ClinicalTrials.gg
Enrolling by invitationNCT07397390DkuLL CALVEPUpdated Apr 3, 2026

an Observational Study Evaluting the Effectiveness and Safety of DKutting LL Noval Scoring Balloon Angioplasty for Vessel Preparation Facilitated by IVUS on the Lower Limb Ischemia Patients With Calcified Lesions

An observational study in Femoral Artery Stenosis, Angioplasty and Cutting Balloon Angioplasty, sponsored by The First Affiliated Hospital of Dalian Medical University. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-04-03.

Sponsored by The First Affiliated Hospital of Dalian Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
58
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This is a prospective, single-center, single-arm, observational study. It plans to enroll 58 patients with moderate to severely calcified lesions in the femoropopliteal or infrapopliteal arteries. Participants will be treated with the Scoring Balloon Dilatation Catheter manufactured by DK Medtech (Suzhou) Co., Ltd. The study aims to evaluate the immediate technical success rate and the improvement in lumen area and calcification burden as assessed by IVUS following percutaneous transluminal angioplasty with the scoring balloon. Clinical follow-ups will be conducted at discharge (or within 7 days), 1 month, 3 months, and 6 months post-procedure to observe secondary endpoints including the incidence of clinically driven target lesion revascularization and changes in Rutherford classification

02

Conditions studied

  • Femoral Artery Stenosis
  • Angioplasty
  • Cutting Balloon Angioplasty
  • Calcifications, Vascular
  • Intravascular Imaging Device
  • Peripheral Artery Disease
  • Infrapopliteal Arterial Occlusive Disease

Keywords

  • Peripheral Arterial Disease
  • Femoropopliteal Artery
  • Infrapopliteal Artery
  • Calcified Lesions
  • Scoring Balloon
  • Angioplasty
  • Vessel Preparation
  • Intravascular Ultrasound (IVUS)
  • Observational Study
03

In context

Vascular Calcification

82 studies on the registry are indexed under Vascular Calcification; 17 are open to participants now.

This study's planned enrollment of 58 is below the median of 80 across 23 observational studies indexed under Vascular Calcification.

Browse Vascular Calcification studies →

Lead sponsor

The First Affiliated Hospital of Dalian Medical University is the lead sponsor of 42 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

lower limb ischemia caused by calcified lesion in femoral-popliteal and infra-popliteal artery

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years and ≤ 85 years.
  • Clinical diagnosis of lower extremity atherosclerotic arterial disease, with a Rutherford Classification of Category 2-5.
  • The patient has provided written .
  • > 1 year.
  • Confirmed by clinical and CTA examination: de novo or restenotic lesions after PTA in the femoropopliteal or infrapopliteal arteries, with no stent implantation within 2 cm of the target lesion. Stenosis ≥70% or chronic total occlusion (CTO).
  • Lesion confirmed by CTA and color Doppler to have moderate to severe calcification (PACSS Grade 3-4). Lesion can be single or tandem, with a total length ≤150 mm. Reference vessel diameter near the target lesion ≥2 mm.
  • Allowable location of the target lesion: ≥1 cm distal to the common femoral artery bifurcation, and up to 10 cm above the ankle.
  • If the lesion is below-the-knee (BTK), the inflow vessels must have no non-target lesions, or any non-target lesions must be successfully treated with the current device without vascular complications.
  • No serious vascular complications such as flow-limiting dissection occur after pre-dilation of the target lesion.
  • Presence of at least one reconstructible infrapopliteal runoff vessel patent to the ankle.

Exclusion criteria

Exclusion Criteria:

  • Allergy to contrast media.
  • Coagulopathy; severe hepatic insufficiency ( or AST > 3 times the ).
  • Cardiac insufficiency ( Class III-IV).
  • \< 1 year.
  • Acute cardiovascular events (e.g., acute myocardial infarction, stroke) within the past 3 months; active gastrointestinal bleeding affecting the use of anticoagulant/antiplatelet therapy.
  • Previous stent implantation or bypass surgery in the target vessel.
  • Acute/subacute limb ischemia or thrombotic lesions.
  • to anticoagulation or antiplatelet therapy.
  • Failure to cross the lesion with a guidewire during the procedure; anticipation that the IVUS catheter or DKutting balloon will be unable to cross the lesion after pre-dilation.
  • Intraoperative occurrence of severe complications requiring conversion to other treatment methods (e.g., bypass surgery).
  • Pregnant or lactating women.
  • Active infection at the intended treatment site; foot wounds reaching WIfI Stage 3, or ankle/foot ulcers primarily of non-ischemic etiology.
  • Patient withdrawal of .
  • Planned amputation.
  • Planned use of adjunctive therapy devices (e.g., atherectomy, laser).
  • Participation in another interventional drug/device clinical study for lower limb arteries where the primary endpoint has not been reached, or planned participation in such a study.
  • Patient is bedridden or unable to walk.
  • Presence of an aneurysm in the ipsilateral limb vasculature.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
58 participants (estimated)
Patient registry
No

Groups and cohorts

  • Dkutting LL treatment group

    IVUS facilitated DKutting LL angioplasty

    Device: DKutting LL scoring balloon angioplasty

Interventions

  • DeviceDKutting LL scoring balloon angioplasty

    Following the detection of calcified lesions by Intravascular Ultrasound (IVUS), and aided by its accurate measurements of lesion diameter and length, percutaneous transluminal angioplasty (PTA) was performed using the DKutting LL scoring balloon

06

What researchers measure

Primary outcomes

  1. primary effectiveness outcome

    Technical Success Rate: Definition: Immediate post-procedural residual stenosis ≤30% after dilation with the Scoring Balloon Dilatation Catheter or a conventional balloon catheter, and without the occurrence of severe flow-limiting dissection (Grade D-F according to the National Heart, Lung, and Blood Institute (NHLBI) classification).

    Time frame: immediately after the intervention

  2. primary safety outcome

    Incidence of emergency target lesion revascularization, unplanned amputation above the ankle on the target side, or grade D or higher flow-limiting dissection or perforation requiring intervention

    Time frame: 1 month

Secondary outcomes

  1. Primary Patency Rate at 30 days

    Freedom from clinically driven target lesion revascularization (CD-TLR) and a peak systolic velocity ratio (PSVR) of \<2.4 on duplex ultrasound.

    Time frame: 1 month

  2. Primary Patency Rate at 6 months

    Freedom from clinically driven target lesion revascularization (CD-TLR) and a peak systolic velocity ratio (PSVR) of \<2.4 on duplex ultrasound.

    Time frame: 6 months

  3. Incidence of Clinically Driven Target Lesion Revascularization (CD-TLR) at 6 months

    The need for repeat revascularization in patients with clinical symptoms, including recurrent rest pain, worsening ulcer, or new foot ulcer. Revascularization methods include endarterectomy, bypass surgery, or repeat endovascular angioplasty.

    Time frame: 6 months

  4. Change in Rutherford Classification at 1 month post-procedure

    The proportion of patients showing an improvement of at least one category in the Rutherford Classification.

    Time frame: 1 month

  5. Intraoperative Complication Rate Related to Percutaneous Transluminal Angioplasty (PTA)

    Includes the occurrence of immediate flow-limiting dissection (NHLBI Grade A-F) after dilation with the Scoring Balloon Catheter, vessel perforation caused by PTA, and distal embolism caused by PTA

    Time frame: immediately after the intervention

  6. ΔMLA (Change in Minimum Lumen Area)

    Assessed by Intravascular Ultrasound (IVUS) to preliminarily evaluate the effectiveness of the DKutting balloon in vessel preparation for lower limb arterial calcified lesions, with the primary metric being the immediate post-procedural increase in MLA. Calculated as the difference in MLA measured by IVUS before and immediately after PTA.

    Time frame: immediately after the intervention

  7. ΔCalcification Burden Improvement

    Assessed by IVUS, measured as the change in the arc of continuous calcification in the vessel wall cross-section. Calculated as the difference in the arc of continuous calcification (differentiating between intimal and medial) measured by IVUS before and immediately after PTA.

    Time frame: immediately after the intervention

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2026 (actual). Primary completion is estimated for Dec 2026, 9 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 29, 2026
First posted
Feb 9, 2026
StartActual
Mar 17, 2026
Primary completionEst.
Dec 30, 2026
CompletionEst.
Mar 30, 2027
Last update
Apr 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07397390
Lead sponsor
The First Affiliated Hospital of Dalian Medical University
Responsible party
Ji Donghua (Medical Doctor, Chief Physician, The First Affiliated Hospital of Dalian Medical University, The First Affiliated Hospital of Dalian Medical University) — Principal investigator
First posted
Feb 9, 2026
Start date
Mar 17, 2026
Primary completion
Dec 30, 2026 (estimated)
Completion
Mar 30, 2027 (estimated)
Last update
Apr 3, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion