Liver metastasectomy is an independent valuable tool in the treatment of metastatic RCC and significantly prolongs patient's survival, even if further systemic treatment is necessary. With the evidence given, patients may benefit from liver metastasis resection if technically feasible.

The importance of proper training and experience with the endovascular equipment used in TEVAR cannot be understated. We believe the endovascular tools discussed in this article offer a proper selection for safe and effective performance of these procedures.

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