Objective：To summarize and analyze the diagnosis and treatment status of abdominal aorta saddle embolism(ASE) in China.
Methods：Twenty-nine articles reported in Chinese journals from 1997 to 2009 were retrieved by searching the Chinese Journal Full-text Database. Retrospective meta-analysis was done.
Results：There were 230 cases with ASE.Of them, 65.2% of cases were diagnosed by color ultrasound image; 49.1%  had atrial fibrillation, 73.9% of cases were treated by Fogarty catheter with a sueess rate of 93.5%, and in 17.8% of cases embolectomy was done by direct laparotomy.There were 40.4% of patients (93 cases) who suffered from myonephropathic metabolic syndrome, and 44.1% of them (41 cases) died. The total case fatality rate was 26.5%, and the extremity amputation rate was 19.1%.
Conclusions：The mortality and amputation rate of ASE are quite high, so it is necessary to elevate the level of recognition and improve  the level of diagnosis and therapy.