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 1544
Description Under general anaesthesia, access to the heart is achieved by a sternotomy and the patient is established on cardiopulmonary-bypass. The heart is stopped with cardioplegic arrest. The aorta is opened and the valve is inspected. The diseased valve cusps are carefully removed. The intercommissural distances are measured, and commercially available bovine pericardium is trimmed exactly to the desired size using a template, and sutured to the annulus to replace the removed cusp(s). The aorta is closed, normal circulation restored and the chest is closed. The function of the valve is assessed intraoperatively by transoesophageal echocardiography.

Provisional Schedule

Interventional procedure consultation 26 October 2017 - 23 November 2017

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