During the last ten years, the role of angioplasty in the management of peripheral vascular disease has considerably increased. Angioplasty requires a specific radiological equipment and qualified radiologist trained to this technics. The results depend mainly on the clinical, indication of angioplasty, on the importance and site of the lesion. The different reports give more or less the same rates of patency for stenosis or short occlusions: 80% for iliac arteries and 60% for femoral arteries within 3 years. The clinical benefit of angioplasty also depends the development of new atherosclerotic lesions. The new technics (laser, endoprosthesis) seems to be interesting for the prevention of restenosis. Their real place is still to be defined. The diversity of treatments for peripheral vascular diseases makes the collaboration of cardiologist, surgeon and interventional radiologist necessary for their management.