Preoperative Optimization of Cardiovascular Hemodynamics Improves Outcome in Peripheral Vascular Surgery

89 patients undergoing limb-salvage arterial surgery

Preoperative hemodynamic optimization using a pulmonary artery (PA) catheter ('tune-up') consisting of fluid loading, afterload reduction, and/or inotropic support to achieve predetermined endpoints, performed in either the surgical intensive care unit or the preinduction room

Control group

Adverse intraoperative events, postoperative cardiac morbidity, and early graft thrombosishard clinical