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During this time, the total vascular surgical workload rose significantly as a result of an increase in the rates of arterial reconstruction and percutaneous transluminal angioplasty. Although the major lower-limb amputation rate did not change significantly, there was a decrease in the above- to below-knee ratio. In addition, there were significant increases in the percentage of patients treated over the age of 75 years and the proportion of attempted revascularizations before amputation. The mortality rates for arterial reconstruction, percutaneous transluminal angioplasty and amputation did not change significantly during the study period. The duration of hospital stay increased significantly for patients undergoing amputation and decreased significantly for those receiving arterial reconstruction.<\/jats:p>","DOI":"10.1002\/bjs.1800801015","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:33:31Z","timestamp":1172943211000},"page":"1269-1273","source":"Crossref","is-referenced-by-count":28,"title":["Changing trends in the management of lower-limb ischaemia: A 17-year review"],"prefix":"10.1093","volume":"80","author":[{"given":"R D","family":"Sayers","sequence":"first","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester LE2 7LX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M M","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester LE2 7LX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Varty","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester LE2 7LX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Jagger","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics, Clinical Sciences Building, Leicester Royal Infirmary , Leicester LE2 7LX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P R F","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester LE2 7LX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,10,1]]},"reference":[{"key":"2024092811515247700_bib1","doi-asserted-by":"crossref","first-page":"2502","DOI":"10.1055\/s-0028-1108161","article-title":"Perkutane Rekanalisation chronischer Arterieller verschulusee mit einer neuen Dilationkatheter modifikation der Dotter-technik","volume":"99","author":"Gruntzig","year":"1974","journal-title":"Disch Med Wochenschr"},{"key":"2024092811515247700_bib2","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1161\/01.CIR.30.5.654","article-title":"Transluminal treatment of arteriosclerotic obstruction. 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