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TnT level in the immediate postoperative period is a highly relevant indicator of prognosis in patients undergoing major vascular surgery.

We performed a review of the literature (until August 01, 2019) on the occasion of the first transcaval approach for transcatheter aortic valve implantation in our hospital. This review focuses mainly on the indications of this alternative access route to the aorta. It may be useful for vascular surgeons in selected cases, such as the treatment of endoleaks after endovascular aneurysm repair and thoracic endovascular aneurysm repair. We describe historical aspects of transcaval access to the aorta, experimental studies, available case series and outcomes. Finally, we summarize the most significant technical aspects of this little-known access.

Protocolo diagnóstico y terapéutico de los aneurismas de la aorta torácicaDiagnostic and therapeutic protocol for thoracic aortic aneurysms

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