NICE has been notified about this procedure and will consider it as part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
Status In progress
Process IP
ID number 1521
Description A total artificial heart can be implanted to provide circulatory support with the aim of allowing the patient to survive whilst waiting for a donor heart to become available (a technique known as bridge-to-transplantation). In some cases, the devices can be removed if the heart recovers but in this case (total artificial heart), the heart is removed and the device replaces the heart function completely. Implantation of a total artificial heart (TAH) is done under general anaesthesia with the patient on cardiopulmonary bypass. The native left and right ventricles, and all 4 cardiac valves are excised. The TAH device is implanted and attached to the atria (inflow) and pulmonary artery and aorta (outflow). Depending on the type of TAH, power is supplied either by drive lines connected percutaneously to an external biventricular pneumatic pump (which may be portable or static) or by batteries which are implanted internally and can be recharged through the skin using a transcutaneous energy transfer system. Once the pump begins to work and support the heart and blood flow is restored to the body, cardiopulmonary bypass is discontinued and the chest incision closed.

Timeline

Key events during the development of the guidance:

Date Update
25 August 2017 - 25 September 2017 Interventional procedure consultation

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance