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High-intensity focused ultrasound for atrial fibrillation in association with other cardiac surgery

 
Guidance issued
 
Number: IPG184

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 High-intensity focused ultrasound for atrial fibrillation in association with other cardiac surgery.

Description

Atrial fibrillation is the irregular and rapid beating of the upper two chambers of the heart (the atria). It is the most common type of arrhythmia, affecting approximately 0.5% of the adult population. The incidence increases markedly with age.

High-intensity focused ultrasound (HIFU) ablation for atrial fibrillation can be performed with or without cardiopulmonary bypass and is usually performed concomitant with another cardiac procedure. Electrophysiology testing is usually performed before the procedure to identify and map the source of the abnormal electrical signals. The procedure involves placing an ultrasound device on the outside of a beating heart, which delivers focused ultrasound energy across the wall of the heart. Absorption of the ultrasound energy creates a rise in temperature, which destroys the cardiac tissue within the focal area.

OPCS code:

Details

Arrangement:
Special
Topic area:
Cardiovascular
Surgical procedures
Specialty:
Cardio-thoracic surgery
Specialist advice has been sought from:

Society of Cardiothoracic Surgeons in Great Britain and Ireland

British Pacing and Electrophysiology Group

British Cardic Society

Date notified to NICE:
20 January 2005
Provisional consultation date:
Winter 2005
Guidance issue date:
26 July 2006

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Technical lead
(for procedure specific enquiries or comments)
Kan Choy
ip@nice.org.uk
Contact Address:

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

Links: