According to one embodiment, an X-ray diagnostic apparatus includes a first arm, a second arm, a holding structure, an X-ray tube and an X-ray detector. The first arm rotates by a first rotating shaft and slides along a first arc-like slide axis relatively to the first rotating shaft. The second arm rotates by a second rotating shaft and slides along a second arc-like slide axis relatively to the second rotating shaft. The holding structure is connected with a first arm side and configured to hold the second arm. The X-ray tube and the X-ray detector are installed on the second arm.