Localized therapy delivery and local organ protection
A system for perfusing a localized site within a body includes a catheter assembly having a venous access line that is adapted to deliver perfusate to the localized site, a venous or arterial drainage line adapted to drain perfusate from the localized site, and an occlusion device adapted to prevent some or substantially all physiological blood flow between the localized site and the systemic circulation of the body during and in the course of perfusing and draining perfusate to and from the localized site. The system may include a blood circuit associated with the catheter assembly to facilitate blood conditioning for use as the perfusate, in the course of a controlled perfusion and/or drainage of untreated, treated, or inactivated treated blood to and from the localized site. A delivery machine may control the blood circuit and catheter assembly in order to both deliver perfusate to, and drain some or all perfusate from, the localized site in a manner that provides perfusate to substantially only the localized site.
1. A system for delivering localized therapy to a tissue structure, said system comprising:
a first venous catheter having a distal portion positionable at a first venous drainage structure of said tissue structure, said distal portion including an occlusion device adapted to selectively substantially occlude said first venous drainage structure to define a tissue structure circulatory compartment and a systemic circulatory compartment, said distal portion of said first venous catheter including a perfusion port and a drainage port positionable in said tissue structure circulatory compartment;
a second venous catheter having a distal portion including a systemic port postitionable in said systemic body circulatory compartment; and
a blood conditioning apparatus fluidly coupling said perfusion port, said drainage port, and said systemic port, said blood conditioning apparatus being capable of conditioning blood supplied thereto as drainage flow through said drainage port, reperfusing at least a portion of said drainage flow through said perfusion port as conditioned retrograde perfusion flow, and dispensing at least a portion of said drainage flow through said systemic port as systemic flow to said systemic circulatory compartment.
2. A system as in claim 1 wherein said conditioning includes cooling said perfusion flow to less than about 35° C.
3. A system as in claim 1 wherein said blood conditioning apparatus includes a flow divider for controllably separating said drainage flow into retrograde perfusion flow and systemic flow.
4. A system as in claim 3 wherein said conditioning includes warming said systemic flow to physiologic temperature.