Femoropopliteal Bypass Surgery for Total Calcification of the Iliofemoral Segment
https://doi.org/10.35401/2541-9897-2024-9-3-79-83
Abstract
Calcification of the lower extremities arteries is an unfavorable factor for vascular surgery. Extensive lesions of the femoral segment are an indication for femoropopliteal bypass surgery. Calcification of the femoral arteries complicates the construction of a proximal anastomosis because it precludes clamping the arteries. In addition to technical difficulties in the construction of an anastomosis, significant calcification increases the risks of bleeding and embolic complications and the duration of surgery. In cases of total calcification of the femoral and iliac arteries, balloon occlusion during the construction of an anastomosis makes it possible to occlude the arteries without clamping, which reduces the risks of perioperative complications. We report a case of femoropopliteal bypass surgery in a patient with total calcification of the iliofemoral segment and occlusion of the superficial femoral artery.
About the Authors
R. A. VinogradovRussian Federation
Roman A. Vinogradov, Dr. Sci. (Med.), Cardiovascular Surgeon, Head of the Vascular Surgery Unit No. 1; Professor at the Surgery Department No. 1, Faculty of Continuing Professional Development and Retraining
A. B. Zakeryaev
Russian Federation
Aslan B. Zakeryaev, Cardiovascular Surgeon, Vascular Surgery Unit No. 1
T. E. Bakhishev
Russian Federation
Tarlan E. Bakhishev, Cardiovascular Surgeon, Vascular Surgery Unit No. 1
S. R. Butaev
Russian Federation
Sultan R. Butaev, Cardiovascular Surgeon, Vascular Surgery Unit No. 1
G. A. Khangereev
Russian Federation
Gerey A. Khangereev, Resident, Department of Cardiology and Cardiac Surgery
A. A. Sozaev
Russian Federation
Amirlan A. Sozaev, Resident, Department of Cardiology and Cardiac Surgery
A. G. Baryshev
Russian Federation
Aleksandr G. Baryshev, Dr. Sci. (Med.), Surgeon; Head
of Surgery Department No. 1, Faculty of Continuing Professional Development and Retraining
V. A. Porhanov
Russian Federation
Vladimir A. Porhanov, Dr. Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Chief Physician; Head of the Oncology Department with the Thoracic Surgery Course, Faculty of Continuing Professional Development and Retraining
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Review
For citations:
Vinogradov R.A., Zakeryaev A.B., Bakhishev T.E., Butaev S.R., Khangereev G.A., Sozaev A.A., Baryshev A.G., Porhanov V.A. Femoropopliteal Bypass Surgery for Total Calcification of the Iliofemoral Segment. Innovative Medicine of Kuban. 2024;(3):79-83. (In Russ.) https://doi.org/10.35401/2541-9897-2024-9-3-79-83