Catheters for emergency endovascular surgery and associated devices, systems, and methods
Catheter systems configured for emergency blood-vessel occlusion and associated devices, systems, and methods are disclosed herein. A catheter system configured in accordance with a particular embodiment includes a catheter, a sheath, and an extracorporeal proximity sensor. The catheter includes an elongated body having a tip, a sealing portion, and a main shaft proximal to the sealing portion. The tip is configured to dilate a blood vessel ahead of the distal end portion of the sheath as the catheter and the sheath are advanced together through the blood vessel. The distal end portion of the sheath is configured to fit snugly around the sealing portion. The catheter further includes a balloon and a proximity-sensor target less than about 10 centimeters from the balloon. The proximity sensor is configured to receive a signal from the proximity-sensor target to aid in positioning the balloon without fluoroscopic guidance.
1. A method for occluding an injured blood vessel, the method comprising:
simultaneously advancing a catheter and a sheath along a catheterization path while a tip of the catheter dilates one or more blood vessels along the catheterization path;
advancing the catheter and/or retracting the sheath to cause a balloon of the catheter to extend beyond a distal end portion of the sheath after simultaneously advancing the catheter and the sheath along the catheterization path, wherein a main shaft of the catheter proximal to the balloon has a column strength from about 50% to about 500% of a column strength of the sheath; and
inflating the balloon to at least partially occlude the injured blood vessel.
2. The method of claim 1 , further comprising selecting an axial length of the catheter to be from about 100% to about 150% of the length of the catheterization path.
3. The method of claim 1 , further comprising monitoring blood pressure within the injured blood vessel via an annular space between the catheter and the sheath before inflating the balloon and after advancing the catheter and/or retracting the sheath to cause the balloon of the catheter to extend beyond the distal end portion of the sheath.
4. The method of claim 1 wherein:
simultaneously advancing the catheter and the sheath along the catheterization path includes simultaneously advancing the catheter and the sheath while an adjustable compression seal of the sheath is tightened around the catheter; and
the method further comprises loosening the adjustable compression seal before advancing the catheter and/or retracting the sheath to cause the balloon to extend beyond the distal end portion.
5. The method of claim 1 , further comprising using the sheath as an arterial line after advancing the catheter and/or retracting the sheath to cause the balloon of the catheter to extend beyond the distal end portion of the sheath.
6. The method of claim 5 wherein using the sheath as an arterial line includes measuring a blood pressure within the injured blood vessel via an annular space between the catheter and the sheath.
7. The method of claim 1 , further comprising determining a position of a proximity-sensor target of the catheter or the sheath using an extracorporeal proximity sensor after simultaneously advancing the catheter and the sheath along the catheterization path.
8. The method of claim 7 , further comprising confirming that the balloon is upstream from a location of a vascular injury by determining the position of the proximity-sensor target.
9. The method of claim 7 wherein the proximity-sensor target includes a passive radiofrequency tag and determining the position of the proximity-sensor target includes energizing the tag using the proximity sensor.
10. The method of claim 7 wherein determining the position of the proximity-sensor target includes moving the proximity sensor relative to a patient until the proximity sensor indicates an external location on the patient corresponding to the position of the proximity-sensor target.