A method is provided to modulated vascular
adaptation within a tumor so that therapy uptake is increased. The method includes providing a pressure directed therapy
system having an infusion lumen, an occluder, a
pressure sensor to sense pressure distal of the occluder. The distal end of the
system is advanced to a target
artery of an organ. The pressure in the target
artery is reduced by expanding the occluder at the distal end of the
system. Then, the therapy is infused through the infusion lumen and into the target
artery. Upon sensing
decreased pressure and thus vessel
adaptation, infusion is stopped until vessel re-
adaptation occurs. Then infusion resumes. The infusion continues in a cycle of therapy infusing, sensing pressure and determining vessel adaptation, waiting, and resuming once re-adaptation occurs until the therapy
dose is delivered to the patient.