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NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 7 sources, which was discussed by the committee. The evidence included 1 randomised controlled trial, 2 registries, 2 non-randomised studies, 1 observational study and 1 case report. It is presented in the summary of key evidence section in the interventional procedures overview.
The professional experts and the committee considered the key efficacy outcomes to be: improved cardiac function (New York Health Association functional class) and quality of life.
The professional experts and the committee considered the key safety outcomes to be: mortality, cardiac adverse events, stroke, bleeding, reoperation, worsening heart failure and end organ failure, and infection.
One commentary from a patient who had this procedure was discussed by the committee.
The committee noted that a variety of different techniques are used for doing this procedure and the technology is evolving.
The committee was informed that people need anticoagulation after the procedure.
Tom Clutton-Brock
Chair, interventional procedures advisory committee
March 2024
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