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High intensity focused ultrasound ablation for atrial fibrillation as an associated procedure with other cardiac surgery

Guidance issued 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.

Arrangement:

Other (see guidance)

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
IP Pub Date: 26 July 2006
Contact Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
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


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