Case Studies

Chocolate®

PTA Balloon Catheter

“The principle of angio-plasty with modulated dilatation potentially results in a reduction of severe flow limiting dissections. Early experience with this new angio-plasty technique is promising and warrants comparative studies with conventional balloon angio-plasty in the future.”Professor Thomas Zeller

Patient Info:

Physician Quote

• 67 year old

• Diffused disease at right femo-popliteal

• CTO of proximal anterior tibial

• Distal tight lesion at anterior tibial

• CTO of peroneal and posterior tibial

Dr. Craig WalkerLafayette Regional HospitalLafayette, LAFeb 16, 2012 (310)

PRE: CTO of mid right anterior tibial POST: Final result after Chocolate 3.0x40mm (2 inflations) and Coyote 4.0x80mm

Chocolate®

PTA Balloon Catheter

“I feel confident in using Chocolate in very complex cases

to achieve such reliable results.”

Patient Info:

Physician Quote

3 vessel disease with total & sub-total defused

occlusions along the right shin, with multiple

collaterals. Dr. Sanjeev TrehanSt. Francis HospitalTulsa, OKApril 2012

PRE: CTO of distal right peroneal POST: Final result after Chocolate 3.0x80mm

Chocolate®

PTA Balloon Catheter

“I did not expect to get such a good result of

CTO revascularization from a balloon as a single

treatment tool!”

Patient Info:

Physician Quote

• Critical limb ischemia

• Left SFA in-stent restenosis

• CTO of anterior tibial and peroneal arteries

• Diffusely diseased posterior tibial single vessel

runoff to the foot

Dr. Jon GeorgeDeborah Heart & Lung HospitalBrowns Mills, NJApr 25, 2012

PRE: Proximal posterior tibial long lesion POST: Final result after Chocolate 3.0x40mm to posterior tibial

Chocolate®

PTA Balloon Catheter

“Chocolate gave me an excellent adjunctive result in

optimizing the single vessel runoff (PT), which was

severely diseased previously in the setting of critical

limb ischemia.”

Patient Info:

Physician Quote

• CTO of right distal popliteal artery

• Crosser™ was used to cross the CTO followed

by a 0.7 laser catheter Dr. Prakash MakamCommunity HospitalMunster, INJun 5, 2012

Chocolate®

PTA Balloon Catheter

“I was glad I had Chocolate to achieve this remarkable

result!”

PRE: CTO of right distal popliteal artery POST: Final result after Chocolate 3.0x80mm, 4 inflations @ 9-12 atm.

Patient Info:

Physician Quote

• 62 year old male with known CAD and PVD

• CTO of left popliteal artery

• Diagnostic angio revealed large tibial vessels

with good runoff to the distal leg

• Patient has knee prosthesis that blocks x-rays

at the popliteal region

Dr. William GrayColumbia University Medical CenterNew York, NYOct 16, 2012

Chocolate® PTA Balloon Catheter

“This is very impressive! No other device should be used

after such optimal result!”

PRE: CTO of left popliteal artery in ant. & lateral views POST: Final result after multiple inflations of Chocolate 4.0x80mm

Patient Info:

Physician Quote

• 52 year old female

• Diabetic with ulcer on right foot

• CTO of distal superficial femoral artery (SFA)

continuing distally past tibioperoneal trunk

into posterior tibial

Dr. Craig Walker, Dr. Louis SalvaggioLafayette Regional MCLafayette LANov 29, 2012

PT Pre-treatment

CTO of Distal SFA/Popliteal/Trifurcation1.7 Laser followed with 4x120mm Chocolate

CTO of Trifurcation and Posterior Tib1.7 Laser followed with a 3x120mm Chocolate

PT post Chocolate 3x120mm (2 inf, 3 min each)

Pre-treatmentSFA and popliteal

SFA and popliteal after Chocolate 4x120mm (2 inf. 2 min each)

Chocolate® PTA Balloon Catheter

“When I use the Chocolate balloon in highly calcified

cases, I keep getting good angiographic results with far

less flow-limiting dissections or recoil, and with good

vessel runoff to the foot.”

Patient Info:

Physician Quote

• 69 year old male

• Critical limp ischemia on left lower extremity

• Rutherfold IV

• Diabetes Mellitus Type II

• CAD with CABG x4 in 2002

• Hypertension and hyperlipidaemia

Dr. Jihad MustaphaMetro Health HospitalWyoming, MIJan 9, 2013

PRE: CTO left posterior tibial and peroneal POST: Left peroneal after Chocolate 3.5x80mm, two inflations (single device used)

Chocolate®

PTA Balloon Catheter

“I was able to achieve a stent-like result with no dissections

– great experience!”

Patient Info:

Physician Quote

• 76 year old male

• COPD, CHF, post CABG, ischemic

cardiomyopathy and PAD

• Rutherford III and defused disease in the left

leg (SFA, POP)

Treated: CSI atherectomy stealth 2.0 followed by

Chocolate 6.0x80mm, 1 inflation of 2:40 min at

9 atm.

Dr. Jihad MustaphaMetro Health HospitalWyoming, MIJan 15, 2013

PRE: Diagnostic angio: Right SFA POST: After Chocolate 6.0x80mm to right SFA

Chocolate®

PTA Balloon Catheter

“My experience with Chocolate is in line with high

procedural success and low rates of complications.

Chocolate is a must-have in your tool box!”

Developed by:Quattro Vascular Pte LtdROC REG 201006397R

MPS Medical Product Service GmbH Borngasse 20D-35619 Braunfels, Germany

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