Systems and methods for ultrasound imaging and insonation of microbubbles
A catheter system including an elongate tubular member having a proximal end portion, a distal end portion and a lumen extending through at least a portion of a length of the elongate tubular member. The distal end portion of the elongate member is dimensioned and adapted to advance to or in proximity to a treatment site of a subject. A microbubble device is in fluid communication with the lumen. The microbubble device includes at least one input port for receiving a flow of material into the device and an output port configured to output microbubbles from the microbubble device. A second tubular member is in fluid communication with one of the at least one input ports. A pressure fitting arrangement is adapted to maintain a seal between the second tubular member and the input port.
1. A method of providing therapy to a treatment site of a subject, said method comprising:
advancing a distal end portion of an ultrasound catheter to or in proximity to the treatment site;
dispensing microbubbles from said catheter according to a pacing protocol and in a manner that said microbubbles flow over the treatment site, wherein said dispensing according to said pacing protocol dispenses said bubbles in a timed manner relative to the cardiac cycle of the subject; and
bursting said microbubbles to dispense drug or gene therapy to the treatment site.
2. The method of claim 1 , wherein said bursting is performed by applying acoustic radiation force to said microbubbles, said force being applied from a transducer located within said catheter.
3. The method of claim 1 , further comprising viewing the treatment site via ultrasonic imaging provided by applying ultrasonic energy to the treatment site from a transducer located within said catheter.
4. The method of claim 1 , wherein the treatment site is at least a portion of a blood vessel, organ, parenchymal tissue, stromal tissue or duct.
5. The method of claim 4 , wherein the treatment site is at least a portion of a blood vessel.
6. The method of claim 1 , further comprising sensing an ECG waveform of the cardiac cycle of the subject, wherein said pacing is according to the ECG waveform having been sensed.
7. The method of claim 6 , further comprising adding a delay period to commencement of dispensing, relative to the ECG waveform, based on distance of the treatment site from the heart of the subject.
8. The method of claim 1 , wherein said microbubbles are delivered through a lumen extending through said catheter.
9. The method of claim 1 , wherein said microbubbles are formed in said distal end portion of said catheter and dispensed therefrom.