Balloon-type ablation catheter and ablation catheter device
It is an object of the present invention to provide a balloon-type ablation catheter that can measure the electric potential around the entire circumference of the pulmonary vein at a position near the left atrium with electrodes attached to a catheter distal end part of an electrode catheter inserted in a shaft in a state where a balloon is pressed against the area around the ostium of the pulmonary vein. The balloon-type ablation catheter of the present invention includes a catheter shaft ( 10 ) having a multi-lumen structure in which a plurality of lumens ( 11 to 17 ) are formed that include a liquid feeding lumen ( 13 ), ( 16 ) and an electrode catheter insertion lumen ( 12 ), a distal end tip ( 30 ) attached to the distal end of the catheter shaft ( 10 ), a balloon ( 50 ) attached to the distal end part of the catheter shaft ( 10 ), and a high-frequency current application electrode ( 70 ) provided in the balloon ( 50 ). A side hole ( 32 ) that communicates with the electrode catheter insertion lumen ( 12 ) and that opens on the side peripheral surface of the distal end tip ( 30 ) is formed in the distal end tip ( 30 ).
1. A balloon-type ablation catheter comprising:
a catheter shaft in which a plurality of lumens are formed that include a liquid feeding lumen for flowing liquid and an electrode catheter insertion lumen for inserting an electrode catheter for measuring electric potential;
a distal end tip attached to a distal end of the catheter shaft;
a balloon that is attached to the catheter shaft so as to contain the distal end of the catheter shaft and that is expanded by supplying an inside surface thereof with liquid flowing through the liquid feeding lumen; and
a high-frequency current application electrode that is provided inside the balloon, on an outer surface of the balloon, or in a wall of the balloon, wherein high-frequency current is applied between the high-frequency current application electrode and a counter electrode plate configured to be attached to the body surface of a patient,
wherein a side hole that communicates with the electrode catheter insertion lumen and is formed to open in the distal end tip, the side hole extending radially from the distal end tip, positioned distally from the high-frequency current application electrode, on a side peripheral surface of a cylindrical linear body section of the distal end tip, and
wherein the entire side hole is positioned on the side peripheral surface of the cylindrical linear body section, and wherein a distal portion of the electrode catheter extends from the side hole in a direction perpendicular to the longitudinal axis of the catheter shaft and the distal portion is proximal to a distalmost surface of the distal end tip.
2. The balloon-type ablation catheter according to claim 1 , wherein a distance (d) from the distal end of the balloon to the opening of the side hole is 4 mm or less.
3. The balloon-type ablation catheter according to claim 1 ,
wherein the high-frequency current application electrode is composed of a metal thin film formed on at least part of the outer surface of the balloon, and
wherein many irrigation through-holes leading from the inside surface of the balloon to a surface of the high-frequency current application electrode are formed in at least part of a region of the high-frequency current application electrode in order to irrigate the high-frequency current application electrode with liquid for expanding the balloon.
4. The balloon-type ablation catheter according to claim 1 , wherein the distal end tip is an electrode.
5. An ablation catheter device comprising:
a balloon-type ablation catheter comprising:
a catheter shaft in which a plurality of lumens are formed that include a liquid feeding lumen for flowing liquid and an electrode catheter insertion lumen for inserting an electrode catheter for measuring electric potential;
a distal end tip attached to a distal end of the catheter shaft;
a balloon that is attached to the catheter shaft so as to contain the distal end of the catheter shaft and that is expanded by supplying an inside surface thereof with liquid flowing through the liquid feeding lumen; and
a high-frequency current application electrode that is provided inside the balloon, on an outer surface of the balloon, or in a wall of the balloon, wherein high-frequency current is applied between the high-frequency current application electrode and a counter electrode plate configured to be attached to the body surface of a patient,
wherein a side hole that communicates with the electrode catheter insertion lumen and is formed to open in the distal end tip, the side hole extending radially from the distal end tip, positioned distally from the high-frequency current application electrode, on a side peripheral surface of a cylindrical linear body section of the distal end tip, and wherein the entire side hole is positioned on the side peripheral surface of the cylindrical linear body section, and wherein a distal portion of the electrode catheter extends from the side hole in a direction perpendicular to the longitudinal axis of the catheter shaft and the distal portion is proximal to a distalmost surface of the distal end tip, and
the electrode catheter for measuring the electric potential around an entire circumference of a pulmonary vein inserted into the electrode catheter insertion lumen of the catheter shaft that makes up the balloon-type ablation catheter,
wherein the electrode catheter includes a catheter main body, and a ring-like catheter distal end part connected to the catheter main body and having a plurality of electrodes, and
wherein the ring-like catheter distal end part of the electrode catheter is inserted into the side hole formed in the distal end tip of the balloon-type ablation catheter, and can be caused to extend from the side hole and can be retracted.