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To look into the factors responsible for delay in presentation of Iimb ischemia patients to a vascular surgeon. The prospective cohort study was conducted at the Aga Khan University Hospital, Karachi, from October 01, 2016, to August 10, 2018. Patients coming with delayed presentation of both acute and chronic limb ischemia were included. All the patients were assessed by qualified vascular surgeons. SPSS 23 was used for data analysis. Of the 55 patients, 33(60%) had acute and 22(40%) hadpmid:30697009 fatcat:3vez6oejnzbpbee4akvcc3t2de