Abstract

DUQUE-GOICOCHEA, Josefina et al. PRESTO technique in the endovascular revascularization of the femoro-popliteal segment. Literature review. Rev. mex. angiol. [online]. 2021, vol.49, n.1, pp.33-40.  Epub Aug 23, 2021. ISSN 2696-130X.  https://doi.org/10.24875/rma.20000045.

We conducted a review of the literature on the precise retrograde placement of the supera stent in the superficial femoral artery (PRESTO) and a case report. We use the following English search terms: PRESTO technique, retrograde access, angioplasty, critical ischemia, superficial femoral artery, in the Pubmed and ScienceDirect databases published between January 2017 and December 2019. Were found 5 case reports of patients with critical ischemia treated by PRESTO technique, including patients with lesions of superficial femoral artery, popliteal, iliac, tibioperoneal trunk and posterior tibial artery. They were performed with retrograde access through popliteal artery, femoral artery, posterior tibial artery. They reported a patency rate above 83% at one year, none of them showed a fracture of the Supera stent, none of them presented complications. Retrograde access stenting in the proximal segment of the superficial femoral artery is a safe, reproducible option with adequate short and long-term results.

Keywords : PRESTO technique; Retrograde access; Angioplasty; Critical limb ischemia; Superficial femoral artery.

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