Percutaneous fetal balloon valvuloplasty for aortic stenosis
National Institute for Health and Clinical Excellence
Record ID 32006000720
English
Authors' objectives:
This study aims to assess the current evidence on percutaneous fetal balloon valvuloplasty for aortic stenosis.
Authors' recommendations:
1 Guidance
1.1 Current evidence on the safety and efficacy of percutaneous fetal balloon valvuloplasty for aortic stenosis does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research.
1.2 Clinicians wishing to undertake percutaneous fetal balloon valvuloplasty for aortic stenosis should take the following actions. - Inform the clinical governance leads in their Trusts. - Ensure that parents understand the uncertainty about the procedure's safety and efficacy. Clinicians should provide parents with clear written information, and with counselling and support both before and after the procedure. In addition, use of the Institute's Information for the public is recommended (available from www.nice.org.uk/IPG175publicinfo). - Audit and review the clinical outcomes of percutaneous fetal balloon valvuloplasty for aortic stenosis.
1.3 This procedure should only be performed in centres specialising in invasive fetal medicine and in the context of a multidisciplinary team including a consultant in fetal medicine, a paediatric cardiologist, a neonatologist, a specialist midwife and a paediatric cardiac surgeon.
1.4 An intention-to-treat registry has been developed by the Association for European Paediatric Cardiology, and clinicians are encouraged to enter all cases into this registry.
1.5 Further publication on the criteria for patient selection will be useful. The Institute may review the procedure upon publication of further evidence.
Authors' methods:
Overview
Details
Project Status:
Completed
URL for project:
http://www.nice.org.uk/page.aspx?o=ip_322
Year Published:
2006
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England
MeSH Terms
- Infant, Newborn
- Aortic Valve Stenosis
Contact
Organisation Name:
National Institute for Health and Care Excellence
Contact Address:
Level 1A, City Tower, Piccadilly Plaza, Manchester, M1 4BT
Contact Name:
nice@nice.nhs.uk
Contact Email:
nice@nice.nhs.uk
Copyright:
National Institute for Health and Clinical Excellence (NICE)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.