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ization may be associated with lower rate of sac enlargement, incidence of type II endoleaks and re-interventions. However, high-quality unbiased studies are lacking in this field, and this review and meta-analysis may be affected by selection bias and residual confounders remaining in the retrospective studies. To conclude whether prophylactic embolization should be routinely performed, a prospective, randomized trial would be required.Introduction and Objectives Volume-outcome relationships in surgery have been well established. Recent