1666 – Exclusion of the left atrial appendage via surgical epicardial clip implantation concomitant to open cardiac surgery for patients with atrial fibrillation

Page last updated: 14 October 2021

Application Detail

Description of Medical Service

Implantation of an epicardial clip producing exclusion of the left atrial appendage, concomitant to open cardiac surgery. The left atrial appendage is sized via direct measurement, then the device is placed under direct visualisation at the base of the left atrial appendage, resulting in electrical and haemodynamic isolation from the left atrium. Implantation will occur concomitant to open cardiac surgery, most commonly valvular replacement/repair surgery and Coronary artery bypass grafting.

Description of Medical Condition

Atrial fibrillation is a key risk factor for ischaemic strokes.It is the most common sustained cardiac arrhythmia. Thrombus may form when blood becomes trapped in the left atrial appendage due to the fibrillation, effectively causing intermittent stasis of the blood. As the thrombus is in the systemic circulation downstream of the cerebral vasculature, it may migrate the arterial system to the cerebral circulation and cause ischaemic stroke via occlusion of a cerebral artery

Reason for Application

Advice to Prostheses List Advisory Committee for inclusion on the Prostheses List

Medical Service Type


Previous Application Number/s

Not Applicable

Associated Documentation

Application Form

Application Form (PDF 1350 KB)
Application Form (Word 945 KB)

Consultation Survey

Consultation Survey (PDF 586 KB)
Consultation Survey (Word 68 KB)

PASC Consultation
PASC consultation closed

MSAC Consultation
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PICO Confirmation

PICO Confirmation (PDF 1891 KB)
PICO Confirmation (Word 286 KB)

Assessment Report


Public Summary Document


Meetings for this Application


12-13 August 2021