Angioplasty and perfusion of the distal limb is the key points of the treatment of arteriosclerosis obliterans of lower extremities. The way of angioplasty includes open vascular operations and endovascular treatment. Endovascular treatment represents the high and new technology, which has gradually become the first choice of its treatment, even under some complex conditions. The endovascular treatment can achieve better clinical outcome and make less trauma. In this article, we reviewed the current situation and prospect of endovascular treatment for arteriosclerosis obliterans of lower extremity.