Endovascular stent-graft placement in thoracic aortic aneurysms and dissections

 

Summary:

The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England , Scotland and Wales .

The consultation period for this procedure closed on the 22 March 2005.

 

 

Description:

This procedure is used to treat aneurysms of the descending aorta within the thorax.  Weakening of the wall of the aorta, due to atheroma, high blood pressure, or, less commonly, infection, can lead to an aneurysm. Aneurysms may rupture, causing internal bleeding.

Aneurysms of the thoracic aorta are potentially serious. Untreated, five year survival is 10 to 15%. Ruptured thoracic aneurysm is almost always fatal, even with treatment. 

Aneurysms of the thoracic aorta are relatively uncommon. Conventional surgery involves replacing the affected part of the aorta with a graft. The operation usually takes several hours and postoperative recovery can be prolonged.

Stenting involves placing a tube inside the aorta under X-ray control. Specialized catheters and wires are used to introduce the stent, most commonly through the femoral artery.


Disease Area:

Cardiovascular

Specialty:

Radiology
Vascular Surgery
Cardiology

Specialist advice has
been sought from:

Vascular Surgical Society of Great Britain and Ireland

British Society of Interventional Radiology

 
Date notified to NICE: 01 Apr 2002
Provisional Consultation Date: March 2005
Provisional Publication Date: June 2005
Guidance Publication Date: 22 June 2005
Contact Details:
Project Manager
(for general enquiries or comments)
Sarah Willett
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA