Heart & lung : the journal of critical care · 1993
Routine invasive hemodynamic monitoring does not increase risk of aortic graft infection.
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Raphael P, Cogbill T H, Dunn E L, Strutt P J, Fraga M J
Аннотация
OBJECTIVE: To determine whether invasive hemodynamic monitoring resulted in an increased rate of aortic graft infection.
DESIGN: Retrospective review with establishment of late follow-up.
SETTING: Two referral teaching community medical centers.
PATIENTS: 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.
OUTCOME MEASURES: 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.
CONCLUSION: Routine invasive hemodynamic monitoring was not associated with an increase in the rate of prosthetic aortic graft infection.
DESIGN: Retrospective review with establishment of late follow-up.
SETTING: Two referral teaching community medical centers.
PATIENTS: 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.
OUTCOME MEASURES: 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.
CONCLUSION: Routine invasive hemodynamic monitoring was not associated with an increase in the rate of prosthetic aortic graft infection.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAortic DiseasesBlood Vessel ProsthesisCatheterization, PeripheralCatheterization, Swan-GanzCause of DeathFemaleFollow-Up StudiesHemodynamicsHospital MortalityHospitals, CommunityHospitals, TeachingHumansIncidenceMaleMiddle AgedMonitoring, PhysiologicPostoperative ComplicationsProsthesis-Related InfectionsRetrospective StudiesRisk FactorsWisconsin