“…1,2 One important factor has been the uptake of minimally invasive, endovascular aneurysm repair (EVAR). 3 Despite these advances, many institutions have not experienced improved outcomes for ruptured AAA, 4,5,6 with a reported in-hospital mortality rate of 40% 6,7 and overall mortality rate of 80%. 8 EVAR for ruptured AAA (socalled r-EVAR) has been successfully performed using a variety of protocols and techniques, [9][10][11][12] and may offer an alternative to conventional open repair in selected patients when it can be technically and logistically performed.…”