Balloon dilatation of systemic to pulmonary arterial shunts in children (IPG77)
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.
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.
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
- IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: guidance (web format)
- IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: guidance
- IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: understanding NICE guidance
- IPG77 Balloon dilatation of systemic to pulmonary arterial shunts in children: distribution list
- Interventional procedure consultation document - balloon dilatation of systemic to pulmonary arterial shunts
- Overview of balloon angioplasty of systemic to pulmonary arterial shunts
This page was last updated: 15 May 2012
- Web format
- Full Guidance (PDF)
- IPG77 Ymledu siyntiau rhydwel´ol systemig i bwlmonaidd mewn plant gan ddefnyddio balwn: deall canllawiau NICE
Information for the public
Implementation tools and resources
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The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.