This clinical trial will evaluate the study device, Passeo®-18 Lux® paclitaxel-releasing percutaneous transluminal angioplasty (PTA) balloon catheter for the treatment of new or recurring cholesterol-related blockages in the arteries of the lower leg.

The device that is used in this trial has been assessed in several previous studies for safety and effectiveness. The device is already approved for use in Europe. It has a "CE mark," which means it meets the European Union's safety, health and performance standards.

This trial is being done to gather additional information on how well the device works and how safe it is when used in everyday medical care with specific attention to the longer lengths of the balloon, as it comes in different sizes.

Inclusion Criteria

• Study participant is ≥ 18 years and ≤ 99 years old

• Lesion(s) in the infrainguinal arteries:

  • Lesion above the knee (ATK): Target lesions located in the superficial femoral artery or popliteal arteries (above the tibial plateau)
  • Lesion below the knee (BTK): Target lesions involve arteries below the tibial plateau

• RVD 2-7mm

• De novo stenotic, restenotic post POBA, or occlusive lesion(s)

• Target lesion must have angiographic evidence of ≥70% stenosis

• Lesion length ≥ 3cm

• Successful crossing of the target lesion with the guide wire

• Successful predilatation, defined as residual stenosis <50% Rutherford Class 2-5

• Study participant is able to provide consent and has signed and dated the informed consent form

Exclusion criteria

• Life expectancy ≤ 1 year
• Study participant is currently participating in another investigational drug or device study that has not reached its primary endpoint yet.
• Study participant is pregnant, planning to become pregnant, or father children during the course of the study.
• Failure to successfully cross the target lesion with a guide wire (successful crossing means tip of the guide wire distal to the target lesion).
• Prior bypass surgery of target vessel
• Planned major amputation of the target limb
• Thrombus in the target vessel
• Known allergy to contrast media that cannot be adequately controlled with premedication
• Study participant has a single target lesion that involves both ATK and BTK segments

Individual participant data (IPD) will not be shared due to participant privacy concerns and because data sharing was not included in the informed consent.