Recently interventional radiology (IVR) has been playing an important role as a treatment for the vascular occlusive disease. We describe the recent advances in the transcatheter techniques. Thrombolysis is widely used for the treatment of acute thrombotic occlusion. And balloon angioplasty (PTA) is still accepted as the gold standard for chronic arterial occlusive disease. Some other procedures, such as mechanical thrombectomy, atherectomy and metallic stent, are now available. More clinical experiences are necessary to improve the initial and long-term success rate of these techniques.