Radiofrequency valvotomy for pulmonary atresia (IPG95)
Fast, easy summary view of NICE guidance on 'structural heart defects'
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on radiofrequency valvotomy for pulmonary atresia.
Radiofrequency valvotomy is used to treat pulmonary atresia, a congenital malformation of the pulmonary valve in which the valve orifice fails to develop. The valve is completely closed thereby obstructing the outflow of blood from the heart to the lungs. Babies with this type of cyanotic congenital heart disease survive only for the first few days of life while the normal fetal shunts between left and right circulations remain patent. Without an operation in that period to open the pulmonary valve or to make a shunt between the aorta and the pulmonary arteries, the condition is fatal.
The standard treatment for pulmonary atresia is open heart surgery which includes the Fontan procedure (the surgical creation of a right ventricular bypass by directly connecting either the right atrium or the superior or inferior vena cava and the pulmonary artery) and the Blalock-Taussig shunt (a palliative procedure where a shunt is created to allow blood to pass from the aorta to the pulmonary artery by dividing the left subclavian artery and connecting it to the left pulmonary artery). Further open heart surgery may include open surgical valvotomy.
Radiofrequency valvotomy is a minimally invasive cardiac catheterisation procedure which involves creating an opening in the blocked pulmonary valve followed by dilation using balloon angioplasty. It avoids open surgery but some children will later need a permanent shunt procedure.
K35.4 Percutaneous transluminal pulmonary valvotomy
Includes: Percutaneous transluminal balloon valvotomy of pulmonary valve
Y11.4 Radiofrequency controlled thermal destruction of organ NOC
Y53.- Approach to organ under image control
Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control is assigned.
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
- IPG095 Radiofrequency valvotomy for pulmonary atresia - guidance
- IPG095 Radiofrequency valvotomy for pulmonary atresia - guidance (web format)
- IPG095 Radiofrequency valvotomy for pulmonary atresia - information for the public
- IPG095 Radiofrequency valvotomy for pulmonary atresia - distribution list
- Interventional procedure consultation document - radiofrequency valvotomy for pulmonary atresia with intact interventricular septum (second consultation)
- Overview of radiofrequency valvotomy for pulmonary atresia (second consultation)
- Interventional procedure consultation document - laser or radiofrequency valvotomy for pulmonary atresia (first consultation)
- Overview of laser or radiofrequency valvotomy for pulmonary valve atresia (first consultation)
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: structural heart defects
This page was last updated: 07 January 2014
Information for the public
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