Ryan, Editor(s)

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