Devices systems and methods for coronary intervention assessment, planning, and treatment based on desired outcome

Abstract

The present disclosure relates generally to the assessment and treatment of vessels, including for percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG). For example, some embodiments of the present disclosure are suited for identifying the available intervention technique(s) suitable to achieve a desired outcome selected or input by a user. For example, in some implementations a method comprises receiving pressure measurements obtained by one or more intravascular pressure-sensing instruments positioned within a vessel of a patient; receiving an input from a user regarding a desired pressure value for the vessel of the patient; identifying an available treatment option based on the received pressure measurements and the desired pressure value; and outputting, to a display device, a screen display including a visual representation of the available treatment option. Related devices and systems are also described.

What is claimed is: 
     
         1 . A system, comprising:
 a processor configured for communication with an intravascular pressure-sensing guidewire and a display device, wherein the processor is configured to:
 receive pressure measurements obtained by the intravascular pressure-sensing guidewire while the intravascular pressure-sensing guidewire is positioned within a blood vessel of the patient; 
 output, to the display device, a screen display comprising a plurality of treatment option fields representative of a plurality of available treatment options; 
 receive, via the plurality of treatment option fields, a user input comprising a selection of one or more treatment options, of the plurality of available treatment options, that are under consideration for treatment of the blood vessel, wherein, after the user input is received, the one or more treatment options that are under consideration are displayed differently than the plurality of available treatment options; and 
 determine, based on the pressure measurements, whether the one or more treatment options that are under consideration satisfy a treatment planning related pressure value, 
   wherein the screen display further comprises a visual representation associated with the determination of whether the one or more treatment options that are under consideration satisfy the treatment planning related pressure value.   
     
     
         2 . The system of  claim 1 , wherein the treatment planning related pressure value comprises at least one of a desired pressure value or a minimum pressure value. 
     
     
         3 . The system of  claim 1 ,
 wherein the screen display comprises a treatment planning related pressure field,   wherein the processor is further configured to receive, via the treatment planning related pressure field, a further user input comprising the treatment planning related pressure value, and   wherein, after the further user input is received, the treatment planning related pressure value is displayed in the treatment planning related pressure field.   
     
     
         4 . The system of  claim 1 ,
 wherein the one or more treatment options that are under consideration comprise a first treatment option,   wherein, to determine whether the one or more treatment options that are under consideration satisfy the treatment planning related pressure value, the processor is configured to determine, based on the pressure measurements, a first corrected pressure value expected to result from the first treatment option, and   wherein the visual representation comprises a first visual representation of the first corrected pressure value.   
     
     
         5 . The system of  claim 4 ,
 wherein the one or more treatment options that are under consideration comprises a second treatment option different than the first treatment option,   wherein, to determine whether the one or more treatment options that are under consideration satisfy the treatment planning related pressure value, the processor is configured to determine, based on the pressure measurements, a second corrected pressure value expected to result from the second treatment option,   wherein the visual representation comprises a second visual representation of the second corrected pressure value, and   wherein the first visual representation and the second visual representation are displayed simultaneously.   
     
     
         6 . The system of  claim 5 ,
 wherein the visual representation comprises a third visual representation of the treatment planning related pressure value,   wherein the third visual representation is displayed simultaneously with the first and second visual representation.   
     
     
         7 . The system of  claim 6 , wherein the screen display simultaneously provides an evaluation of the first treatment option and the second treatment option based on a visual comparison of the first corrected pressure value, the second corrected pressure value, and the treatment planning related pressure value. 
     
     
         8 . The system of  claim 5 , wherein the first treatment option and the second treatment option comprise a same treatment type with different parameters values. 
     
     
         9 . The system of  claim 8 ,
 wherein the same treatment type comprises stenting,   wherein the different parameters values correspond to at least one of stent length, stent diameter, or stent material.   
     
     
         10 . The system of  claim 1 ,
 wherein the processor is further configured to receive an x-ray image of the vessel,   wherein the visual representation comprises the x-ray image.   
     
     
         11 . The system of  claim 11 , wherein the visual representation comprises a visual representation of the one or more treatment options under consideration overlaid on the vessel in the x-ray image. 
     
     
         12 . The system of  claim 11 ,
 wherein the visual representation of the one or more treatment options comprises a stent at a deployment location of the vessel in the x-ray image.