Description of Medical ServiceThe 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 ConditionThe 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 ApplicationNew MBS item
Medical Service TypeTherapeutic
Previous Application Number/s1354
Application FormApplication Form (PDF 1218 KB)
Application Form (Word 193 KB)
Consultation SurveyConsultation Survey (PDF 556 KB)
Consultation Survey (Word 70 KB)
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 ConfirmationPICO Confirmation (PDF 1840 KB)
PICO Confirmation (Word 1070 KB)