Outcomes for surgical and endovascular revision procedures in arteriovenous fistulae: Stevenage experience

Abstract

s / International Journal of Surgery 12 (2014) S13 S117 S113 Laura McCormack . NHS GGC, Glasgow, UK; NHS Lothian, Edinburgh, UK; NHS Grampian, Aberdeen, UK; NHS Tayside, Dundee, UK. Introduction: Endovascular aneurysm repair (EVAR) is the dominant treatment strategy for Abdominal Aortic Aneurysms. Several large RCTs have demonstrated early survival benefits when compared to open sur gical repair. However long term outcome data is limited. The aim of this study was to investigate long term outcomes following EVAR in Scotland. Methods: Retrospective analysis of surveillance data, between Jan 2001 Dec 2012, in the four main Vascular Units was performed. Patients were identified locally and imaging data was collected by manually searching a combination of databases. Primary outcome measures included operative mortality, aneurysm related mortality and all cause mortality. Secondary outcomemeasures included long term graft related complications and re intervention. Results: Data was available for 569 patients. All centres had data available for a minimum of 5 continuous years. Mean patient agewas 75.6years, 89% were male. Mean follow up was 36.3months. 138 patients were recorded to be cease of which 19 died from aneurysm related causes. 30day mor tality was 1.2%, aneurysm related mortality and all cause mortality at 5 years were 4.5% and 33.5%, respectively. Complications and re interven tion report at 5 years were 44.2% and 11.2%. Conclusions: Operative mortality, aneurysm related mortality and all cause mortality in Scotland are similar to previously published data. Complication rates were also comparable; however re intervention rate were lower. 0383: OUTCOMES FOR SURGICAL AND ENDOVASCULAR REVISION PRO CEDURES IN ARTERIOVENOUS FISTULAE: STEVENAGE EXPERIENCE Khalid Hureibi, Kamal Bushreda, Josh Cohen *, Mike Guest. Lister Hospital,