Methods and devices are disclosed for detecting vulnerable atherosclerotic
plaque, or plaque at risk of reducing blood flow in a vessel, by
identifying a region of elevated temperature along a living vessel wall.
The disclosure that human atherosclerotic plaque with measurable
temperature heterogeneity has the morphological characteristics of plaque
that is likely to ulcerate provides a new and sensitive technique for
detecting and treating these dangerous plaques before myocardial
infarction and its consequences occur. The disclosed methods are
advantageous over conventional plaque detection techniques because they
are capable of differentiating between those plaques that are at great
risk of rupture, fissure, or ulceration, and consequent thrombosis and
occlusion of the artery, and those that are not presently at risk.
Infrared heat-sensing catheters useful for identifying potentially fatal
arterial plaques in patients with disease of the coronary or other
arteries are also described. In some embodiments a coherent infrared
fiber optic bundle is employed to radially and longitudinally explore a
luminal wall to identify inflamed, heat-producing, atherosclerotic
plaque. Certain other methods and devices are disclosed which are
particularly suited for non-invasively identifying and then monitoring
the progression or amelioration of an inflamed plaque in a patient, and
for monitoring for onset of inflammation in an implanted arteriovenous
graft. Also disclosed are thermocouple basket catheters and thermistor
basket catheters which are also capable of detecting temperature
heterogeneity along a vessel wall.