b"Scientific Session Abstracts SATURDAY APRIL 20, 2024 7: PEDIATRIC CONSULTS TO VASCULAR SURGERY: AN INFREQUENT OCCURRENCEDakory Lee, Casey Reid, Michael Zhang, Beatriz Leong, Kristyn Mannoia,Allen Murga, Sheela Patel, Theodore Teruya, Ahmed Abou-ZamzamLoma Linda University HospitalBackground: Pediatric vascular conditions are uncommon, and pediatric vascular exposure is sparse in Vascular Surgery training. This is heightened in programs without an adjacent children's hospital. We reviewed our experience in an institution with an adjacent, 364-bed, freestanding Children's Hospital to elucidate the frequency of pediatric consults that a busy vascular service may encounter.Methods: A retrospective chart review was conducted to evaluate consults to Vascular Surgery originating from our Childrens Hospital over a recent 4.5-year period. Data were then extracted to determine patient location (ICU, Ward, and Emergency Department) at the time of consultation. Moreover, we evaluated the ultimate treatment defined as medical/expectant management and surgical/endovascular intervention.Results: During the study period, 100 consults to Vascular Surgery were completed. The patient's average age was 8 years old (range 1 day to 18 years). Consultations were made from the following locations; ICU (66%), ward (20%), and emergency department (14%). Additionally, 14 patients were admitted to the ICU. Of the 80 total ICU patients, 53 were ventilated and 33 required vasopressor support. Overall, 17% of patients underwent surgical/endovascularintervention via our Vascular Surgery team. Vascular Surgery offered medical co-management to 56% of patients. Medical co-management was most typically anticoagulation (64%) followed by anti-platelet recommendations (14%).Conclusion: Inpatient consults to Vascular Surgery are infrequent at roughly 20 per year at a busy academic center with an adjacent children's hospital. Less than 20% of consultations resulted in surgical interventions. During a typical Vascular Surgery residency or fellowship, a trainee would be expected to manage 40-60 pediatric consultations. These data can serve as a benchmark for educational experience and help guide Vascular training and physician staffing.46SOUTHERN CALIFORNIA VASCULAR SURGICAL SOCIETY"