Peripheral vascular trauma was found increasing at the emergency room. It is often caused by injury from blunt or penetrating force through the limb segment. In the past, treatment involved ligation of vessel giving rise to a high rate of amputations. At present, the advances in diagnostic modalities, such as computed tomographic angiography (CTA) and treatment methods such as endovascular surgery, can help to control bleeding, repair injuries and has the low incidence of complications compared to open surgery. Nowadays, the better outcomes can be obtained by saving more life and limbs.