New balloon method may improve stent success in Rock-Hard arteries
NCT ID NCT04253171
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a special balloon that uses sound waves to break up calcium (balloon lithoplasty) works better than standard balloons for preparing severely calcified coronary arteries before placing a stent. The trial involved 200 adults with stable heart disease or non-emergency heart attacks. The goal was to see if the new technique reduces procedure failures and heart-related problems within one year.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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200 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Nov 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years and \< 90 years * Stable coronary heart disease or non-ST elevation acute coronary syndrome * PCI planned in severely calcified, non-occluded, de-novo lesion in native vessel. Definition of severe calcifications (minimum 1 of 3 (i-iii)); i. Angiography: Radioopacities of the vessel wall visible on cine images before contrast injection on both sides of the vessel lumen in more than one projection. ii. OCT (before lesion preparation): Maximum calcium 1) angle \>180 degrees AND 2) thickness 0.5mm, AND 3) longitudinal length \>5m m. iii. IVUS (before lesion preparation): Maximum calcium angle \>270 degrees. * Functional evidence of ischemia (non-invasive stress test or fractional flow reserve) in the target vessel territory or stenosis ≥ 90% by visual estimate * Target vessel reference diameter visually estimated at 2.5-4 mm with ability to pass a 0.014" guidewire across lesion * Ability to tolerate dual antiplatelet therapy * Informed consent Angiographic exclusion criteria: * Unprotected left main stenosis * Chronic total occlusion * Severely calcified bifurcated lesion with expected need to use two stent technique * Coronary artery dissection Clinical exclusion criteria * ST-segment elevation acute myocardial infarction * Planned later revascularization in non-study lesions * Planned cardiovascular intervention within 30 days after study intervention * Clinical instability including decompensated heart disease * Life expectancy of less than 1 year * Active peptid ulcer or upper gastrointestinal bleeding within 6 months * Ongoing systemic infection Paraclinical exclusion criteria * Left ventricular ejection fraction \<35 % * Renal function with eGFR \<30 mL/min * Pregnant or nursing
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aalborg University Hospital
Aalborg, 9100, Denmark
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Aarhus University Hospital Skejby
Aarhus, 8200, Denmark
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Gentofte University Hospital
Gentofte Municipality, Copenhagen, 2900, Denmark
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North-Estonia Medical Center
Tallinn, Estonia
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Odense University Hospital
Odense, 5000, Denmark
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Rigshospitalet
Copenhagen, 2100, Denmark
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Trondheim University Hospital
Trondheim, Norway
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University Hospital Leuven
Leuven, Belgium
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Zealand University Hospital, Roskilde Sygehus
Roskilde, 4000, Denmark
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