In the last ten years, computed tomography (CT) angiography has evolved from an experimental diagnostic tool to the preferred imaging study for a variety of disease processes. At the same time, endovascular surgery has become the first-line therapy for several types of peripheral vascular disease. With the recent introduction of multidetector computed tomography, CT angiography of the entire peripheral vascular system is possible in mere seconds. This imaging modality has become critical for the pre-procedure planning and post-procedure follow-up of several endovascular procedures, including endovascular aneurysm repair, lower extremity revascularization, and renal artery revascularization. A thorough knowledge of the current applications of CT angiography with respect to the peripheral vasculature is essential for the endovascular specialist.