Apparatus and method of assessing a narrowing in a fluid filled tube
View Patent ↗An apparatus and method of assessing a narrowing in a fluid filled tube having a fluid flow pressure wave having a backward-originating pressure component and a forward-originating pressure component without taking a flow velocity measurement, comprising: taking pressure measurements in the tube; separating the pressure components into the backward-originating pressure component and the forward-originating pressure component; identifying a time window when the differential of flow velocity (dU) is minimal or absent; and deriving the backward and forward pressure components for pressure measurements taken in at least the time window.
1. A system of assessing a narrowing in a blood vessel, the system comprising:
at least one pressure-sensing probe sized and shaped for positioning within the blood vessel; and
a processor in communication with the at least one pressure-sensing probe, the processor configured to:
receive pressure measurements obtained by the at least one pressure-sensing probe positioned within the blood vessel not during hyperaemia; and
calculate a pressure ratio using the pressure measurements obtained during a wave free period to provide an assessment of a severity of the narrowing in the blood vessel, the wave free period corresponding to when a differential of flow velocity within a cardiac cycle is below a threshold.
2. The system of claim 1 , wherein a start of the wave free period occurs after a first characteristic of a pressure waveform of the received pressure measurements.
3. The system of claim 2 , wherein the first characteristic of the pressure waveform is a peak pressure.
4. The system of claim 2 , wherein an end of the wave free period occurs before a second characteristic of the pressure waveform of the received pressure measurements.
5. The system of claim 4 , wherein the second characteristic is an end of the pressure waveform.
6. The system of claim 1 , wherein the wave free period includes a time window between a peak pressure time (t Pmax ) and an end of pressure waveform time (t Pend ).
7. The system of claim 6 , wherein the time window extends from t Pmax +150 ms to t Pend −50 ms.
8. The system of claim 6 , wherein the time window is a mid-window between t Pmax and t Pend .
9. The system of claim 8 , wherein the time window is a mid ⅗ window between t Pmax and t Pend .
10. The system of claim 1 , wherein the wave free period has a length of at least 100 ms.
11. The system of claim 1 , wherein the wave free period has a predetermined duration.
12. The system of claim 1 , wherein the threshold of the differential of flow velocity (dU) is a predetermined deviation from zero.
13. The system of claim 12 , wherein the predetermined deviation is ±2×10 −4 .
14. The system of claim 1 , wherein the threshold of the differential of flow velocity (dU) is a percentage of a maximum differential of flow velocity (dU max ).
15. The system of claim 1 , wherein the threshold is 20% or less than a maximum differential of flow velocity (dU max ).
16. The system of claim 1 , wherein the at least one pressure-sensing probe comprises a pressure-sensing wire.
17. The system of claim 1 , wherein the at least one pressure-sensing probe comprises a pressure transducer.
18. The system of claim 1 , wherein the processor is in wired communication with the at least one pressure-sensing probe.
19. The system of claim 1 , wherein the processor is in wireless communication with the at least one pressure-sensing probe.
20. The system of claim 1 , wherein the processor is further configured to:
identify the wave free period based on the received pressure measurements.