This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

NICE guidance - coronary artery stents in treatment of IHD

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Summary points from the NICE guidance:

  • where percutaneous coronary intervention (PCI) is the clinically appropriate procedure in patients with either stable or unstable angina, or acute myocardial infarction, coronary artery stents should be used routinely
  • guidance specifically applies to the present clinical indications for PCI and excludes conditions that are adequately managed with standard drug therapy e.g. stable angina
  • guidance also states that if it is clinically considered appropriate to undertake either coronary artery bypass grafting (CABG) or PCI then, all other things being equal, PCI should be chosen, despite the risk of restenosis being higher with PCI. This is because the procedure is less invasive, has a lower chance of death during operation and involves much shorter and less painful recuperation period
  • in a partial update NICE state that (2):
    • drug-eluting stents are recommended for use in percutaneous coronary intervention for the treatment of coronary artery disease, within their instructions for use, only if:
      • the target artery to be treated has less than a 3-mm calibre or the lesion is longer than 15 mm, and
      • the price difference between drug-eluting stents and bare-metal stents is no more than £300

Reference:


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.