Critical limb ischemia (CLI) is still associated with significant morbidity and mortality despite advances in both medical and interventional approaches to its treatment. Antegrade recanalization is the common method for these peripheral artery disease of the lower extrimities. In the case of failure of below-the-knee arteries intervention using antegrade approach, retrograde approach can be used as a alternate method. Retrograde approach is expected to improve a chance of success of procedure, so a risk of amputation will be decreased and patients have obvious benefits in quality of life. But it still has been practiced only infrequently because of technically complexity. Eight cases are patients with CLI who had benefits in quality of life through prevention of leg amputation and improved symptom without complication after balloon angioplasty via retrograde approach. These cases suggest retrograde approach for CLI affecting below-the-knee arteries is the safe and effective method.