Ablation targeting nerves in or near the inferior vena cava and/or abdominal aorta for treatment of hypertension
A method for the treatment of a patient for the purpose of lowering blood pressure and/or treating other medical conditions such as cardiac arrhythmias. A catheter having an ablation element is placed inside the body of a patient and is directed to a targeted location either on in the abdominal aorta where the right or left renal arteries branch from the aorta at or near the superior junction or ostia or on the inside of the inferior vena cava near the junction with the right renal vein or in the left renal vein at a position spatially near where the left renal artery branches from the abdominal aorta. Catheters designed for use in the method where these targeted locations are also disclosed and claimed.
1. A method for the treatment of a patient, comprising the steps of:
inserting an ablation catheter into a body of the patient, the ablation catheter comprising an elongate tubular body having a distal tip with a plurality of cantilevered spines extending therefrom; and
ablating tissue at a targeted location at or near the intersection of a renal artery and the abdominal aorta so as to denervate the renal artery;
wherein each spine has an unsupported distal end that is moveable relative to the other spines.
2. The method of claim 1 , wherein the distal end of each spine is not connected to another spine.
3. The method of claim 2 , wherein the targeted location is in the abdominal aorta in the vicinity of the superior junction of the abdominal aorta and the left renal artery.
4. The method of claim 2 , wherein the targeted location is in the abdominal aorta in the vicinity of the superior junction of the abdominal aorta and the right renal artery.
5. The method of claim 2 , wherein the targeted location is in the abdominal aorta in the vicinity of the ostium of the abdominal aorta and the right renal artery.
6. The method of claim 2 , wherein the targeted location is in the abdominal aorta in the vicinity of the ostium of the abdominal aorta and the left renal artery.
7. The method of claim 2 , wherein ablating tissue comprises ablating using radio frequency energy at an electrode, the ablation catheter being configured to ablate tissue using radio frequency energy at the electrode.
8. The method of claim 2 , wherein ablating tissue comprises ablating using laser energy, microwave energy, cryogenic cooling, rf energy, or ultrasound energy, the ablation catheter being configured to ablate tissue using laser energy, microwave energy, cryogenic cooling, rf energy, or ultrasound energy, respectively.
9. The method of claim 7 , further comprising irrigating the electrode so as to decrease damage to endothelial cells lining a lumen of the renal artery.
10. The method of claim 9 , wherein the ablation catheter has a plurality of holes through which a cooling fluid is capable of flowing.
11. The method of claim 2 , wherein the distal end of each spine includes an ablation element.
12. The method of claim 11 , wherein each spine is S shaped curving toward and then away from a longitudinal axis of the ablation catheter.
13. The method of claim 11 , wherein each spine is made of nitinol and is configured to be substantially linear when constrained in a delivery sheath.
14. The method of claim 2 , wherein the ablation catheter comprises an ablation element and a stabilizing member that is placed in a vessel near the target location so as to stabilize the ablation element.
15. The method of claim 14 , wherein the stabilizing member is an inflatable balloon.
16. The method of claim 14 , wherein the stabilizing member is guided into the vessel over a guidewire.
17. A method for the treatment of a patient, comprising the steps of:
inserting an ablation catheter into the left renal vein of the patient, the ablation catheter comprising an elongate tubular body having a distal tip with a plurality of cantilevered spines extending therefrom; and
ablating tissue at a targeted location in the left renal vein where the left renal vein crosses over the junction where the left renal artery branches from the abdominal aorta so as to denervate the renal artery;
wherein each spine has an unsupported distal end that is moveable relative to the other spines.
18. The method of claim 17 , wherein the distal end of each spine is not connected to another spine.
19. The method of claim 18 , wherein the targeted location in the left renal vein is the location spatially nearest to the superior junction between the left renal artery and the abdominal aorta.