Abstract
The number of patients with peripheral artery disease is predicted to increase in the future. The prognosis of patients with critical limb ischemia is markedly poor and multidisciplinary treatment is required for limb salvage. Treatment for peripheral artery disease depends on the extent of symptoms or lesion localization, and should be determined considering patient characteristics. Compared with foreign countries, fewer devices are available in Japan and several techniques have been invented for successful procedures. In this report, I describe the current status of endovascular therapy for infrapopliteal lesions and techniques to achieve initial success.