2016 Outcomes Report

UVA is a regional referral center for all aspects of aortic and vascular diseases, with more than four decades of experience. Our cardiac and vascular surgeons performed 3,173 major vascular procedures and 541 complex aortic procedures over the past three years:

  • Treatment options include participation in clinical trials and genetic screening.
  • Surgical options range from minimally invasive or percutaneous endovascular aneurysm repair to
    complex staged hybrid total aortic replacement of the ascending aorta, aortic arch, descending thoracic aorta and abdominal aorta.
  • Our team has extensive experience in treating aortic dissection, thoracoabdominal aneurysms and connective tissue disorders.
Aortic Procedures - FY 2014-2016

Aortic Procedures – FY 2014-2016

Clinical Trial Highlights

The Aortic Aneurysm Research Laboratory, led by Gorav Ailawadi, MD, is dedicated to pioneering research and discovering the mechanisms of aneurysm formation and prevention.

  • Research funding totaling $8.2 million
  • 4 NIH R01 grants to study aneurysms
  • 4 ongoing IRB-approved clinical trials involving abdominal aortic aneurysm/thoracic aortic aneurysm disease

Aortic Alert

Prompt,accessible care for aortic emergencies

In an effort to improve patient outcomes and build community partnerships, we created the Aortic Alert process in 2014. This provides a second opinion to providers and early access to patients for complex aortic care.

The aortic alert process, enables emergency rooms and referring physicians to rapidly expedite a transfer for anyone with acute aortic disaster.

  • System puts referring physicians in touch with a UVA attending cardiac or vascular surgeon any time, day or night.
  • Operator connects both the cardiac and vascular attending triage officers on the call in order to decide the best treatment option for the patient.
  • If determined to be an emergency, teams are alerted and ready for the arrival of the patient.
  • This ensures the right team is available for the right patient at the right time with the rightequipment, resources and expertise.

For a consult on aortic emergencies, please call the Aortic Alert line: 844.933.7882

Hybrid Operating Suite

The hybrid OR is used for a multidisciplinary approach, allowing for real-time collaboration, combining medical and surgical expertise with the most advanced technology available. UVA is fortunate to offer technically advanced facilities, including four state-of-the-art hybrid operating rooms, allowing for less invasive procedures.

  • Equipped with the most advanced imaging technology
  • Enables simultaneous performance of percutaneous and open procedures
  • Reduces the risk of complications and length of stay associated with multiple procedures
  • Teams work closely together to offer complex treatments and surgeries for patients requiring more in-depth procedures
  • Increases efficacy and success of complex procedures

Vascular Quality Initiative

UVA was awarded top honors by The Society of Vascular Surgery Patient Safety Organization (SVS PSO). UVA was recognized with being in the top 10% of Vascular Quality Initiative (VQI) centers and received a 3 star rating (highest level) for participation in quality improvement.

This inaugural award recognizes the importance of active participation in the VQI as a critical component of the quality improvement mission.

 

Rate of Major Complications

Rate of Major Complications 2

Vascular Volumes - 2016

Vascular Volumes | 2013– 2015

Partners In Care

Complex aortic disease care at UVA features a multidisciplinary team of experts, including:

  • An outstanding genetics program to evaluate patients with aortic pathologies and connective tissue disorders, such as bicuspid aortic valve, Marfan syndrome and Loeys Dietz syndrome. The program also offers the ability to screen at-risk family members.
  • An anesthesia team dedicated to the use of techniques designed to minimize complications of aneurysm repairs
  • Endovascular specialists dedicated and skilled in angioplasty, atherectomy, stenting, thrombectomy and thrombolysis techniques

Quality Improvement

Our complex aortic disease program provides comprehensive care, including:

  • Smoking cessation
  • Optimizing glucose control to reduce risk of wound
    infection
  • Physical therapy consulted on every post-op lower
    extremity surgical revascularization
  • Discharged vascular patients on antiplatelet and
    statin
  • Follow-up visits greater than SVS VQI average

Patient Focused Care: Closer To Home

The UVA Vascular team offers care closer to home utilizing clinic facilities in Culpepper, Lexington, Lewisburg, Augusta, and Zions Crossroads.

RobinsonWVVSG

Dr. William Robinson, MD, is the medical director of the Virginias Vascular Study Group — a group of hospitals and vascular specialists committed to analyzing data related to vascular interventions and outcomes in Virginia and West Virginia

 

View A PDF of the Cardiovascular Center’s Entire Outcomes Report →