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We sought to evaluate the impact of obesity on perioperative mortality and complication rates in patients undergoing endovascular aortic repair (EVAR) and open surgical repair (OSR) for abdominal aortic aneurysms (AAA). A systematic review of all studies reporting AAA treatment perioperative (30 day) outcomes in obese patients (body mass index ≥30 kg/m ). The primary outcome was 30 day mortality. Secondary outcomes included cardiac complications, respiratory complications, wound complication, renal complications, and neurological complica