The three main treatments for acute limb ischemia include open surgical revascularization, endovascular revascularization, and anticoagulation with observation. Fluid resuscitation, pain control, and unfractionated heparin can be utilized to temporize the patient until definitive management can occur . In patients presenting with ALI, the endovascular therapy and surgical revascularization approaches have similar rates of short-term and 12-month mortality, limb amputation, and recurrent ischemia .