Image guided intravascular therapy catheter utilizing a thin ablation electrode

An endoluminal catheter for providing image-guided therapy in a patient's vasculature comprising:

• (a) an elongated catheter body adapted to be inserted into a patient's vasculature, the catheter body defining a distal portion operable to be inside the patient's vasculature while a proximal portion is outside the patient;
• (b) a distal element including a sound lens having a distal surface and a set of electrodes adhered to said sound lens distal surface and forming a convex, generally round distal facing catheter face, defining a radial center, and bearing separately-controllable electrodes for performing controlled ablation of plaque in said patient's vasculature, each electrode extending away from said radial center in a direction different from the other electrodes;
• (c) a distal facing array of ultrasound imaging transducers positioned in the catheter body proximal to the electrodes and configured to transmit and receive ultrasound pulses through said electrodes to provide real time imaging information of plaque to be ablated by the electrodes;
• (d) whereby a catheter operator can form an image of plaque on an artery interior and in response selectively activate one or more electrodes to remove plaque along a first circumferential portion of an arterial wall, while avoiding activating an electrode along a circumferential portion of an arterial wall that does not bear plaque;
• and
• (i) wherein said electrodes are less than 10 microns thick.