The most efficient treatment for acute lower extremity arterial embolism is thromboembolectomy with Fogarty balloon catheter, but incomplete restoration of perfusion, due to existence and propagation of residual thrombi or presence of underlying atherosclerotic steno-occlusive lesions, can lead to poor clinical outcome and the hybrid therapeutic strategies may be solutions to this problem. The hybrid surgery combined with the advantages of open and endovascular treatment may overcome the limitations that characterize the traditional approaches. This review article summarizes the common hybrid treatment options for acute lower extremity arterial embolism.