Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs
ObjectiveThis study aims to compare the immediate clinical effects of the chocolate balloon and the conventional balloon in endovascular angioplasty of the lower limbs.MethodsClinical data were retrospectively collected from a single center, including 117 patients with lower limb arterial lesions tr...
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| Format: | Article |
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1528231/full |
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| author | Zhong Hongzhao Zhang Dawei Zhao Bo Yang Xuesong Li Huihan Hao Qingzhi Song Longyu |
| author_facet | Zhong Hongzhao Zhang Dawei Zhao Bo Yang Xuesong Li Huihan Hao Qingzhi Song Longyu |
| author_sort | Zhong Hongzhao |
| collection | DOAJ |
| description | ObjectiveThis study aims to compare the immediate clinical effects of the chocolate balloon and the conventional balloon in endovascular angioplasty of the lower limbs.MethodsClinical data were retrospectively collected from a single center, including 117 patients with lower limb arterial lesions treated from January to December 2021 and 112 patients treated from January to December 2023 at our center. The comparison focused on the incidence of vascular dissection after balloon dilatation, with secondary endpoints including the stent implantation rate.ResultsIn both groups, the success rate was 100%. Dissection formation rates in the chocolate balloon and conventional balloon groups were 20.5% vs. 17.5%, respectively. Non-flow-limiting dissection formation rates were 14.7% vs. 4.8% (P < 0.05), while severe dissection rates were 5.8% vs. 12.7% (P < 0.05). Stent implantation rates were 9.0% in the chocolate balloon group and 18.3% in the conventional balloon group (P < 0.05).ConclusionThe use of chocolate balloons resulted in a lower incidence of severe dissection and reduced the stent implantation rate compared to conventional balloons. It effectively prepares complex multiple lesions of lower limb arteries in real-world scenarios. |
| format | Article |
| id | doaj-art-3ac1fbe7bedf4ef7b8ee0e178f1bd31d |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-3ac1fbe7bedf4ef7b8ee0e178f1bd31d2025-08-20T02:58:00ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-03-011210.3389/fsurg.2025.15282311528231Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbsZhong Hongzhao0Zhang Dawei1Zhao Bo2Yang Xuesong3Li Huihan4Hao Qingzhi5Song Longyu6The First Clinical College of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Vascular Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Vascular Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Vascular Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Vascular Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaDepartment of Vascular Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaThe First Clinical College of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, ChinaObjectiveThis study aims to compare the immediate clinical effects of the chocolate balloon and the conventional balloon in endovascular angioplasty of the lower limbs.MethodsClinical data were retrospectively collected from a single center, including 117 patients with lower limb arterial lesions treated from January to December 2021 and 112 patients treated from January to December 2023 at our center. The comparison focused on the incidence of vascular dissection after balloon dilatation, with secondary endpoints including the stent implantation rate.ResultsIn both groups, the success rate was 100%. Dissection formation rates in the chocolate balloon and conventional balloon groups were 20.5% vs. 17.5%, respectively. Non-flow-limiting dissection formation rates were 14.7% vs. 4.8% (P < 0.05), while severe dissection rates were 5.8% vs. 12.7% (P < 0.05). Stent implantation rates were 9.0% in the chocolate balloon group and 18.3% in the conventional balloon group (P < 0.05).ConclusionThe use of chocolate balloons resulted in a lower incidence of severe dissection and reduced the stent implantation rate compared to conventional balloons. It effectively prepares complex multiple lesions of lower limb arteries in real-world scenarios.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1528231/fullchocolate balloonlower limb artery diseaseendovascular treatmentretrospective studyrestricted expansion |
| spellingShingle | Zhong Hongzhao Zhang Dawei Zhao Bo Yang Xuesong Li Huihan Hao Qingzhi Song Longyu Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs Frontiers in Surgery chocolate balloon lower limb artery disease endovascular treatment retrospective study restricted expansion |
| title | Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs |
| title_full | Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs |
| title_fullStr | Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs |
| title_full_unstemmed | Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs |
| title_short | Application of the chocolate balloon (restrictive dilatation technique) in vascular preparation for arterial angioplasty of the lower limbs |
| title_sort | application of the chocolate balloon restrictive dilatation technique in vascular preparation for arterial angioplasty of the lower limbs |
| topic | chocolate balloon lower limb artery disease endovascular treatment retrospective study restricted expansion |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1528231/full |
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