title: Routine invasive hemodynamic monitoring does not increase risk of aortic graft infection.
abstract: OBJECTIVE
  To determine whether invasive hemodynamic monitoring resulted in an increased rate of aortic graft infection.
  
  
  METHODS
  Retrospective review with establishment of late follow-up.
  
  
  METHODS
  Two referral teaching community medical centers.
  
  
  METHODS
  Three hundred thirty consecutive patients who underwent elective aortoiliac (174), aortofemoral (91), or aortic tube (65) prosthetic graft placements during a 6-year period at the two institutions. All patients had percutaneous pulmonary artery catheter and radial artery cannula placement before surgery. Monitoring catheters were routinely removed within 72 hours.
  
  
  METHODS
  Early and late complications of catheter placement, perioperative morbidity and mortality, and late graft-related complications.
  
  
  RESULTS
  Eighteen (5%) patients died in the perioperative period. Less than 2-year follow-up was possible in 67 patients. The remaining 245 patients were observed from 2 to 9 years (mean, 4.4 years). Graft infection was not identified in any patient.
  
  
  CONCLUSIONS
  Routine invasive hemodynamic monitoring was not associated with an increase in the rate of prosthetic aortic graft infection.
authors.affiliation: Department of Surgery, Methodist Medical Center, Dallas, Texas.
authors.forename: P
authors.initials: P
authors.lastname: Raphael
authors.forename: T H
authors.initials: TH
authors.lastname: Cogbill
authors.forename: E L
authors.initials: EL
authors.lastname: Dunn
authors.forename: P J
authors.initials: PJ
authors.lastname: Strutt
authors.forename: M J
authors.initials: MJ
authors.lastname: Fraga
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001018:Aortic Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D002423:Cause of Death; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics; D017052:Hospital Mortality; D006764:Hospitals, Community; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D016459:Prosthesis-Related Infections / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality; D012189:Retrospective Studies; D012307:Risk Factors; D014922:Wisconsin / Q000453:epidemiology