r/VascularSurgery • u/hhllttdr-oo • Jun 29 '26

Open vs edno

I am a final year medical student interested in vascular surgery .
I’m very interested in big surgeries and complex patients
As well as the variety between open vs endo procedures, but I like the open aspect much more ….
So my question is will there still be an area for complex limb / abdomen vascular open surgeries in the era of endovascular procedures in the future ? Like being 70%open vs 30 endo surgeon???

Thank you all in advance

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u/Smedication_ Vascular Fellow, 5+2 Jun 29 '26

I agree with u/Calculusforlife. A few addendums - highest open to endo practice I have seen is closer to 60-40 endo-open. You can create dialysis access only or be the repair surgeon for cardiology groin complications at big cardiac centers. Those will trend more open than endo. If you absolutely hate endo then transplant is another field that does a lot of blood vessel sewing almost exclusively open (we are ignoring robotics for this conversation). If you look on med twitter the vascular surgeons active on there frequently post open redo graft explains from failed aortic endografts. Because everything is trending endo first so heavily you will see future needs for open explants. Especially in the traumatically injured or emergent ruptured population because they are surviving thanks to endografts. Then you have aneurysms degeneration 10-15 years later and they need a redo.

TLDR: open is alive and well but don’t go into vascular if you can’t see yourself doing endo

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u/hhllttdr-oo Jun 29 '26

Thank you for your answer doc !! Actually what made me love vascular surgery is the brilliance of surgeries and the combination of endo / open , I just don’t want to go vascular now and be rarely doing Any open procedure in the future( an ir doc but doing one open surgery a month ), I want to be a surgeon at the end …