Fenestrated Endovascular Aneurysm Repair Affords Fewer Renal Complications than Open Surgical Repair for Juxtarenal Abdominal Aortic Aneurysms in Patients with Chronic Renal Insufficiency

•Type of research: Retrospective NSQIP database review•Key Findings: Comparison of FEVAR vs OSR for juxtarenal abdominal aortic aneurysms in patients with renal disease showed similar 30-day mortality. However, FEVAR was associated with fewer renal and pulmonary complications compared to OSR.•Take Home Message: FEVAR is better for patients with chronic renal insufficiency due to decreased renal and pulmonary complications.•Table of Contents Summary: This retrospective NSQIP review evaluated 30-day outcomes between fenestrated endovascular aneurysm repair vs open surgical repair of juxta-renal aortic aneurysms (JAAA) in patients with chronic renal insufficiency. There was no significant difference in 30-day mortality, but FEVAR was associated with fewer renal and pulmonary complications. The authors prefer FEVAR over OSR for JAAA in patients with renal disease.