Open AAA repair preferred for younger patients

Recently, an AI was fed the world literature on AAA repair and asked about guidelines and superiority of open versus endo repair. It concluded that the past twenty year, endografting has only benefitted the physicians and the device companies (this was present at VEITH). I recommend open to patients likely to benefit from it. I recommend EVAR same way. They are not equivalent especially when patients end up getting insurance denials. I hope it isn’t too late to turn this boat around and train surgeons on open techniques that seem to have been abandoned in many parts of the world.