Vascular disease is the leading cause of death and disability worldwide . Acute limb ischemia (ALI) is the sudden decrease in limb perfusion, usually producing new or worsening symptoms and signs, and often threatening to limb . ALI is considered a vascular emergency . The incidence of ALI is 10 to 14 per 100000 per year . The incidence of peripheral arterial events is similar between men and women, although women tend to have events at an older age . The risks factors for atherosclerosis (hypertension, male sex, smoking, diabetes mellitus, and hyperlipidemia) are present in about 39.8% of patients with ALI. Previous atrial fibrillation was common in patients with ALI with a prevalence of 38.7% . The most prevalent cause of ALI events was embolism 46.2% .