According to one embodiment, an X-ray diagnostic apparatus includes a first arm, a second arm, an imaging system and a slide mechanism. The first arm rotates by a first rotating shaft and slides along with a first arc-like slide axis relatively to the first rotating shaft. The second arm rotates by a second rotating shaft fixed to the first arm and slides along with a second arc-like slide axis relatively to the second rotating shaft. The imaging system includes an X-ray generating part and an X-ray detector. The X-ray generating part and the X-ray detector are attached to the second arm. The slide mechanism slides the first arm along with the first slide axis. The slide mechanism is arranged at a position having an offset from the first rotating shaft.
