Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 707-711 , March 2010

A portable high-intensity focused ultrasound device for noninvasive venous ablation

  • Peter W. Henderson, MD

      Affiliations

    • Laboratory for Bioregenerative Medicine and Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY
  • ,
  • George K. Lewis, BS

      Affiliations

    • Department of Biomedical Engineering, Cornell University, Ithaca , NY
  • ,
  • Naima Shaikh, BA

      Affiliations

    • Laboratory for Bioregenerative Medicine and Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY
  • ,
  • Allie Sohn, BA

      Affiliations

    • Laboratory for Bioregenerative Medicine and Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY
  • ,
  • Andrew L. Weinstein, BS

      Affiliations

    • Laboratory for Bioregenerative Medicine and Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY
  • ,
  • William L. Olbricht, PhD

      Affiliations

    • Department of Biomedical Engineering, Cornell University, Ithaca , NY
  • ,
  • Jason A. Spector, MD, FACS

      Affiliations

    • Laboratory for Bioregenerative Medicine and Surgery, Department of Surgery, Weill Cornell Medical College, New York, NY
    • Corresponding Author InformationCorrespondence: Jason A. Spector, MD, FACS, 525 E. 68th St, Payson 709-A New York, NY 10065
    web address

Received 18 July 2009 ,Accepted 4 October 2009.

  • Image Result

    The ultrasound device is 14 × 9 × 4 cm and weighs 650 g. The diameter of the transducer is 3 cm.

    The ultrasound device is 14 × 9 × 4 cm and weighs 650 g. The diameter of the transducer is 3 cm.

  • Image Result

    Diagrammatic representation of ultrasound system and transducer probe shows the three ultrasound energy standoffs. The shorter the transducer standoff, the deeper the ultrasonic energy penetration and

    Diagrammatic representation of ultrasound system and transducer probe shows the three ultrasound energy standoffs. The shorter the transducer standoff, the deeper the ultrasonic energy penetration and focal ablation region; the longer the standoff, the less penetration of energy.

  • Image Result
    The skin-muscle-vein model is shown (left) before ultrasound treatment and (right) after ultrasound treatment. Note the lack of coagulation necrosis of the skin, the minimal area of coagulation necros

    The skin-muscle-vein model is shown (left) before ultrasound treatment and (right) after ultrasound treatment. Note the lack of coagulation necrosis of the skin, the minimal area of coagulation necrosis on the surface of the muscle that had been in direct contact with the vein (arrow), and the distinct contraction of the vein.

  • Image Result
    Skin-fat-vein model is shown (left) before ultrasound treatment and (right) after ultrasound treatment. Note the lack of coagulation necrosis of the skin (left) and fat (middle), and the distinct cont

    Skin-fat-vein model is shown (left) before ultrasound treatment and (right) after ultrasound treatment. Note the lack of coagulation necrosis of the skin (left) and fat (middle), and the distinct contraction of the vein (right).

  • Image Result
    A segment of vein in skin-fat-vein model filled with heparinized rat blood is shown (left) before and (right) after treatment with the high-intensity focused ultrasound device.

    A segment of vein in skin-fat-vein model filled with heparinized rat blood is shown (left) before and (right) after treatment with the high-intensity focused ultrasound device.

  • Image Result
    A section of vein is shown that (left) had not been treated with the high-intensity focused ultrasound (HIFU) device and (right) which had been treated with HIFU. Treatment resulted in a 96% reduction

    A section of vein is shown that (left) had not been treated with the high-intensity focused ultrasound (HIFU) device and (right) which had been treated with HIFU. Treatment resulted in a 96% reduction in luminal area. Hematoxylin and eosin staining at original magnification ×40.

 Competition of interest: none.

 Funding for this project was obtained in part from a grant from the Empire Clinical Research Investigator Program (New York).

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02103-X

doi: 10.1016/j.jvs.2009.10.049

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 707-711 , March 2010