Shock wave valvuloplasty with multiple balloons
Described herein are shock wave devices and methods for the treatment of calcified heart valves. One variation of a shock wave device includes three balloons that are each sized and shaped to fit within a concave portion of a valve cusp when inflated with a liquid and a shock wave source within each of the three balloons. Each balloon is separately and/or independently inflatable, and each shock wave source is separately and/or independently controllable. Methods of treating calcified heart valves using a shock wave device can include advancing a shock wave device having one or more balloons and a shock wave source in each of the balloons to contact a heart valve, inflating the one or more balloons with a liquid such that the balloon is seated within a concave portion of a valve cusp, and activating the shock wave source.
1. A device for treatment of an aortic valve having at least first and second cusps, each cusp having a free edge, the device comprising:
a catheter;
a first elongate member translatable within the catheter, with a distal end of the first elongate member housing a first shock wave source, the first shockwave source being carried on a shaft and with the first shockwave source including at least two electrode pairs located along a side of the shaft, with the distal end of the first elongate member being configured to fit within a concave portion of the first cusp facing the aorta; and
a second elongate member translatable within the catheter, with a distal end of the second elongate member housing a second shock wave source, the second shockwave source being carried on a shaft and with the second shockwave source including at least two electrode pairs located along a side of the shaft, with the distal end of the second elongate member being configured to fit within a concave portion of the second cusp facing the aorta.
2. A device as recited in claim 1 for treatment of a valve having first, second and third cusps each cusp having a free end, the device further including a third elongate member translatable within the catheter, with a distal end of the third elongate member housing a third shock wave source, the third shockwave source being carried on a shaft and with the third shockwave source including at least two electrode pairs located along a side of the shaft, with the distal end of the third elongate member being configured to fit within a concave portion of the third cusp facing the aorta.
3. A device as recited in claim 1 wherein the distal end of the first elongate member includes an inflatable balloon surrounding the first shock wave source and wherein the distal end of the second elongate member includes an inflatable balloon surrounding the second shock wave source.
4. A device as recited in claim 1 wherein the first and second shock wave sources are movable within the respective elongate member.
5. A device as recited in claim 1 wherein each of the first and second shock wave sources is immersed in a fluid.
6. A device as recited in claim 5 wherein each of the first and second shock wave sources is connectable to a high voltage pulsed power supply.