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Balloon angioplasty with or without stenting for coarctation or recoarctation of aorta in adults and children

Guidance issued Guidance issued
 
IP Guidance Number: IPG74
 
Summary:

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on balloon angioplasty with or without stenting for coarctation or recoarctation of the aorta in adults and children.

Description:

Aortic coarctation is a congenital narrowing of part of the aorta, most commonly the aortic arch, usually close to the origin of the left subclavian artery.

Balloon angioplasty of aortic coarctation is a minimally invasive procedure which involves inserting a catheter into a large blood vessel, usually in the groin, and passing it up to the area of narrowing under X-ray control. A balloon is then inflated within the narrowing. A stent (a small tube) may be placed within the narrowing to keep it dilated. Balloon angioplasty and stenting may be carried out as a first treatment (in 'native' coarctation) or if previous surgical or angioplastic treatment fails and coarctation recurs ('recoarctation').

The standard treatment for native and recurrent coarctation involves open chest surgery.

Arrangements:

Other (see guidance)

Topic Area:

Cardiovascular
Surgical procedures

Specialty:

Cardio-thoracic surgery
Paediatric cardiology
Paediatric surgery

Specialist advice has
been sought from:
British Paediatric Cardiology Society
Date notified to NICE: 01 April 2002
Guidance Publication Date: 28 July 2004
Contact Details:
Project Manager
(for general enquiries or comments)
Ben Doak
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA


Links:

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