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Precise Retrograde Supera Stenting of the Ostium (PRESTO) of the Superficial Femoral Artery for Complex Femoropopliteal Occlusions: The PRESTO Technique.
- Source :
-
Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists [J Endovasc Ther] 2018 Oct; Vol. 25 (5), pp. 588-591. Date of Electronic Publication: 2018 Jan 24. - Publication Year :
- 2018
-
Abstract
- Purpose: To describe a novel technique designed to safely and precisely deploy the Supera stent accurately at the ostium of the proximal superficial femoral artery (SFA) without compromising the profunda and common femoral arteries.<br />Technique: After antegrade crossing of the chronic total occlusion (CTO) at the SFA ostium and accurate predilation of the entire SFA lesion, a retrograde arterial access is obtained. The Supera stent is navigated in retrograde fashion to position the first crown to be released just at the SFA ostium. Antegrade dilation is performed across the retrograde access site to obtain adequate hemostasis. The technique has been applied successfully in 21 patients (mean age 78.1±8.2 years; 13 men) with critical limb ischemia using retrograde Supera stenting from the proximal anterior tibial artery (n=6), the posterior tibial artery (n=2), retrograde stent puncture in the mid to distal SFA (n=2), the native distal SFA/proximal popliteal segment (n=6), and the distal anterior tibial artery (n=5). No complications were observed.<br />Conclusion: Distal retrograde Supera stent passage and reverse deployment allow precise and safe Supera stenting at the SFA ostium.
- Subjects :
- Aged
Aged, 80 and over
Chronic Disease
Constriction, Pathologic
Costa Rica
Critical Illness
Female
Humans
Ischemia diagnostic imaging
Italy
Male
Peripheral Arterial Disease diagnostic imaging
Prosthesis Design
Treatment Outcome
United States
Angioplasty, Balloon instrumentation
Femoral Artery diagnostic imaging
Ischemia therapy
Peripheral Arterial Disease therapy
Stents
Subjects
Details
- Language :
- English
- ISSN :
- 1545-1550
- Volume :
- 25
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
- Publication Type :
- Academic Journal
- Accession number :
- 29363382
- Full Text :
- https://doi.org/10.1177/1526602817753388