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Vasculitis can arise as a primary disease or as a secondary
complication of autoimmune diseases. It is characterized by
inflammation of the blood vessels. Vasculitis is often difficult
to diagnose and is frequently confused with infections, toxic
exposures, or hypertension. One form of primary vasculitis,
Wegener's granulomatosis, can take up to 15 months to diagnose
properly. Diagnosing pulmonary manifestations of collagen
vascular diseases associated with systemic lupus or scleroderma
can be equally problematic. As a result, the disease often
progresses to advanced stages before being properly diagnosed.
Although the total incidence of collagen vascular disease
and vasculitis is unknown, 20% to 85% of 2,000,000 lupus patients
and 40,000 to 165,000 systemic scleroderma patients experience
pulmonary vascular complications associated with their collagen
vascular disease, and 9,000 to 14,000 Wegeners granulomatosis
patients experience granulomatosis in their pulmonary arteries.
In all patients, the unmet diagnostic and therapeutic needs
are great.
The endoarterial biopsy catheter will provide physicians with
a powerful tool for determining the presence and characteristics
of vasculitis or pulmonary vascular involvement in collagen
vascular disease patients. Minimally invasive, outpatient
endoarterial biopsy of involved pulmonary arteries would be
a significant advance over current diagnostic techniques.
The minimally invasive nature of the endoarterial biopsy procedure
would provide a convenient and cost-effective means for disease
diagnosis, customized therapies based on biopsy analysis,
surveillance of the effects of therapeutic interventions and
monitoring disease progression.
CAUTION - Investigational Device. Limited by Federal
law to investigational use.
This device should be used only by physicians with a thorough
understanding of percutaneous interventional procedures.
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