Ischemia is a vascular sickness regarding an interruption within the arterial blood deliver to a tissue, organ, or extremity that, if untreated, can cause tissue loss of life. It can be as a result of embolism, thrombosis of an atherosclerotic artery, or trauma. Venous issues like venous outflow obstruction and coffee-go with the flow states can reason acute arterial ischemia. An aneurysm is one of the most frequent causes of acute arterial ischemia. Other causes are heart conditions such as myocardial infarction, mitral valve disorder, chronic atrial fibrillation, cardiomyopathies, and prosthesis, in all of which thrombi are susceptible to broaden. Ischemia outcomes in tissue harm in a method known as ischemic cascade. The damage is the result of the build-up of metabolic waste products, inability to keep cell membranes, mitochondrial harm, and eventual leakage of autolyzing proteolytic enzymes into the mobile and surrounding tissues. Early treatment is essential to preserve the affected limb possible. The treatment options include injection of an anticoagulant, thrombolysis, embolectomy, surgical revascularisation, or partial amputation. Anticoagulant therapy is initiated to save you similarly growth of the thrombus. Continuous IV unfractionated heparin has been the traditional agent of preference.