股腘动脉（FPA）钙化病变是血管外科常见病，其发病率和诊断率逐年升高，已成为危害患者 活动能力和生命健康的一大重要疾病。由于 FPA 的特殊解剖结构和复杂力学特点，病变常表现为长段、 弥漫性及管壁重度钙化闭塞，处理常较困难，且术后再干预率较高。管壁钙化的严重程度是影响治疗效 果的重要因素。针对 FPA 钙化病变的腔内治疗新理念和新技术层出不穷，深深影响了治疗决策，也将决 定未来很长一段时间的腔内治疗发展方向。本文将简要阐述 FPA 钙化病变治疗的一些新理念如“leave nothing behind”、“vessel preparation”、“球囊扩张术后夹层的分型和处理新策略”，并总结常用的一些新技 术如新型开通导丝和支架的研发、腔内减容技术、特殊球囊、“复合”技术以及“Pave⁃and⁃Crack”技术等，提 高FPA 严重钙化病变的腔内开通成功率和术后通畅率。

Femoro ⁃popliteal artery（FPA） calcification is a common disease in vascular surgery. Its incidence and diagnostic rate are increasing year by year，and it has become an important disease that endangers the mobility and life health of patients. Due to the special anatomical structure and complex mechanical characteristics of FPA，the lesions are often manifested as long segment，diffuse and severe calcification occlusion of the tube wall，which is often difficult to deal with，and the rate of postoperative reintervention is high. The severity of wall calcification is an important factor affecting the therapeutic effect. In recent years，new ideas and technologies for endovascular treatment of FPA calcification have emerged in an endless stream，which have deeply influenced the selection of clinical treatment strategies and will also determine the development direction of endovascular treatment for a long time to come. This article would briefly state some new treatment concepts on the FPA calcified lesions such as“leave nothing behind”or“vessel preparation”，“classification of dissection after balloon dilation and the new dealing strategies”，and emphatically summarized some commonly clinical used new technologies such as the emergence of some new guide wires and stents，new technology for volume reduction in cavity，special balloons，“composite”technology and“Pave⁃and⁃Crack”technology. In order to provide some references for the selection of equipment and future research ideas，and further improve the success rate of endovascular opening and postoperative patency rate of FPA with severe calcification lesions.