Recently, a patient with acute right upper extremity arterial embolism was admitted to the Department of General Surgery with typical symptoms: sudden onset of right upper extremity pain, numbness, low skin temperature, dark skin color of the right hand, and loss of pulsation of the right brachial and radial arteries. After admission, CTA of the right upper limb artery showed that the right subclavian artery, axillary artery, brachial artery, ulnar and radial arteries were not visualized. The surgery was performed in mid-November 2012. As we all know, the conventional surgical method is to open the right elbow, free the brachial artery and then apply Fogarty balloon retrieval tube to retrieve the embolus, but when retrieving the embolus proximally, the biggest risk is that the thrombus is passively dislodged in the internal carotid artery causing acute cerebral infarction. This problem troubled the vascular surgeons for a long time until the advent of the brain protector, but it was expensive, about 25,000 RMB. The patient’s family was poor, so in order to reduce the cost, our department used the right femoral artery to puncture the right femoral artery, and the tube was inserted into the cephalic trunk, and urokinase thrombolysis was performed at the opening of the right subclavian artery. The operation was safe and smooth, and satisfactory results were achieved.