The development of angioplasty and stenting, along with the improvemen
t of surgical procedures, have given physicians more options for treat
ing claudication. However, most patients with intermittent claudicatio
n do not need a revascularization procedure, or even angiography. They
do need an assessment of their coronary and carotid arteries. We pres
ent a treatment approach based on risk factor modification, symptom se
verity, and the risks and benefits of various procedures.