申请人:Tulavi Therapeutics, Inc.
公开号:US11446359B2
公开(公告)日:2022-09-20
Methods, devices and systems are described for decreasing the activity of the sympathetic nervous innervation to and from the lungs and the vessels supplying the lungs to treat pulmonary medical conditions such as asthma. In one embodiment, the method may involve advancing an intravascular instrument to a target location in a blood vessel within the intercostal vasculature to ablate either or both the sympathetic afferent and efferent nerves lying within the paravertebral gutter including the visceral fibers that travel to the cardiothoracic cavity and abdominopelvic viscera and the T1 to T4/5 sympathetic chain. In another embodiment, an intravascular instrument may be advanced to the bronchial vessels to ablate either or both the sympathetic afferent and efferent nerves in and around the posterior pulmonary plexus. In one embodiment the ablative agent is a neurolytic agent delivered in a gel. This approach may be utilized to treat other cardiac and pulmonary diseases.
所述方法、装置和系统用于降低进出肺部和供应肺部的血管的交感神经神经支配的活性,以治疗哮喘等肺部疾病。在一个实施方案中,该方法可能涉及将血管内仪器推进到肋间血管内的目标位置,以消融位于椎旁沟内的交感神经传入和传出神经,包括通向心胸腔和腹盆腔内脏的内脏纤维以及 T1 至 T4/5 交感神经链。在另一个实施方案中,可将血管内器械推进到支气管,以消融后肺丛及其周围的交感传入和传出神经中的一条或两条。在一个实施方案中,消融剂是以凝胶形式递送的神经溶解剂。这种方法可用于治疗其他心脏和肺部疾病。