APSC2015-1184 Vascular Complications After Detachment of Femoral Cannulation for Venoarterial Extracorporeal Membrane Oxygenation Support Caused by Limb Ischemia Reperfusion Injury

Abstract

0 / 39 3/110 2/62 P O ST E R A B ST R A C T S Method: We identified 492 patients who had undergone PCI in a tertiary hospital in Singapore and randomised them into the intervention or control arms. Patients in the intervention arm were recruited into either the Post-Elective PCI or the Post-Acute Coronary Syndrome SCORE protocols. Patients were excluded if they had any of the following: planned for a staged PCI, left ventricular ejection fraction < 40%, atrial fibrillation, ventricular tachycardia, renal failure, anaemia or other co-morbidities that precluded discharge to primary care. The primary outcomes measured were discharge to primary care within 1 year, and achievement of low-density lipoprotein (LDL) level of < 2.6mmol/L within 1 year. Results: Among the intervention group, 215 out of 395 were discharged to primary care within 1 year, compared to 7 out of 99 in the control group (54.4% vs 7.1%, p<0.001). Furthermore, 328 out of 386 patients in the intervention group achieved the LDL target within 1 year, compared to 63 out of 89 in the control group (85.0% vs 70.8%, p1⁄40.002). After multivariable analysis, inclusion in the SCORE program was still independently associated with a higher chance of discharge to primary care and achieving the LDL target. Conclusion: SCORE improved the rate of discharge of post-PCI patients to primary care, and also improved the achievement of LDL targets. These findings support the implementation of a standardised follow-up protocol in patients who have undergone PCI. Disclosure of Interest: None Declared