Description of Medical ServiceThe proposed medical service is for insertion, repositioning and removal of an ImpellaŽ ventricular assist device. ImpellaŽ is a transluminal ventricular assist device that is inserted percutaneously or surgically. The device has a small microaxial pump at one end of a thin, flexible catheter, that pumps blood from the ventricle (through an inlet area near the tip) and expels that blood into the ascending aorta/pulmonary artery. The other end of the tube is connected to an automated control system outside the body, that controls the pump rate.
ImpellaŽ technology is part of the latest generation of cardiac-assist devices, representing an advancement in cardiac-assist device technology. The device stabilises haemodynamics, unloads the ventricle, augments peak coronary flow, perfuses the end organs, and allows recovery of the native heart. It is indicated for clinical use in cardiology and cardiac surgery for supporting the native heart in patients with reduced ventricular function.
Specifically, ImpellaŽ can help maintain blood flow and blood pressure during high-risk heart procedures (e.g. protected PCI), and when the heart suddenly cannot pump enough blood (e.g. cardiogenic shock).
Description of Medical ConditionImpellaŽ is indicated for clinical use in cardiology and cardiac surgery to support patients with compromised ventricular function, i.e. patients experiencing advanced heart failure, heart attack (myocardial infarction), cardiogenic shock and those undergoing high risk cardiac procedures.
Coronary heart disease is the most common form of cardiovascular disease, and approximately half of deaths from coronary heart disease result from acute myocardial infarction. An acute myocardial infarction may also result in heart failure. Cardiogenic shock is a life-threatening situation that can develop because of a myocardial infarction, and occurs when the heart’s ability to function causes organs in the body to begin to fail. Heart failure occurs when the heart is unable to maintain strong enough blood flow to meet the body’s needs. It is considered advanced when conventional heart therapies and symptom management strategies no longer work and the patient is symptomatic at rest.
Reason for ApplicationNew MBS item/s
Medical Service TypeTherapeutic
Previous Application NumberNot Applicable
Application FormApplication Form (Word 1038 KB)
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Consultation SurveyConsultation Survey (Word 508 KB)
Consultation Survey (PDF 307 KB)
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PICO Confirmation (Word 810 KB)