Therapeutic cholesterol gallstone dissolution method
AssigneeThe Regents of the University of California
InventorsAlan F. Hofmann, Claudio D. Schteingart
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AssigneeThe Regents of the University of California
InventorsAlan F. Hofmann, Claudio D. Schteingart
Estimating the term…
A method and apparatus are disclosed for treating a patient having cholesterol calculi which involves infusing into the biliary tract of said patient a C.sub.5 -C.sub.6 ester having a boiling point in the range of 80.degree.-140.degree. C. in an amount and at a flow rate effective to at least partially dissolve said calculi rapidly. It is found that the ester has little or no tendency to accumulate in the blood stream when perfused into a patient, particular as compared to methyl t-butyl ether (MTBE), the solvent widely used at present. The invention also encompasses dissolving cholesterol calculi by exposing such calculi to contact with effective quantities of those solvent compounds. The method preferably uses a high flow rate catheter pumping system for infusing a gallstone dissolution solvent into the gallbladder of a patient and aspirating the gallstone dissolution solvent from the gallbladder, and a unit measure container of the solvent. The preferred esters are n-propyl acetate, isopropyl acetate, ethyl propionate and ethyl isobutyrate, with ethyl propionate being the most preferred. Contact flow rates are sufficiently high to insure fluid turbulence in the biliary tract region surrounding the calculi.
A method for dissolving cholesterol calculi which comprises contacting said calculi with a solvent comprising a C.sub.5 -C.sub.6 ester having a boiling point in the range of 80.degree.-40.degree. C. in an amount and at a flow rate effective to dissolve said calculi at a dissolution rate of at least about 4 mg/min.
A method for treating a patient having cholesterol calculi in the biliary tract which comprises perfusing into the biliary tract of said patient a solvent comprising a C.sub.5 -C.sub.6 ester having a boiling point in the range of 80.degree.-140.degree. C. in an amount and at a flow rate effective to dissolve said calculi at a dissolution rate of at least about 4 mg/min.
A method of gallstone dissolution using a high flow rate catheter pumping system for infusing a gallstone dissolution solvent into the gallbladder of a patient, and aspirating the gallstone dissolution solvent from the gallbladder characterized in which the solvent comprises a C.sub.5 -C.sub.6 ester having a boiling point in the range of 80.degree.-40.degree. C. in an amount characterized in that said infusing and aspirating is at a flow rate effective to dissolve said calculi at a dissolution rate of at least about 4 mg/min.
Dependencies are inferred from the claim text.