Blood vessel treatment with intracorporeal pressure shock waves

1. An intracorporeal shock wave apparatus comprising:

a catheter sized to fit within a blood vessel, wherein the catheter includes a tubular outer wall with a catheter longitudinal central axis of symmetry; and

a shock wave applicator coupled to the catheter and including a shock wave generation source disposed within an ellipsoidal reflector having a major ellipsoidal axis and a minor ellipsoidal axis, wherein the reflector is configured to focus waves from the shock wave generation source and the reflector includes an opening along the tubular outer wall such that the major ellipsoidal axis is perpendicular to the catheter longitudinal central axis of symmetry.

2. The apparatus of claim 1 , wherein the shock wave generation source is enclosed within the reflector.

3. The apparatus of claim 2 , wherein the shock wave generation source is selected from the group consisting of an electrohydraulic shock wave generator, a laser shock wave generator, and a piezoelectric shock wave generator.

4. The apparatus of claim 3 , further comprising a fluid delivery line into the shock wave applicator.

5. The apparatus of claim 1 , wherein the shock wave generation source is selected from the group consisting of an electrohydraulic shock wave generator, a laser shock wave generator, an electromagnetic shock wave generator and a piezoelectric shock wave generator.

6. The apparatus of claim 1 , further comprising a plurality of shock wave applicators including ellipsoidal reflectors with major axes that are perpendicular to the catheter longitudinal central axis of symmetry.

7. The apparatus of claim 6 , wherein the plurality of shock wave applicators include enclosed reflectors.

8. The apparatus of claim 1 , wherein a plurality of shock wave generation sources are disposed within the reflector.