Abstract: In a miniature x-ray tube, which may be on the order of approximately 1 mm in diameter or even less, a high voltage cable is provided in various embodiments for conducting current to the cathode of the x-ray tube and for conducting high voltage to the cathode and anode of the tube. In various embodiments of the cable, two conductors occupy a center region of the cable, packed as closely together as possible, in various shapes that are compact and present as smooth as possible an external shape for maximizing dielectric properties against the exterior high voltage ground, surrounding and generally concentric with the inner conductors. The inner conductors, which carry high voltage in opposition to the outer ground, can be in opposed D shapes, coaxial, two flattened conductors side by side, or simply a pair of cylindrical wires positioned as closely as possible.

Abstract: A miniature x-ray tube capable of intra vascular use, has a micro cathode preferably formed by MEMS techniques. The very fine wire of the cathode filament is formed on a semiconductor base and draws a current sufficiently low that lead wires in a cathode heater circuit, passing through a probe line connected to the x-ray tube, can be very small wires, which helps maintain sufficient dielectric spacing in the high voltage circuit handled by the same probe line. In a preferred embodiment the probe line comprises a glass fiber, held at a small diameter to allow flexibility for navigating small-radius turns within the vessels. In a preferred embodiment the fiber is overcoated with a high-dielectric polymer to significantly increase the dielectric strength of the overall cable, without adding significantly to stiffness. The high voltage ground conductor is a coaxial sheath on the outside of the polymer. Exterior to the ground conductor is a further flexible layer having paths for coolant.

Abstract: The present invention provides improved devices, methods, and kits for inhibiting restenosis and hyperplasia after intravascular intervention. In particular, the present invention provides controlled radiosensitizer delivery in combination with ionizing radiation to selected locations within a patient's vasculature to reduce and/or inhibit restenosis and hyperplasia rates with increased efficacy. In one embodiment, the combination radiation and radiosensitizer delivery catheter for inhibiting hyperplasia comprises a catheter body having a proximal end and distal end, an ionizing radiation source coupleable to the catheter body for applying a radiation dose to a body lumen, and means coupleable to the catheter body or the radiation source for releasing a radiosensitizer to the body lumen.

Abstract: The present invention provides improved devices, methods, and kits for inhibiting restenosis and hyperplasia after intravascular intervention. In particular, the present invention provides controlled drug delivery in combination with x-ray radiation delivery to selected locations within a patient's vasculature to reduce and/or inhibit restenosis and hyperplasia rates with increased efficacy. In one embodiment, the combination radiation and agent delivery catheter for inhibiting hyperplasia comprises a catheter body having a proximal end and distal end, an x-ray tube coupleable to the catheter body for applying a radiation dose to a body lumen, and a porous material, matrix, membrane, barrier, coating, infusion lumen, stent, graft, or reservoir for releasing an agent to the body lumen.

Abstract: Apparatus and methods are provided for applying a radially uniform radiation dose to an intravascular treatment region to inhibit hyperplanes, and specifically to reduce “candy-wrapper” ends, following intravascular intervention. An embodiment of the apparatus comprises a catheter body having a proximal end and a distal end, a pair of axially spaced apart radiation shields on the catheter body, and a radiation source. The radiation source applies a radiation dose which is substantially uniform in a radial direction over an entire distance between the axially spaced apart shields.

Abstract: A vascular X-ray probe is formed of an optical fiber cable with a high voltage conductor embedded in the optical fiber and an external ground coating, feeding power to a small X-ray tube at the end of the cable. The optical fiber provides a conduit for optical radiation, preferably a laser beam, fed to a thermionic cathode mounted at the end of the light path, so that the laser beam heats the cathode causing it to emit electrons. An anode/X-ray target is opposite the cathode within the evacuated X-ray tube, and the ground lead is fed to the anode via an external ground coating over the tube. The X-ray tube is in preferred embodiments is less than 3 mm in diameter, and more preferably about 1.5 mm. In one embodiment the tube is formed directly in the end of the optical fiber cable, with the anode mounted on an exit window.