1354.1 – Intravascular ultrasound guided coronary stent insertion

Page last updated: 20 October 2021

Application Detail

Description of Medical Service

The applicant has described that Intravascular Ultrasound (IVUS) is the generic name provided to any ultrasound technology that provides tomographic, three-dimensional, 360-degree images from inside the lumen of a blood vessel. During percutaneous coronary intervention (PCI), IVUS may be used to guide coronary stent insertion as an adjunct to angiography. IVUS, compared with angiography alone, is proposed to provide physicians with a better understanding of the atherosclerotic vessels, thus supporting appropriate treatment strategy, stent selection, stent placement, visualisation of stent apposition to the vessel, and adequate stent deployment to restore blood flow at the target site. The service therefore involves a therapeutic aspect and an investigative aspect. The proposed service in this Application is for the therapeutic use of IVUS during PCI for stent optimization

Description of Medical Condition

The applicant states that the main underlying pathology in ischaemic heart disease (IHD) is atherosclerosis, which can lead to occlusion of the coronary arteries and oxygen starvation of the heart, which presents as acute coronary syndrome (ACS). ACS is the result of atheromatous plaques or endothelial disruption with associated transient or permanent thrombotic occlusion of the coronary vascular tree leading to unstable angina or myocardial ischaemia. When one or more of the coronary arteries are completely blocked, a myocardial infarction may occur. When the cerebral blood flow is compromised, IHD may result in stroke or cerebrovascular accident.

Reason for Application

New MBS item

Medical Service Type

Therapeutic

Previous Application Number/s

1354

Associated Documentation

Application Form

Application Form (PDF 1218 KB)
Application Form (Word 193 KB)

Consultation Survey

Consultation Survey (PDF 556 KB)
Consultation Survey (Word 70 KB)

PASC Consultation
Not applicable

MSAC Consultation
MSAC consultation input must be received by no later than Friday, 11 February 2022 for it to be considered by MSAC at its March/April 2022 meeting.

For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation process please refer to MSAC Consultation Process

PICO Confirmation

PICO Confirmation (PDF 1840 KB)
PICO Confirmation (Word 1070 KB)

Assessment Report

-

Public Summary Document

-

Meetings for this Application

PASC

15-16 April 2021

ESC

10-11 February 2022

MSAC

31 March-1 April 2022