Debate: whether endovascular repair offers a survival advantage over open repair for ruptured abdominal aortic aneurysms.

During the last decade, new information and reports have been published regularly describing endovascular and open repair of ruptured abdominal aortic aneurysms, but despite this, disagreement persists over which therapy is best. At the root of the problem is the discrepancy between the findings of multiple well-performed observational studies and a smaller number of randomized controlled trials. Our debaters do an excellent job of summarizing the current status of the world literature and describing their conflicting interpretations.