Introduction: In the last decade, Infrapopliteal angioplasty has gained popularity as a primary treatment of critical limb ischaemia with satisfactory limb salvage by the continuous refining of the tools and avoiding the factors of failure. Patient and methods: Our study based on assessment of different endovascular modalities (plain old balloon angioplasty or drug eluting balloon angioplasty ± drug eluting stenting) aided by limb salvage rate and patency rates. It included 10 patients with infrapopliteal disease. Primary patency rate of the treated vessels were assessed after 1 month and 6 months. Results: In 6 months follow up, limb salvage rate was 100% in all studied patients. The primary patency rate for the treated patients by drug eluting balloon was 100% in 6 months follow up. However, we used drug eluting balloon in lesions known by its unsatisfactory patency rate. While the primary patency rate for treated patients by plain old balloon angioplasty were 100% and 90% in 1 month and 6 months respectively. Conclusion: Endovascular therapy is increasingly becoming a first-line treatment option for patients suffering from critical limb ischemia with infrapopliteal arterial occlusive disease. Drug eluting balloon has promising results for short term outcomes in tibial angioplasty.