Objective To probe into the result of treatment for lower limb occlusing diseases by percutaneous endovascular rotating cut with sucking thrombus combined with stent placement. Methods The skill of rotating cut with sucking the thrombus percutaneously was initially used, and if the artery was found to be narrowed after the procedure stent placement was then be undertaken. Results By using this method, the patients right limb arteries including the superficial famoral artery the popliteal artery and the more distal branches were recanalized persisting normally during six mouths follow-up. Conclusion Percutaneous endovascular rotating cut with sucking thrombus combined with stent placement is safe, effective and reliable for treating the occlusive diseases of the lower extremities.