Objective: To investigate the value of temporary intravascular shunt (TIVS) in management of vascular injuries. Methods: The clinical data of patients who had vascular injuries undergoing TIVS from June 2006 to June 2013 were reviewed. Results: The entire group comprised 5 patients with total of 9 injured limb vessels (injuries in 3 cases were caused by trauma and in 2 cases occurred during tumor resection surgery). In the 5 patients, a total of 8 TIVS tubes were inserted into the injured vessels (5 arteries and 3 veins) for rapid revascularization of the limb, and then wound debridement and fracture management procedures were performed. The shunt time was 2 to 3 h, and all patients underwent autologous saphenous vein grafting for vessel reconstruction after the TIVS tubes were removed. No death occurred in the whole group; one case had ischemic contracture and one case developed venous thrombosis after operation. Conclusion: TIVS allows rapid revascularization of the injured limb, and shortens its ischemic time that provides opportunities for the management of other associated injuries.