Inclusion Criteria:  Patients with peripheral arterial disease who are planned to undergo a bypass surgery with autologous vena saphena magna and using a valvulotome. Patient has to be consented and a informed consent form needs to be signed. Patient is able to and willing to participate in the 30 days follow-up. Vein diameter is at least 2mm (4F system) and 3mm (5F system). Vein diameter does not exceed 8mm (OTW-version) or 6mm (TIP-version) Bypass needs to be a continuous vena saphena magna with a length of at least 20cm. Rutherford category III - V  Exclusion Criteria:  Patients who have not completed 18 years of age Patients who are pregnant or assuming to be pregnant, and breast feeding. Patients who cannot participate due to medical or physical condition based on the decision of the physician. Life expectancy less than 1 year Known allergies to materials of the tip, cutting basket, outer catheter, kink protection and braid. Rutherford category 0-2, and 6 Using varicose vein Exclusion criteria based on IFU