Heart & Circulation

Cochrane Vascular needs a Consumer Reviewer to comment on a review investigating different ways of repairing abdominal aortic aneurysms (ballooning of the largest blood vessel in the tummy area)

Skills / interests: Consumer (public, patient, carer) input

An abdominal aortic aneurysm is a ballooning of the largest blood vessel in the abdomen, the abdominal aorta, due to weakness of the vessel wall. This ballooning may lead to life‐threatening rupture. Repair of the aneurysm is recommended if the risk of rupture is calculated to be greater than the risk of surgery.  Most repairs involve putting in an artificial graft, a tube composed of fabric, to help reinforce the artery wall. There are two main methods for repair. One is an open technique in which the whole abdomen is opened and the graft is used to replace the diseased part of the vessel. The other technique is endovascular aneurysm repair. With this minimally invasive technique, the graft is fed into the abdominal aorta through an artery in the groin (the femoral artery) avoiding the large abdominal incision. This review looked at an alternative method for introducing the graft into the femoral artery, percutaneous access. We wanted to know if skin puncture was better than exposing the femoral artery for minimally invasive repairs of abdominal aortic aneurysms. If you have personal or carer experience of abdominal endovascular aneurysm repair your comments would be very helpful. Systematic review methodology expertise is not needed. If you are interested, we will send you the review and a comments checklist.  This task will take between two to three hours. 

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