extremity AIS-vascular of 4, (other groups 3, P<.05) and were more likely to have concomitant venous injury and to undergo fasciotomy. Shunts were used for 5±3 hours. 24% of R2RECON repairs revised at Role 3. Limbs salvage rate of 80% was similar between groups, 62% of amputations performed within 48 hours of injury. Rates of limb and composite graft complications were similar be- tween groups. Thrombosis was more common in R2SHUNT (22%) than R2RECONST (6%) or R3MGT (12%), P¼.03. Late (>48h) thrombosis rates were similar while 60% of R2SHUNT thromboses occurred on day of injury (P¼.003 vs 25% and 0%). Conclusions: Staged femoropopliteal injury care is asso- ciated with similar limb salvage to initial Role 3 manage- ment. Early thrombosis is likely due to shunt failure but does not lead to limb loss. Current military practice guide- lines are appropriate and may inform civilian vascular injury management protocols. https://doi.org/10.1016/j.avsg.2018.12.016 DISCHARGE TO A FACILITY IS NOT PROTECTIVE AGAINST WOUND EVENTS FOLLOWING EMERGENT FEMORAL ARTERY REPAIR Joseph M. Anderson, Thomas Brothers, Jacob Robison, Mathew Wooster, Ravikumar Veeraswamy, Rupak Mukherjee, and Jean M. Ruddy Medical University of South Carolina, Charleston, SC. Introduction: Access site complication is the most com- mon adverse event following endovascular intervention and may significantly increase morbidity. The intent of this project was to identify risk factors for wound events af- ter emergent operative repair of the femoral artery. It was hypothesized that patients discharged to a facility would benefit from ongoing care of medical professionals, with more consistent follow-up and lower wound complication rates. Methods: Patients who underwent percutaneous femoral artery access and required subsequent open femoral ar- tery repair at an academic institution between 2015 and 2018 were examined. The primary outcomes of interest included wound complication (infection, wound breakdown requiring more than wet-to-dry dressing, or rehospitaliza- tion), discharge disposition, and outpatient follow-up with Vascular Surgery. Chi-square, univariate analysis, and multivariate analysis were completed. Results: Forty-four patients were identified with emergent femoral artery treatment between 2015 and 2018, and wound complication occurred in 32%. Despite the signifi- cant comorbidities and emergent nature of the surgery, only 24% of patients were discharged to a facility. Among those discharged to a rehabilitation or nursing facility, the rate of follow-up to the surgeon’s clinic was lower (p<0.05), while the incidence of wound complication was greater (44% vs 24%, p¼0.11). Univariate analysis indi- cated that kidney disease, albumin <3g/dL, and current smoking were predictive of wound complication. On multi- variate analysis, only kidney disease remained predictive (p<0.05). Discussion: Despite the availability of medical personnel to arrange transportation and provide wound care in rehabil- itation or nursing facilities, patients who were discharged to such a facility after emergent femoral artery repair experi- enced lower compliance with follow-up and suffered more wound complications. Improving communication with facil- ities as well as integrating telehealth may offer opportunities to decrease wound morbidity for these complicated patients. https://doi.org/10.1016/j.avsg.2018.12.017 PENETRATING ABDOMINAL AORTIC INJURY: COMPARISON OF LEVEL I AND II TRAUMA CENTERS Brian M. Sheehan, Areg Grigorian, Shelley Maithel, Boris Borazjani, Nii-Kabu Kabutey, Roy Fujitani, Michael Lekawa, and Jeffry Nahmias University of California, Irvine Medical Center, Orange, CA. Introduction and Objectives: Penetrating abdominal aortic injury (PAAI) is often lethal, with an associated mor- tality rate up to 80%. A previous study demonstrated that trauma centers have similar mortality rates when a trauma surgeon is available within 15 minutes. This is more likely with an in-house call system. Surgeons at level-I centers are more likely to take in-house call compared to level-II centers. Therefore, we hypothesized level-I centers will have a lower risk of mortality for PAAI, compared to level-II centers. Methods: The Trauma Quality Improvement Program was queried for patients with PAAI, and those treated at level-I centers were compared to those treated at level-II centers. Chi-square, t-test, and multivariable logistic regression models were used for analysis. Results: From 97,401 penetrating trauma admissions, 534 (0.5%) sustained PAAI. More patients were treated at a level-I center (54.7%), compared to level-II (16.1%). There was a similar median time to hemorrhage control in individuals treated with exploratory laparotomy at the two types of centers (level-I:40.8 minutes vs. level- II:49.2, p¼0.21). Patients had similar comorbidities and injury severity scores (p>0.05) across centers. There was no difference in the number of packed red blood cell units given, intensive care unit length of stay, or ventilator days (p>0.05). After controlling for covariates, there was Volume 55, February 2019 Abstracts presented to the Vascular and Endovascular Surgery Society 11