- Status Complete
- Type -
- Pre-PASC consultation -
- Pre-MSAC consultation -
- Outcome -
Application details
Reason for application
New MBS item.
Service or technology in this application
The service is a therapeutic procedure to implant lung coils via bronchoscope with fluoroscopic guidance whilst patient is under conscious sedation or general anaesthesia. One lobe is treated per procedure, with the most diseased lobe treated first. Full treatment is bilateral; the second lobe will be treated 30-60 days after the first. Whilst the bronchoscope is held by an assistant, the rendering practitioner employs a delivery system to sound the airway, assess a safety distance from pleura, measure airway to assess for coil sizing, and finally deliver and deploy the Coil, under fluoroscopic guidance. The deployed Coil can be viewed under fluorsocpy, and then released from the Forecps. Ten to fourteen Coils (10-12 upper lobe, 12-14 lower lobe) should be distributed evenly throughout the sub-segments of each treated lobe, to optimize re-tensioning effects of the Coils. The procedure duration is typically 30-15 minutes, depending on patient anatomy and physician experience.
Type: Therapeutic
Medical condition this application addresses
Severe emphysema (COPD GOLD III/IV)
Heterogeneous or homogenous disease
Sufficient structural Tissue (CT), ≤75% total destruction
RV ≥>175% Predicted
TLC > 100% Predicted
Post Bronchodilator FEV1 ≤ 45% predicted.
Application documents
PICO confirmation
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Meetings to consider this application
- PASC meeting: 16 April 2015
- ESC meeting: -
- MSAC meeting: -