Percutaneous pulmonary valve implantation for right ventricular outflow tract dysfunction

NICE interventional procedures guidance [IPG436] Published date:

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The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous pulmonary valve implantation for right ventricular outflow tract dysfunction.

This document replaces previous guidance on Percutaneous pulmonary valve implantation for right ventricular outflow tract dysfunction (interventional procedure guidance IPG 237)

  • Description

    Right ventricular outflow tract (RVOT) dysfunction is the term given to abnormalities of the pulmonary valve (one of the valves in the heart) and the right ventricular outflow tract. It causes blood to flow abnormally between the heart and the lungs and is often congenital (present from birth). If left untreated right ventricular outflow tract dysfunction can reduce life expectancy. Faulty heart valves are usually replaced during open heart surgery, but with time the replacements can degenerate and fail. Using a catheter to implant an artificial valve is an alternative to further open heart surgery – it is a less invasive procedure, because it does not involve opening up the chest. In this procedure, the replacement valve is implanted through a catheter (a narrow tube), which is inserted through the skin and into a large vein in the groin and then into the pulmonary artery. The replacement valve is implanted within a wire mesh tube called a stent.

  • OPCS4.6 Code(s)

    K35.7 Percutaneous transluminal pulmonary valve replacement

    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

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