This report describes the case of a 68-year-old man who presented with claudication and discoloration of his right lower extremity. He was a 35 pack-year smoker and had diabetes mellitus. The right common iliac artery was shown to be significantly obstructed on an angiogram. One self-expandable stent was deployed at the lesion. Three months later, however, he visited our hospital again due to recurrent claudication. An angiogram revealed in-stent reocclusion of the right common iliac artery. We used a transradial approach and penetrated the lesion with a percutaneous coronary intervention (PCI) guidewire, and dilated the lesion with a PCI balloon. The outcome was favorable.