Anaerobic ammonium oxidation (anammox) is an important scientific discovery in the field of wastewater treatment. This process is a sustainable option in nitrogen removal due to its energy-efficient and cost-effective advantage. Great effort has been made recently to remove ammonium from industrial and municipal wastewater via the anammox process with a preceding partial nitrification (PN) converting part of NH4+ to NO2-. Anammox process is seldom involved in the nitrate removal. Nitrate (NO3-), one of the main nitrogen compounds produced from various industries, is typically converted to nitrogen gas via denitrification process where a large amount of carbon source is consumed. Within this context, we reviewed the current technologies for high-strength nitrate wastewater treatment. It is found that nitrite accumulation often occurs during nitrate reduction, and its accumulating level would be increased at certain conditions (i.e., low C/N ratio and high pH). Hence, this provides a great opportunity to employ the anammox process to further convert nitrite in a more sustainable way. In this review, we highlight a new approach for industrial nitrate wastewater treatment via partial denitrification coupled with anammox process (PD-A). We also discuss the conditions to achieve successful PD-A process, economic and environmental benefits, and potential challenges as well as the future perspectives in practical application.