Intravascular lithotripsy (IVL) is a novel technique used in interventional cardiology to treat heavily calcified arterial plaques. This procedure utilizes sonic pressure waves to fracture calcified deposits within the vessel walls, thereby facilitating balloon expansion and stent deployment. IVL is particularly beneficial in cases where traditional methods, such as high-pressure balloon angioplasty or atherectomy, may be ineffective or pose a higher risk of complications. By improving vessel compliance and reducing the risk of dissection or perforation, intravascular lithotripsy enhances procedural success and improves outcomes for patients undergoing percutaneous coronary or peripheral interventions.