Pulmonary artery catheters should not be used routinely in aortic surgery, unless there is a high risk for a major hemodynamic disturbance (Grade 1, Level A).

Central venous access is recommended for all patients undergoing open aneurysm repair (Grade 1, Level A).

Intraoperative and postoperative ST-segment monitoring is recommended for all patients undergoing open aneurysm repair, but required in only selected patients undergoing EVAR (Grade 1, Level B).

Transesophageal echocardiography can be beneficial in determining the cause of an intraoperative hemodynamic disturbance (Grade 2, Level B).

Postoperative troponin measurement is recommended for all patients with ECG changes or chest pain after EVAR or OSR (Grade 1, Level A).