Balloon angioplasty of pulmonary vein stenosis in infants

National Institute for Clinical Excellence
Record ID 32004000700
English
Authors' objectives:

This study aims to assess the current evidence on balloon angioplasty of pulmonary vein stenosis in infants.

Authors' recommendations: 1.1 Current evidence on the safety and efficacy of balloon angioplasty of pulmonary vein stenosis in infants does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research. The available evidence suggests that the procedure is not efficacious. However, there are no special concerns about the safety of the procedure, especially in the context of very ill infants for whom it is used. 1.2 Clinicians wishing to undertake balloon angioplasty of pulmonary vein stenosis in infants should take the following actions: - Inform the clinical governance leads in their Trusts. - Ensure that the parents of patients understand that the limited available evidence indicates a lack of efficacy. Parents should be given clear written information. Use of the Institute's Information for the Public is recommended. - Audit and review clinical outcomes of all patients having balloon angioplasty of pulmonary vein stenosis in infancy. 1.3 This procedure should only be offered to gravely ill infants with a very poor prognosis, and in the setting of a specialist paediatric cardiology unit. 1.4 The Department of Health runs the UK Central Cardiac Audit Database (UKCCAD) and clinicians are encouraged to enter all patients onto this database (http://www.ccad.org.uk).
Authors' methods: Overview
Details
Project Status: Completed
URL for project: http://www.nice.org.uk/cms/ip/ipcat.aspx?c=56937
Year Published: 2004
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Angioplasty, Balloon
  • Cardiovascular Diseases
  • Infant
  • Pulmonary Veins
  • Pulmonary Veno-Occlusive Disease
Contact
Organisation Name: National Institute for Clinical Excellence
Contact Address: MidCity Place, 71 High Holborn, London WC1V 6NA, UK. Tel: +44 020 7067 5800; Fax: +44 020 7067 5801
Contact Name: nice@nice.nhs.uk
Contact Email: nice@nice.nhs.uk
Copyright: National Institute for Clinical Excellence (NICE)
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