The case patient likely has a limb-threatening acute embolic arterial occlusion, and the most appropriate limb-saving therapy is Fogarty catheter embolectomy. Thrombolytic therapy can be considered for a partial occlusion, but ordinarily thrombolytics will work too slow to be limb-sparing in the setting of a complete occlusion of several hours¹ duration. The other choices are appropriate adjunctive therapies but are by no means definitive.
