·641·中国介入心脏病学杂志2023年9月第31卷第9期ChinJInterventCardiol,September2023,Vol31,No.9经皮冠状动脉腔内冲击波球囊导管成形术临床应用中国专家建议王伟民霍勇葛均波代表《经皮冠状动脉腔内冲击波球囊导管成形术临床应用中国专家建议》专家组【摘要】尽管经皮冠状动脉介入治疗（PCI）技术不断完善进步，但冠状动脉严重钙化病变的治疗仍是挑战。通常预处理困难，术中并发症高，且术后长期预后欠佳。经皮冠状动脉腔内冲击波球囊导管成形术（IVL）作为一种新的冠状动脉钙化病变预处理技术，是利用声压力波有选择性地作用于冠状动脉内膜和中膜下的钙化病灶，在不损伤血管内膜完整性的前提下，使钙化松解并恢复血管的顺应性，引起国内医师广泛关注。然而应用中，需要规范操作，明确适应证，预防并发症的发生。因此，本文根据中国专家的临床实践和共识，遵循国家相关政策和法规，结合最新研究结果，制定专家建议，旨在引导和规范IVL技术在临床中的应用。【关键词】冲击波球囊导管成形术；冠状动脉钙化；专家建议【中图分类号】R541Clinicalapplicationofpercutaneouscoronaryintraluminalshockwaveballooncatheterangioplasty：recommendationsfromChineseexperts《Clinicalapplicationofpercutaneouscoronaryintraluminalshockwaveballooncatheterangioplasty：recommendationsfromChineseexperts》ExpertGroupCorrespondingauthors：WANGWei-min，Email：weiminwang@vip.sina.com；HUOYong，Email：huoyong@263.net.cn；GEJun-bo，Email：ge.junbo@zs-hospital.sh.cn【Abstract】Despitethecontinuousadvancementsinpercutaneouscoronaryintervention（PCI）technology，thetreatmentofseverecoronaryarterycalcificationremainsasignificantchallenge.Typically，itpresentsdifficultiesinpretreatment，resultinginahighincidenceofclinicalcomplicationsandunfavorableoutcomes.Intravascularlithotripsy（IVL），asanoveltechniqueforpretreatingcoronaryarterycalcification，hasgarneredwidespreadattentionamongChinesecardiologist.IVLemploysselectiveacousticpressurewavestotargetcalcifiedlesionsbeneaththeintimaandmedialayersofthecoronaryartery，effectivelydisintegratingcalcificationsandrestoringvesselcompliancewithoutcompromisingtheintegrityofthevascularendothelium.However，duringitsapplication，standardiz...
