Lower extremity major vascular injury is a common critical emergency in clinical practice, accounting for approximately 15%-20% of all vascular injuries. The core goal of managing limb arterial injuries is rapid hemostasis and restoration of peripheral arterial blood flow. Temporary Vascular Shunting (TVS), as an essential component of Damage Control Surgery (DCS), by establishing a temporary vascular shunt, distal blood supply can be effectively maintained, achieving the objective of injury control and repair. this creates favorable conditions for subsequent definitive repair. TVS plays a key role in the management of such injuries. The timing and technique of insertion and removal directly impact the final outcome of vascular repair and the patient's prognosis. Timely identification and effective management of complications are key to improving the success rate of treatment and enhancing the patient's quality of life. This article provides a comprehensive review of the history, efficacy, indications and contraindications, types and procedures, postoperative management, and future development directions of TVS technology, aiming to offer new insights for emergency care in limb vascular trauma.