What are the longer term benefits of open aortic repair?

What are the longer term benefits of open aortic repair surgery? So I think, you know, as I mentioned before, I think. You know, I think it's really important that when a patient seeks a vascular surgeon's opinion on aortic repair, that that person is able to offer a balanced view on each on each approach that they might not be familiar with both techniques and certainly in recent years with the advent of endovascular repair and people employing that a lot more frequently, certainly it's a known fact that skills and open repair have somewhat declined. But there are still centers where a reasonable amount of open repair is performed. And the data that has really been debated quite intensely are the long-term EVAR-1 results, which point towards better survival in the longer term with open repair than with endovascular repair. Now, obviously the critics of that trial will say that, you know, when the first data was captured for EVAR-1, this was in the early stage of endovascular repair globally. experience and technology wasn't quite where it is now and so consequently there were issues with you know longer term failures and surveillance problems with those stent grafts. Those devices have significantly improved and improved in the last five to seven years or so and as has experience with EVAR so it just it requires a balanced view I think to to be able to offer both techniques and you know you have to have a grasp of the trials when you're talking to a patient about repair and obviously there is a scenario that I discussed before that you know ideally a surgeon should be confident in both techniques as I mentioned not everyone is but nonetheless it's important that if that particular surgeon isn't particularly versed in one of the other techniques that he or she is part of a unit where both techniques are offered with equal ability and skill.