The fatigue failure of Ni–Ti peripheral stents still represents an open issue of major concern due to the non-linear material behavior, the complex loads acting in vivo, and the manufacturing process. The fatigue assessment currently exploits total-life methodologies devoted to preventing crack nucleation. This work investigates a complementary fracture mechanics-based approach accounting for crack propagation from pre-existing manufacturing defects. Fatigue crack growth tests were performed on rolled Ni–Ti samples with a thickness and microstructure comparable to that of stents. A fracture mechanics-based assessment was implemented to predict the fatigue durability of surrogate samples tested at different mean and alternate strains. The fracture surfaces of the samples were inspected to determine a statistical distribution of defect size at the fracture origin. The cyclic J-integral was adopted as the crack driving force parameter, and it allowed to account for the complex response of the material, undergoing energy dissipations during phase transformation. Encouraging fatigue life predictions conforming to experimental data were obtained in the finite-life regime, whereas conservative estimates were computed below the fatigue threshold. This approach can be reverted to determine the maximum acceptable material defects for specific applications, providing a useful tool to manufacturing companies.