Intraluminal laser atherectomy with ultrasound and electromagnetic guidance

Kenton W. Gregory M.D.; H. Thomas Aretz M.D.; Michael A. Martinelli; Earl G. LeDet; G. Frederick Hatch; Richard E. Gregg; Tomas Sedlacek; Wayne C. Haase

doi:10.1117/12.44040

1 May 1991 Intraluminal laser atherectomy with ultrasound and electromagnetic guidance

Kenton W. Gregory M.D., H. Thomas Aretz M.D., Michael A. Martinelli, Earl G. LeDet, G. Frederick Hatch, Richard E. Gregg, Tomas Sedlacek, Wayne C. Haase

Author Affiliations +

Proceedings Volume 1425, Diagnostic and Therapeutic Cardiovascular Interventions; (1991) https://doi.org/10.1117/12.44040
Event: Optics, Electro-Optics, and Laser Applications in Science and Engineering, 1991, Los Angeles, CA, United States

Abstract

The Magellan^TM coronary laser atherectomy system is described. It uses high- resolution ultrasound imaging and electromagnetic sensing to provide real-time guidance and control of laser therapy in the coronary arteries. The system consists of a flexible catheter, an electromagnetic navigation antenna, a sensor signal processor and a computer for image processing and display. The small, flexible catheter combines an ultrasound transducer and laser delivery optics, aimed at the artery wall, and an electromagnetic receiving sensor. An extra-corporeal electromagnetic transmit antenna, in combination with catheter sensors, locates the position of the ultrasound and laser beams in the artery. Navigation and ultrasound data are processed electronically to produce real-time, transverse, and axial cross-section images of the artery wall at selected locations. By exploiting the ability of ultrasound to image beneath the surface of artery walls, it is possible to identify candidate treatment sites and perform safe radial laser debulking of atherosclerotic plaque with reduced danger of perforation. The utility of the system in plaque identification and ablation is demonstrated with imaging and experimental results.

Citation Download Citation

Kenton W. Gregory M.D., H. Thomas Aretz M.D., Michael A. Martinelli, Earl G. LeDet, G. Frederick Hatch, Richard E. Gregg, Tomas Sedlacek, and Wayne C. Haase "Intraluminal laser atherectomy with ultrasound and electromagnetic guidance", Proc. SPIE 1425, Diagnostic and Therapeutic Cardiovascular Interventions, (1 May 1991); https://doi.org/10.1117/12.44040

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