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Review
. 2020 Oct 1;35(5):781-788.
doi: 10.21470/1678-9741-2019-0240.

Transcaval Access to the Abdominal Aorta: indications of Interest to Surgeons and a Comprehensive Literature Review

Francisco S Lozano Sánchez  1 , Ignacio Cruz González  2 , Roberto Salvador Calvo  1 , Pedro Luis Sánchez Fernández  2
Affiliations
Review

Transcaval Access to the Abdominal Aorta: indications of Interest to Surgeons and a Comprehensive Literature Review

Francisco S Lozano Sánchez et al. Braz J Cardiovasc Surg. .

Abstract

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.

Keywords: Endoleak. Transcatheter Aortic Valve Replacement. Aortic Aneurysm. Abdominal. Blood Vessel Prosthesis Implantation. Endovascular Procedures. Aorta; Surgeons.

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Conflict of interest statement

No conflict of interest.

Figures

Fig. 1
Fig. 1
Scheme of transcaval access approach to the aneurysmal sac for embolization of type II endoleaks.
Fig. 2
Fig. 2
Scheme (main steps) of transcaval access to the aorta: A) access (transfemoral electrified guidewire), B) crossing (caval-aortic catheter), and C) closure of caval-aortic access.
Fig. 3
Fig. 3
Real case (Hospital Universitario de Salamanca, October 7, 2018).
See this image and copyright information in PMC

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