reporting the first case of subclavian-axillary artery thrombectoimy using mechanical rotational thrombectomy method

background: arterial occlusions are divided as acute and chronic. emboli is the most common cause of acute arterial occlusion, which is treated by perforating embolectomy using  fogarty catheter. some of these cases that are not diagnosed in early phase of the disease (within the first month) , should be treated using open surgical techniques , since embolectomy via fogarty catheter is not effective in such instances. case report: in this study we reported a 55 years old lady with subclavian-axillary artery occlusion who was suffered from critical limb ischemia . for the first time in iran we used rotator-aspirer appreture for thrombectomy in this patient. conclusion: following the intervention, distal pulses were pulpated and ischemic signs and symptoms faded completely.