Lower limb arterial embolism is one of the common diseases in vascular surgery,which is mostly caused by the shedding of embolus from heart or aorta,leading to lower limb arterial embolism and secondary thrombus formation,resulting in tissue ischemia or necrosis.Although open surgery has a significant effect in removing fresh thrombus,it is difficult to remove old thrombus,and the surgery causes great damage to the vascular intima,which is easy to lead to thrombus recurrence.Catheter-directed thrombolysis has a good effect on the removal of recent thrombus,but it is difficult to remove old thrombus,which takes a long time and is prone to distal embolism events.Rotarex thrombus removal system has shown good removal effect in the treatment of acute and subacute lower limb arterial embolism,with less trauma,so it is increasingly widely used in clinical practice.This article will elaborate on the surgical skills and related treatment experience of Rotarex thrombus removal system in the treatment of lower limb arterial embolism.