Brief Answer: Surgery preferred option Detailed Answer: Dear XXXXX Thanks for your query. Indeed, endovascular repair for aneurysms has become more widely available, but is susceptible to complications not seen with open surgery such as in stent restenosis, migration of the stent, erosions at the distal sites, etc. In general terms, if you are not deemed to be a high surgical risk candidate, then open repair is usually best as is more durable and allows surgeons to have better control of the area. If such complications arise, then I have seen patients undergoing a re-do procedure or attempting the open procedure. Hope that helps, wish you the best, Dr Brenes-Salazar MD Mayo Clinic MN Cardiology

---