Method and device for infusion of pharmacologic agents and thrombus aspiration in artery
A catheter device and method for treating an artery with thrombus, the catheter comprising an inflatable member. A carrier catheter has a proximal end and a distal end adapted to be inserted percutaneously into an artery, the carrier catheter having a tubular body adjacent to a rear end of the inflatable member. An inflating tube passes through the tubular body and having an open front end in fluid communication with the inflatable member to inflate same. An infusion tube is adapted to infuse pharmacologic agents, the infusion tube passing through the tubular body and having an open front end extending beyond the inflatable member. An aspiration tube is adapted to aspire the thrombus, the aspiration tube passing through the tubular body and having an open front end between the carrier catheter and the inflatable member.
1. A catheter device for thrombus aspiration comprising:
a carrier catheter having a proximal end and a distal end adapted to be inserted percutaneously into an artery, the carrier catheter forming an outer sheath of the catheter device and having a tubular body;
an inflatable member fixed to the carrier catheter;
an inflating tube passing through the tubular body and having an open front end in fluid communication with the inflatable member to inflate same;
an infusion tube adapted to infuse pharmacologic agents, the infusion tube passing through the tubular body and having an open front end extending beyond the inflatable member; and
an aspiration tube passing through the tubular body and having an open front end adapted to be positioned proximally to the thrombus to aspire the thrombus,
the inflating tube, the infusion tube and the aspiration tube being fixed to the carrier catheter at the distal end of the carrier catheter.
2. The catheter device of claim 1 , further comprising at least one radio-opaque marker at a distal end of the infusion tube.
3. The catheter device of claim 1 , further comprising at least one radio-opaque marker on at least one of a distal end and a proximal end of the inflatable member.
4. The catheter device of claim 3 , comprising said radio-opaque markers at the distal end and the proximal end of the inflatable member.
5. The catheter device of claim 1 , further comprising a guide wire, the guide wire being received in the infusion tube.
6. The catheter device of claim 1 , wherein a distal end of the carrier catheter has a tapered profile.
7. The catheter device of claim 1 , wherein a distal end of the aspiration tube is coterminous with a distal end of the carrier catheter.
8. The catheter device of claim 7 , wherein the distal end of the carrier catheter has a tapered profile.
9. The catheter device of claim 1 , wherein the carrier catheter, the inflating tube, the infusion tube and the aspiration tube are integrally connected to one another.
10. The catheter device of claim 1 , wherein the aspiration tube has a greater diametrical dimension than the infusion tube and the inflating tube.
11. The catheter device of claim 10 , wherein the aspiration tube has an outer diameter of at most 0.043 in.
12. The catheter device of claim 1 , wherein the carrier catheter has an oval cross-sectional shape.
13. The catheter device of claim 1 , wherein the aspiration tube has an axially-facing distal opening.
14. The catheter device of claim 1 , wherein the carrier catheter has three distinct passages in the tubular body, whereby each of the inflating tube, the infusion tube and the aspiration tube is in a respective one of the passages.
15. The catheter device of claim 1 , wherein the inflating tube, the infusion tube and the aspiration tube are offset from a center of the carrier catheter.