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r the renals. Whenever possible, surgeons should consider this configuration in order to maximize proximal seal length and potentially reduce the risk of proximal endoleak. An additional advantage of this approach is that stenting of the SMA to prevent shuttering is unnecessary or impossible, making the procedure more technically facile. OBJECTIVE Although endovascular repair (EVAR) for abdominal aortic aneurysm (AAA) significantly decreases perioperative mortality compared to open surgical repair (OSR), we have not concluded supe