An X-ray fluoroscopic imaging apparatus which can accurately perform enhancement processing of a device and can also reduce a burden on an operator is provided. An exclusion region E is set so as to surround an obstacle on an X-ray image generated by an image generation unit. A marker extraction unit extracts a marker from a region except for an exclusion region in the X-ray image. An integration unit superimposes a predetermined number of X-ray images on the basis of the position of the marker to generate an integrated image. In this case, detecting obstacle as a marker can be avoided, so the integrated image becomes an image with a stent suitably highlighted. Even in cases where it is difficult to set the region-of-interest so that an obstacle falls out of the range, such as a case in which an obstacle overlaps or is in proximity to a stent, it is easy to set the exclusion region so that the marker is out of range and the obstacle falls within the range. Therefore, the enhancement processing of the stent can be suitably executed according to more various situations.
