BEnefit of Arterial Preparation by LONGitudinal Scoring

Inclusion Criteria: * Patients ≥ 18-year-old, with symptomatic lower extremity occlusive arterial disease * Rutherford class of symptom 2 to 5 * Atheromatous ≥ 70 % stenosis or occlusion of SFA and/or PA * Absence of \> 50% residual stenosis of the run-in vessels at the end of procedure * Presence of at least one patent (no ≥ 50 % stenosis) run-off tibial or fibular vessel to the foot at the end of procedure * De novo or restenotic lesions, including in-stent restenosis * Willingness to participate in the study and signature of informed consent Exclusion Criteria: * Renal failure with glomerular filtration rate (GFR) 30 ml/min or below, estimated by the Cockroft-Gault equation. * Women who are pregnant, lactating, or planning to become pregnant during the duration of the study * Recent artery thrombosis, at risk of distal embolization during percutaneous procedure * Previous use of a PCB in the lesion during last 15 months * Extremely calcified lesions, defined by calcification involving ³ 270° of the artery circumference over ³ 15 cm. * Sub-intimal recanalization * Tortuous contra-lateral femoral access with difficult cross-over * Previous or planned surgery of the target lesion * High risk of bleeding * Contra-indication to dual antiplatelet therapy for one month, and/or to single antiplatelet therapy for 1 year * Allergy to aspirin, clopidogrel or heparin * Life expectancy less than one year