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NICE Interventional Procedures Guidance

The NICE Interventional Procedures Programme covers Scotland as well as England, Wales and Northern Ireland. It assesses the safety and efficacy of interventional procedures.

Interventional Procedures Guidance

Ref	Title	Date Issued	Arrangements
IPG353	Percutaneous radiofrequency ablation of renal cancer	Jul 2010	Normal
IPG354	Shoulder resurfacing arthroplasty	Jul 2010	Normal
IPG352	Percutaneous mitral valve annuloplasty	Jul 2010	Research Only
IPG350	Photodynamic therapy for Barrett's oesophagus	Jun 2010	Other (see guidance)
IPG348	Extracranial to intracranial bypass for intracranial atherosclerosis	Jun 2010	Special
IPG349	Percutaneous occlusion of the left atrial appendage in non-valvular atrial fibrillation for the prevention of thromboembolism	Jun 2010	Normal
IPG351	Stapled transanal rectal resection for obstructed defaecation syndrome	Jun 2010	Normal
IPG353	Percutaneous radiofrequency ablation of renal cancer	Jul 2010	Normal
IPG354	Shoulder resurfacing arthroplasty	Jul 2010	Normal
IPG352	Percutaneous mitral valve annuloplasty	Jul 2010	Research Only
IPG345	Mini-incision surgery for total knee replacement	May 2010	Normal
IPG343	Endoscopic saphenous vein harvest for coronary artery bypass grafting	May 2010	Special
IPG344	Epithelial radiofrequency ablation for Barrett's oesophagus	May 2010	Other (see guidance)
IPG346	Single-incision laparoscopic cholecystectomy	May 2010	Special
IPG347	Therapeutic hypothermia with intracorporeal temperature monitoring for hypoxic perinatal brain injury	May 2010	Normal
IPG342	Haemorrhoidal artery ligation	May 2010	Normal
IPG338	Laparoscopic radical hysterectomy for early stage cervical cancer	May 2010	Normal
IPG339	Limited macular translocation for wet age-related macular degeneration	May 2010	Special
IPG341	Prosthetic intervertebral disc replacement in the cervical spine	May 2010	Normal
IPG340	Macular translocation with 360° retinotomy for wet age related macular degeneration	May 2010	Special
IPG345	Mini-incision surgery for total knee replacement	May 2010	Normal
IPG334	Arteriovenous crossing sheathotomy for branch retinal vein occlusion	Mar 2010	Research Only
IPG335	Endoscopic submucosal dissection of lower gastrointestinal lesions	Mar 2010	Special
IPG336	Transcatheter endovascular closure of perimembranous ventricular septal defect	Mar 2010	Normal
IPG337	Endobronchial ultrasound-guided transbronchial biopsy for peripheral lung lesions	Mar 2010	Normal
IPG331	Cytoreduction surgery followed by hyperthermic intraoperative peritoneal chemotherapy for peritoneal carcinomatosis	Feb 2010	Special
IPG332	Surgical correction of hallux valgus using minimal access techniques	Feb 2010	Special
IPG333	Therapeutic endoscopic division of epidural adhesions	Feb 2010	Special
IPG326	Laparoscopic augmentation cystoplasty (including clam cystoplasty)	Dec 2009	Normal
IPG322	Negative pressure wound therapy for the open abdomen	Dec 2009	Special
IPG323	Balloon catheter insertion for Bartholin's cyst or abscess	Dec 2009	Normal
IPG324	Electrocautery cutting balloon treatment for pelviureteric junction obstruction	Dec 2009	Special
IPG325	Endopyelotomy for pelviureteric junction obstruction	Dec 2009	Normal
IPG327	Radiofrequency ablation for the treatment of colorectal liver metastases	Dec 2009	Normal
IPG328	Suction diathermy adenoidectomy	Dec 2009	Normal
IPG329	Total prosthetic replacement of the temporomandibular joint	Dec 2009	Special
IPG330	Vagus nerve stimulation for treatment-resistant depression	Dec 2009	Special
IPG326	Laparoscopic augmentation cystoplasty (including clam cystoplasty)	Dec 2009	Normal
IPG322	Negative pressure wound therapy for the open abdomen	Dec 2009	Special
IPG323	Balloon catheter insertion for Bartholin's cyst or abscess	Dec 2009	Normal
IPG324	Electrocautery cutting balloon treatment for pelviureteric junction obstruction	Dec 2009	Special
IPG325	Endopyelotomy for pelviureteric junction obstruction	Dec 2009	Normal
IPG327	Radiofrequency ablation for the treatment of colorectal liver metastases	Dec 2009	Normal
IPG328	Suction diathermy adenoidectomy	Dec 2009	Normal
IPG329	Total prosthetic replacement of the temporomandibular joint	Dec 2009	Special
IPG330	Vagus nerve stimulation for treatment-resistant depression	Dec 2009	Special
IPG318	Bronchoscopic lung volume reduction with airway valves for advanced emphysema	Nov 2009	Special
IPG319	Percutaneous intradiscal electrothermal therapy for low back pain	Nov 2009	Special
IPG320	Photochemical corneal collagen cross-linkage using riboflavin and ultraviolet A for keratoconus	Nov 2009	Special
IPG321	Lateral (including extreme, extra and direct lateral) interbody fusion in the lumbar spine	Nov 2009	Special
IPG315	Hysteroscopic sterilisation by tubal cannulation and placement of intrafallopian implants	Sep 2009	Other (see guidance)
IPG316	Extracorporeal albumin dialysis for acute liver failure	Sep 2009	Special
IPG317	Individually magnetic resonance imaging-designed unicompartmental interpositional implant insertion for osteoarthritis of the knee	Sep 2009	Research Only
IPG309	Percutaneous mitral valve leaflet repair for mitral regurgitation	Aug 2009	Other (see guidance)
IPG310	Placement of pectus bar for pectus excavatum (also known as MIRPE or the Nuss procedure)	Aug 2009	Normal
IPG311	Extracorporeal shockwave therapy for refractory plantar fasciitis	Aug 2009	Special
IPG312	Extracorporeal shockwave therapy for refractory Achilles tendinopathy	Aug 2009	Special
IPG313	Extracorporeal shockwave therapy for refractory tennis elbow	Aug 2009	Special
IPG314	Ultrasound-guided foam sclerotherapy for varicose veins	Aug 2009	Special
IPG305	Sinus tarsi implant insertion for mobile flatfoot	Jul 2009	Special
IPG306	Prosthetic intervertebral disc replacement in the lumbar spine	Jul 2009	Normal
IPG307	Intramuscular diaphragm stimulation for ventilator-dependent chronic respiratory failure due to neurological disease	Jul 2009	Special
IPG308	Image-guided radiofrequency excision biopsy of breast lesions	Jul 2009	Special
IPG303	Percutaneous endoscopic laser cervical discectomy	Jun 2009	Special
IPG304	Corneal endothelial transplantation	Jun 2009	Normal
IPG299	Tenotomy of horizontal eye muscles for nystagmus (with reattachment at their original insertions)	May 2009	Special
IPG300	Percutaneous endoscopic laser lumbar discectomy	May 2009	Special
IPG301	Transmyocardial laser revascularisation for refractory angina pectoris	May 2009	Do not use
IPG302	Percutaneous laser revascularisation for refractory angina pectoris	May 2009	Do not use
IPG298	Ex-vivo hepatic resection and reimplantation for liver cancer	Apr 2009	Special
IPG296	Endoscopic mastectomy and endoscopic wide local excision for breast cancer	Apr 2009	Research Only
IPG297	Combined bony and soft tissue reconstruction for hip joint stabilisation in proximal focal femoral deficiency (PFFD)	Apr 2009	Special
IPG291	Deep dermal injection of non-absorbable gel polymer for HIV-related facial lipoatrophy	Mar 2009	Special
IPG290	Photodynamic therapy for brain tumours	Mar 2009	Research Only
IPG292	Endoscopic radiofrequency ablation for gastro-oesophageal reflux disease	Mar 2009	Special
IPG293	Implantation of an opaque intraocular lens for intractable double vision	Mar 2009	Other (see guidance)
IPG294	Percutaneous (non-thoracoscopic) epicardial catheter radiofrequency ablation for atrial fibrillation	Mar 2009	Special
IPG295	Percutaneous (non-thoracoscopic) epicardial catheter radiofrequency ablation for ventricular tachycardia	Mar 2009	Other (see guidance)
IPG287	Laparoscopic cystectomy	Feb 2009	Normal
IPG288	Extracorporeal photopheresis for Crohn's disease	Feb 2009	Research Only
IPG289	Intraocular lens insertion for correction of refractive error, with preservation of the natural lens	Feb 2009	Other (see guidance)
IPG285	Ultrasound-guided regional nerve block	Jan 2009	Normal
IPG286	Thoracoscopic epicardial radiofrequency ablation for atrial fibrillation	Jan 2009	Special
IPG278	Functional electrical stimulation for drop foot of central neurological origin	Jan 2009	Normal
IPG279	Autologous blood injection for tendinopathy	Jan 2009	Special
IPG280	Infracoccygeal sacropexy using mesh for uterine prolapse repair	Jan 2009	Special

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About the NICE Interventional Procedures Programme

The programme’s aim is to protect the safety of patients and to support doctors. NICE has issued guidance on several hundred procedures. Each piece of guidance makes recommendations about whether the interventional procedure is safe enough and works well enough for routine use. Where there is limited clinical evidence NICE may specify audit criteria to be collected on patients.

What is an interventional procedure?

An interventional procedure is a procedure used for diagnosis or treatment that involves one of the following:

Making a cut or a hole to gain access to the inside of a patient's body - for example, when carrying out an operation or inserting a tube into a blood vessel.
Gaining access to a body cavity (such as the digestive system, lungs, womb or bladder) without cutting into the body - for example, examining or carrying out treatment on the inside of the stomach using an instrument inserted via the mouth.
Using electromagnetic radiation (which includes X-rays, lasers, gamma-rays and ultraviolet light) - for example using a laser to treat eye problems.

NICE guidance in Scotland

The Scottish Executive issued a letter to all NHS boards, HDL (2004) 04 advising clinicians planning to undertake an interventional procedure that they have not previously performed, should seek approval from their organisation’s Clinical Governance Committee before doing so. If NICE has not issued guidance on the procedure then the Chair of this Committee should notify the procedure to the Interventional Procedures Programme (IPP) at the NICE website www.nice.org.uk/ip . If guidance has been issued then the Committee should ensure the Board’s programme followed the guidance. The letter adds that NHS boards should support the collection of audit and research data on interventional procedures as required under the NICE guidance.

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NICE Interventional Procedures Guidance
NICE Single Technology Appraisal Guidance No 173
NICE Single Technology Appraisal Guidance No 175

NICE Interventional Procedures Guidance

Interventional Procedures Guidance

About the NICE Interventional Procedures Programme

What is an interventional procedure?

NICE guidance in Scotland

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