Abstract: A method for positioning an electrode array of a neuromodulation catheter at a target circumferential position along a posterior wall of a superior vena cava includes advancing the catheter to a target longitudinal position within the superior vena cava, and orienting a marker on the extracorporeal portion of the catheter in a circumferential orientation known to position the array at the target circumferential position along the posterior wall. A method of positioning the array at a target longitudinal position includes advancing the catheter into the superior vena cava and using features of the catheter to detect the location of right atrial tissue, such as by sensing for a P-wave using an electrogram captured using an electrode carried at a distal end of the catheter, or by using such electrodes to capture the atrium using atrial pacing pulses. Once the location of the right atria is determined, the electrode array may be deployed in a position known to be proximal to the atrium.

Abstract: A neuromodulation system includes a first therapy element adapted for positioning within a superior vena cava, and a second therapy element adapted for positioning within a pulmonary artery. The first therapy element is carried on a first elongate flexible shaft, and the second therapy element is carried on a second elongate flexible shaft. One of the first and second shafts is slidably received within a lumen of the other of the first and second shafts—so that the second therapy element may be advanced within the body relative to the first therapy element. A stimulator is configured to energize the first therapy element within the first blood vessel to deliver therapy to a first nerve fiber disposed external to the superior vena cava and to energize the second therapy element within the pulmonary artery to deliver sympathetic therapy to a second nerve fiber disposed external to the pulmonary artery.

Abstract: A neuromodulation catheter is positionable in a blood vessel having a wall for use in delivering therapeutic energy to targets external to the blood vessel. An electrically insulative substrate such as an elongate finger is carried at a distal end of the catheter body. The substrate has a first face carrying a plurality of electrodes, and a second face on an opposite side of the substrate from the first face. The finger is biased such that when expanded within the blood vessel, it forms a spiral configuration with the first face facing outwardly to bias the electrodes in contact with the blood vessel wall.

Abstract: A method of treating autonomic imbalance in a patient includes energizing a first therapeutic element disposed in a superior vena cava of the patient to deliver therapy to a parasympathetic nerve fiber (e.g. vagus nerve), and energizing a second therapeutic element disposed within the superior vena cava to deliver therapy to a sympathetic cardiac nerve fiber. A neuromodulation system includes a parasympathetic therapy element adapted for positioning within a blood vessel, a sympathetic therapy element adapted for positioning within the blood vessel; and a stimulator to energize the parasympathetic therapy element to deliver parasympathetic therapy to a parasympathetic nerve fiber disposed external to the blood vessel and energize the sympathetic therapy element within the blood vessel to deliver sympathetic therapy to a sympathetic nerve fiber disposed external to the blood vessel. The therapy decreases the patient's heart rate and elevates or maintains the blood pressure of the patient.

Abstract: A neuromodulation system includes a first therapy element adapted for positioning within a superior vena cava, and a second therapy element adapted for positioning within a pulmonary artery. Each therapy element is carried on a corresponding elongate flexible shaft. One of the shafts is slidably received within a lumen of the other so that the second therapy element may be advanced within the body relative to the first. A stimulator energizes the first therapy element within the first blood vessel to deliver therapy to a first nerve fiber disposed external to the superior vena cava and to energize the second therapy element within the pulmonary artery to deliver sympathetic therapy to a second nerve fiber disposed external to the pulmonary artery. For treatment of heart failure, the first nerve fiber may be a vagus nerve and the second nerve fiber may be a sympathetic nerve fiber.

Abstract: An inductive element adapted for use in implantable intravascular devices (IIDs) having an elongate form factor with a cross-section. The inductive element includes a core that has an outer surface contour that corresponds to the form factor. A set of elongate, or oblong, windings are situated lengthwise along the major length dimension of the inductive element. The windings are also situated to direct a magnetic field along a radial direction in relation to the elongate form factor. In one embodiment the form factor is generally cylindrical and the cross-section is generally round.

Abstract: An inductive element adapted for use in implantable intravascular devices (IIDs) having an elongate form factor with a cross-section. The inductive element includes a core that has an outer surface contour that corresponds to the form factor. A set of elongate, or oblong, windings are situated lengthwise along the major length dimension of the inductive element. The windings are also situated to direct a magnetic field along a radial direction in relation to the elongate form factor. In one embodiment the form factor is generally cylindrical and the cross-section is generally round.

Abstract: An inductive element adapted for use in implantable intravascular devices (IIDs) having an elongate form factor with a cross-section. The inductive element includes a core that has an outer surface contour that corresponds to the form factor. A set of elongate, or oblong, windings are situated lengthwise along the major length dimension of the inductive element. The windings are also situated to direct a magnetic field along a radial direction in relation to the elongate form factor. In one embodiment the form factor is generally cylindrical and the cross-section is generally round.

Abstract: An inductive element adapted for use in implantable intravascular devices (IIDs) having an elongate form factor with a cross-section. The inductive element includes a core that has an outer surface contour that corresponds to the form factor. A set of elongate, or oblong, windings are situated lengthwise along the major length dimension of the inductive element. The windings are also situated to direct a magnetic field along a radial direction in relation to the elongate form factor. In one embodiment the form factor is generally cylindrical and the cross-section is generally round.