Raphael P, Cogbill T H, Dunn E L, Strutt P J, Fraga M J
Department of Surgery, Methodist Medical Center, Dallas, Texas.
Heart Lung. 1993 Mar-Apr;22(2):121-4.
To determine whether invasive hemodynamic monitoring resulted in an increased rate of aortic graft infection.
Retrospective review with establishment of late follow-up.
Two referral teaching community medical centers.
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.
Early and late complications of catheter placement, perioperative morbidity and mortality, and late graft-related complications.
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.
Routine invasive hemodynamic monitoring was not associated with an increase in the rate of prosthetic aortic graft infection.
确定有创血流动力学监测是否会导致人工血管感染率升高。
建立长期随访的回顾性研究。
两家转诊教学社区医疗中心。
在这两家机构6年期间连续接受选择性主动脉髂动脉（174例）、主动脉股动脉（91例）或主动脉人工血管（65例）置换术的330例患者。所有患者术前均放置了经皮肺动脉导管和桡动脉插管。监测导管通常在72小时内拔除。
导管置入的早期和晚期并发症、围手术期发病率和死亡率以及晚期人工血管相关并发症。
18例（5%）患者在围手术期死亡。67例患者无法进行少于2年的随访。其余245例患者随访2至9年（平均4.4年）。未发现任何患者发生人工血管感染。
常规有创血流动力学监测与人工血管感染率升高无关。
