Balloon dilatation of systemic to pulmonary arterial shunts in children

 
Guidance issued
 
IPG Number: IPG77

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

Arrangement:
Normal
Topic area:
Cardiovascular
Surgical procedures
Specialty:
Cardio-thoracic surgery
Paediatric cardiology
Paediatric surgery
Specialist advice sought from:

British Paediatric Cardiac Association

British Society of Interventional Radiologists

Date notified to NICE:
01 April 2002
Guidance issue date:
28 July 2004

Contact details:

Contact NICE about this project
Contact Address:

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

Links:

This page was last updated: 04 April 2011

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.