Endovascular stent insertion for intracranial atherosclerotic disease

Summary

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on endovascular stent insertion for intracranial atherosclerotic disease in October 2007

NICE has reviewed this guidance and is reassessing the procedure. New guidance will be published as a result. Until the new guidance is published the NHS should continue to follow the recommendations in the guidance below.

The Interventional Procedures Advisory Committee (IPAC) will consider this procedure review and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.

If you wish to be updated about any developments with this procedure, you can express an interest here

Description

Intracranial atherosclerotic disease (ICAD) is the narrowing of the arteries inside the skull that supply blood to the brain. ICAD is associated with an increased risk of stroke. In this procedure, a balloon catheter is inserted into the affected artery to open up the narrowing. A device made of metal mesh, called a stent, is then positioned at the site of the narrowing to improve and maintain blood flow.

OPCS4.6 Code(s):

L31.4 Percutaneous transluminal insertion of stent into carotid artery

Or

L35.3 Percutaneous transluminal insertion of stent into cerebral artery

A code from category L76 Endovascular placement of stent or L89 Other endovascular placement of stent should be added to specify the type and number of stents used.

Y53.- Approach to organ under image control

In addition ICD-10 code I67.2 Cerebral atherosclerosis is assigned.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

 

Details

Contact details:

Links:

	IPG233 Endovascular stent insertion for intracranial atherosclerotic disease: guidance (web format)	21 February 2011
	IPG233 Endovascular stent insertion for intracranial atherosclerotic disease: guidance	24 October 2007
	IPG233 Endovascular stent insertion for intracranial atherosclerotic disease: understanding NICE guidance	24 October 2007
	IPG233 Endovascular stent insertion for intracranial atherosclerotic disease: understanding NICE guidance (MS Word format)	24 October 2007
	IPG233: Lledu rhydweli sydd wedi culhau y tu mewn i'r penglog gan ddefnyddio pibell ymestynadwy: deall canllawiau NICE (fformat MS Word)	08 October 2009
	IPG233 Endovascular stent insertion for intracranial atherosclerotic disease: consultation comments	19 October 2007
	Endovascular stent insertion for intracranial atherosclerotic disease (interventional procedures consultation)	29 May 2007
	Endovascular stent insertion for intracranial atherosclerotic disease (interventional procedures overview)	29 May 2007