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 fetal balloon valvuloplasty for pulmonary atresia with intact ventricular septum.

In accordance with the Interventional Procedures Programme process guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.

The guidance was considered for reassessment in January 2013 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.

Description

Congenital heart defects are the most common type of birth defect and include critical pulmonary stenosis and pulmonary atresia with intact ventricular septum (PAIVS).

Pulmonary stenosis in utero is usually mild and typically does not adversely affect the pregnancy. However the more severe lesion of pumonary atresia with intact ventricular septum has a high rate of postnatal morbidity and mortality.

Percutaneous fetal balloon valvuloplasty is performed at 21–32 weeks' gestation under maternal local anaesthesia and sedation using ultrasound guidance.

Coding and clinical classification codes for this guidance.

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.