The use of angioplasty, bypass surgery, and amputation in the management of peripheral vascular disease

Michael J. Pentecost, Frank J. Veith, Curtis W. Bakal, Bruce A. Perler, Floyd A. Osterman, Richard A. Clugston, Andrew C. Eisenhauer, Ray V. Matthews, Sean R. Tunis, Eric B. Bass, Earl P. Steinberg, Jay D. Coffman

Research output: Contribution to journalLetterpeer-review

Abstract

To the Editor: Tunis et al. (Aug. 22 issue)1 question the use of balloon angioplasty, on the basis of an analysis of amputation rates over a 10-year period in Maryland hospitals. They noted a 24-fold increase in angioplasty, from 17 to 706 procedures, between 1979 and 1989, with no significant change in the amputation rate (30 procedures per 100,000 residents). Estimating the number of lower-extremity angioplasties from the codes of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) is flawed. A potentially large group of unrelated procedures could have been included in the 39.59 code group, which includes. . .

Original languageEnglish (US)
Pages (from-to)413-416
Number of pages4
JournalNew England Journal of Medicine
Volume326
Issue number6
DOIs
StatePublished - Feb 6 1992

ASJC Scopus subject areas

  • Medicine(all)

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