Unexpected Complication of a Nitinol-Constrained Balloon Angioplasty (Chocolate) in Rutherford Class 3 Patient Presenting Challenging Aorto-Iliac Anatomy

Recanalization of bilateral axillaris/brachialis artery occlusion in a patient with Takayashu arteritis: First case report on using a novel drug‐coated nitinol “chocolate” balloon catheter

“…(b) Available data on endovascular treatments are based on case reports or case series with low patients numbers. The underlying evidence has changed since and with the nitinol‐structured (chocolate‐like) drug‐coated (paclitaxel) balloon technology (C‐DEB PTA), new technology has become available . A literature search on PubMed performed on September 23rd 2018 revealed only eight references based on the keywords “chocolate” and “balloon.” In combination with “Takayasu,” no reference is left.…”

“…A combination of either treatment strategy has been recently become available which is a paclitaxel‐covered balloon and constrained by a nitinol structure that creates pillows and grooves in the balloon. It also provides fast deflation and uniform rewrap (chocolate drug‐eluting PTA balloon catheter (C‐DEB PTA) . In this case report, we describe—to the best of our knowledge—the first successful percutaneous transluminal angioplasty with a nitinol‐structured (chocolate‐like) drug‐coated (paclitaxel) balloon technology (C‐DEB PTA) in a patient with TA.…”

“…It also provides fast deflation and uniform rewrap (chocolate drug-eluting PTA balloon catheter (C-DEB PTA). [8][9][10][11] In this case report, we describe-to the best of our knowledge-the first successful percutaneous transluminal angioplasty with a nitinol-structured (chocolatelike) drug-coated (paclitaxel) balloon technology (C-DEB PTA) in a patient with TA.…”