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Balloon angioplasty of pulmonary vein stenosis in infants

 
Guidance issued
 
Number: IPG75

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 of pulmonary vein stenosis in infants.

As part of the NICE's work programme, the current guidance was considered for review but did not meet the review criteria as set out in the IP process guide. The guidance below therefore remains current.

Description

This procedure is used to treat pulmonary vein stenosis.

Pulmonary vein stenosis (narrowing) may be congenital, or acquired following surgery to correct other congenital cardiac anomalies. It is rare. Untreated, it leads to severe lung damage. It is often associated with other cardiac abnormalities.

Balloon angioplasty of pulmonary vein stenosis, sometimes combined with stenting, is a palliative treatment of children with a very poor prognosis, or sometimes a temporary measure for children awaiting further interventions.

The procedure involves dilatation of the narrowing using a balloon, during a transarterial cardiac catheterisation procedure. A stent may be inserted following dilatation to maintain patency. There is no reliable alternative treatment.

OPCS code:

Details

Arrangement:
Special
Topic area:
Cardiovascular
Surgical procedures
Specialty:
Cardio-thoracic surgery
Paediatric cardiology
Paediatric surgery
Specialist advice has been sought from:
British Paediatric Cardiac Association
Date notified to NICE:
01 April 2002
Guidance issue date:
28 July 2004

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Contact Address:

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

Links: