Concomitant surgical treatment of other vascular disease at the time of open AAA repair should be considered in selected patients (Grade 1, Level B).

Preoperative renal artery or superior mesenteric angioplasty and stenting is recommended for selected patients with symptomatic disease (Grade 1, Level C).

Preservation of accessory renal arteries that are 3 mm or larger in diameter or supply more than one-third of the renal parenchyma can be beneficial at the time of open aneurysm repair (Grade 1, Level C).