In recent years, endovascular treatment (EVT) for peripheral artery disease has advanced remarkably, with its indications expanding significantly, particularly in lower extremity artery disease (LEAD). This article provides an overview of the indications and treatment strategies for EVT in LEAD, focusing on the recommendations from the revised 2022 peripheral artery disease guidelines, and also discusses the usefulness and challenges of recently introduced devices.

Dorsalis pedis artery aneurysm is an extremely rare condition among peripheral artery aneurysms. We encountered a surgical case of a dorsalis pedis artery aneurysm at our hospital and report the same herein with literature-based considerations. The patient was a 72-year-old woman who was referred to our department after a pulsatile mass was detected on the dorsum of her right foot. There was no notable history of trauma. Contrast-enhanced CT revealed a saccular aneurysm measuring 8×12 mm in the dorsalis pedis artery. The aneurysm was excised under local anesthesia, and reconstruction was performed using end-to-end anastomosis. The pathological findings diagnosed the aneurysm as a pseudoaneurysm. The postoperative course was uneventful, and no abnormalities were observed during the 1-year follow-up period.