Aortobifemoral bypass surgery using aortic balloon occlusion in patients with total aortic calcification

Vinogradov R.A.; Zakeryaev A.B.; Bakhishev T.E.; Khangereev G.A.; Butaev S.R.; Baryshev A.G.; Porkhanov V.A.

doi:https://doi.org/10.17116/hirurgia2026021108

Vinogradov R.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

ORCID: 0000-0001-9421-586X

Zakeryaev A.B.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-4859-1888

Bakhishev T.E.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0003-4143-1491

Khangereev G.A.

Butaev S.R.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0001-7386-5986

Baryshev A.G.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Aortobifemoral bypass surgery using aortic balloon occlusion in patients with total aortic calcification

Authors:

Vinogradov R.A., Zakeryaev A.B., Bakhishev T.E., Khangereev G.A., Butaev S.R., Baryshev A.G., Porkhanov V.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(2): 108‑112

DOI: 10.17116/hirurgia2026021108

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To cite this article:

Vinogradov RA, Zakeryaev AB, Bakhishev TE, Khangereev GA, Butaev SR, Baryshev AG, Porkhanov VA. Aortobifemoral bypass surgery using aortic balloon occlusion in patients with total aortic calcification. Pirogov Russian Journal of Surgery. 2026;(2):108‑112. (In Russ.)
https://doi.org/10.17116/hirurgia2026021108

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Calcification of abdominal aorta in patients with aortoiliac occlusive diseases is unfavorable prognostic factor for abdominal aortic surgery. Technical difficulties associated with aortic clamping increase intraoperative risks of complications including bleeding. Aortic balloon occlusion in these patients is an option for aortic clamping that reduces the risk of intraoperative bleeding. We present aortic balloon occlusion in a patient with Leriche syndrome and total calcification of abdominal aorta.

Keywords:

vascular surgery

aortofemoral bypass surgery

total aortic calcification

aortic balloon

Authors:

Vinogradov R.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

ORCID: 0000-0001-9421-586X

Zakeryaev A.B.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-4859-1888

Bakhishev T.E.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0003-4143-1491

Khangereev G.A.

Butaev S.R.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0001-7386-5986

Baryshev A.G.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Received:

17.10.2024

Accepted:

10.11.2024

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References:

Zelinskiy VA, Melnikov MV, Barsukov AYe, Andreev VV.An abdominal aortic calcification as a risk factor for cardio-cerebral events in patients with peripheral arterial disease. Klinitsist. 2012;6(3-4):33-38. (In Russ.).
Kosenkov AN, Vinokurov IA, Kiseleva AK. Treatment of critical lower limb ischemia followed by ulcerative-necrotic lesions. Kardiologiya i serdechno-sosudistaya khirurgiya. 2019;12(4):302-307. (In Russ.). https://doi.org/10.17116/kardio201912041302
Wilson PW, Kauppila LI, O’Donnell CJ, et al. Abdominal aortic calcific deposits are an important predictor of vascular morbidity and mortality. Circulation. 2001;103(11):1529-1534. https://doi.org/10.1161/01.cir.103.11.1529
Zakeryaev AB, Vinogradov RA, Bakhishev TE, Khangereev GA, Porkhanov VA. Robot-assisted linear aortofemoral bypass surgery. Khirurgiia (Mosk). 2023;(4):83-88. (In Russ.).
Porkhanov VA, Vinogradov RA, Zakeryaev AB, et al. Robot-assisted aortobifemoral bypass surgery. Kardiologiya i serdechno-sosudistaya khirurgiya. 2023;16(3):332-337. (In Russ.). https://doi.org/10.17116/kardio202316031332
Stevenson JK, Sauvage LR, Harkins HN. A bypass homograft from thoracic aorta to femoral arteries for occlusive vascular disease: case report. Ann Surg. 1961;27:632-637.
Köksal C, Sarikaya S, Zengin M. Thoracofemoral bypass for treatment of juxtarenal aortic occlusion. Asian Cardiovasc Thorac Ann. 2002;10(2):141-144. https://doi.org/10.1177/021849230201000211
Witteman JC, Kok FJ, van Saase JL, Valkenburg HA. Aortic calcification as a predictor of cardiovascular mortality. Lancet. 1986;2(8516):1120-1122. https://doi.org/10.1016/s0140-6736(86)90530-1
Barrett SG, Bergamini TM, Richardson JD. Descending thoracic aortobifemoral bypass: an alternative approach for difficult aortic revascularization. Am Surg. 1999;65(3):232-235.
Ligush J Jr, Criado E, Burnham SJ, Johnson G Jr, Keagy BA. Management and outcome of chronic atherosclerotic infrarenal aortic occlusion. J Vasc Surg. 1996;24(3):394-405. https://doi.org/10.1016/s0741-5214(96)70195-7
Passman MA, Farber MA, Criado E, Marston WA, Burnham SJ, Keagy BA. Descending thoracic aorta to iliofemoral artery bypass grafting: a role for primary revascularization for aortoiliac occlusive disease? J Vasc Surg. 1999;29(2):249-258. https://doi.org/10.1016/s0741-5214(99)70378-2
https://doi.org/10.17116/hirurgia2018513-18 https://doi.org/10.17116/hirurgia2018513-18
Schultz RD, Sterpetti AV, Feldhaus RJ. Thoracic aorta as source of inflow in reoperation for occluded aortoiliac reconstruction. Surgery. 1986;100(4):635-645.
Schneider JR, Golan JF. The role of extraanatomic bypass in the management of bilateral aortoiliac occlusive disease. Semin Vasc Surg. 1994;7(1):35-44.
Fukui S, Paraskevas N, Soury P, Gigou F, Petit MD, Laurian C. Totally videoendoscopic descending thoracic aorta to femoral artery bypass. J Vasc Surg. 2003;37(1):191-193. https://doi.org/10.1067/mva.2003.85
Fernandez JD, Garrett HE Jr, Cal N. Robot-assisted minimally invasive procedure for descending aorta — bifemoral bypass: a case report. Vasc Endovascular Surg. 2009;43(1):93-95. https://doi.org/10.1177/1538574408322753
McCarthy WJ, Mesh CL, McMillan WD, Flinn WR, Pearce WH, Yao JS. Descending thoracic aorta-to-femoral artery bypass: ten years’ experience with a durable procedure. J Vasc Surg. 1993;17(2):336-348.