NICE has been notified about this procedure and it is 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 1824
Description An endoanchoring system is indicated for use in patients whose endovascular grafts have exhibited migration or endoleak, or are at risk of such complications, in whom augmented radial fixation or sealing is needed to regain or maintain adequate aneurysm exclusion. It may be used at the same time as endovascular aortic aneurysm repair or during a later, secondary procedure to repair an endoleak or migration. Endovascular aortic aneurysm repair can be done under local anaesthesia with sedation, regional or general anaesthesia. A catheter is inserted through a small incision in the femoral artery and directed to the aortic aneurysm. Contrast is injected into the catheter and x-rays are used to monitor the procedure. A stent graft (endograft) is passed through the catheter, advanced to the aneurysm and then opened, creating new walls in the blood vessel. When the stent is deployed it seals the aneurysm. Anchoring implants can then be deployed through an applier device that consists of a catheter and a control handle. The catheter is advanced until the distal end contacts the endograft and vessel wall. The number of implants needed depends on the type of endograft and size of the native vessel. They are placed as evenly as possible around the circumference of the sealing stent. The catheter is then removed, the holes in the femoral arteries are sutured and the groin wounds closed.

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