“…12,13 In retrospect, our first 4 cases possessed some features that we now recognize as adverse, such as bell-shaped necks and excessive angulation, which led to conversion. As our expertise grew, the conversion rate dropped to 7%, which is comparable to the 13.4% rate reported by Tiesenhausen et al 14 Blood loss during surgery was also reduced from an average 2000 mL to 1500 mL, which compares well with the 1010-mL blood loss reported for open AAA repair but is higher than the 326 mL for the endovascular technique. 5 It must be borne in mind, however, that we did not use a hemostatic valve with this system.…”