An anchor balloon for conducting peripheral vascular disease procedures in an remote entry point such as an opposite extremity is provided, and includes a flexible catheter, which includes a wire lumen and a balloon lumen with a control port for connecting to balloon control and a balloon inflation port; and, a compliant anchor balloon connected near the flexible catheter distal end. A method for treating peripheral vascular disease in an opposite femoral artery includes inserting a first flexible catheter with flexible guide wire into an artery on an opposite side, advancing the flexible catheter to a location upstream of the surgery location, advancing the guide wire through the catheter to an anchor location, withdrawing the first catheter leaving the wire in place, inserting an anchor balloon catheter over the wire to an anchor location, withdrawing the first wire; inflating the anchor balloon against the arterial walls, inserting a stiff guide wire through the anchor balloon catheter to the point of surgery, deflating the anchor balloon, and withdrawing the anchor balloon catheter while leaving the stiff wire in place for further procedures.