Balloon dilatation of systemic to pulmonary arterial shunts in children

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 dilatation of systemic to pulmonary arterial shunts in children.

Description

Systemic to pulmonary shunts are surgically-created connections between the aorta and a pulmonary artery in children with cyanotic congenital heart disease such as tetralogy of Fallot or tricuspid atresia. They increase the blood supply to the lungs and the arterial oxygen saturation. The procedure is palliative, aiming to improve symptoms. In some children, definitive surgery may be possible later. The most common type of systemic to pulmonary shunt is known as the Blalock-Taussig shunt.

Systemic to pulmonary shunts may become blocked or narrowed (stenosed) due to scarring or thrombosis. Balloon angioplasty of shunts is a palliative procedure carried out to relieve the blockage or narrowing. The procedure involves inserting a catheter into a large blood vessel (usually in the groin), passing it up in to the chest under X-ray control and inflating a balloon in the narrowed area. This may avoid a repeat surgical systemic to pulmonary shunt procedure.

OPCS4.6 Code(s):

L05.4 Percutaneous transluminal balloon dilation of interposition tube prosthesis between pulmonary artery and aorta

Y53.1 Approach to organ under radiological control

_{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

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Links:

	IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: guidance	28 July 2004
	IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: guidance (web format)	04 February 2011
	IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: understanding NICE guidance	28 July 2004
	IPG77 Ymledu siyntiau rhydwelïol systemig i bwlmonaidd mewn plant gan ddefnyddio balwn: deall canllawiau NICE	19 May 2009
	IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: distribution list	28 July 2004
	Interventional procedure consultation document - balloon dilatation of systemic to pulmonary arterial shunts	24 February 2004
	Overview of balloon angioplasty of systemic to pulmonary arterial shunts	20 February 2004