Application Detail

Status

Closed

Description of Medical Service

Transcatheter closure of a patent ductus arterious is now standard management for this lesion. The procedure is usually performed under general anaesthesia and access is obtained utilising both the femoral artery and femoral vein. Angiographic images are obtained of the patent ductus arteriosus prior to closure. The patent ductus is then crossed with a catheter and an occlusion device is deployed which will result in complete occulusin of the patent ductus.

Description of Medical Condition

The patent ductus arteriosus is a vessel which communicates between the aorta and main pulmonary artery. It is a vessel which is present in foetal and should close following delivery. In those patients who do have a persisting patent ductus they can develop symptoms of cardiac failure and in the adult population there is a risk of endocarditis and late ventricular failure. The mechanism of this is increased blood flow to the lungs and left ventricle.

Reason for Application

New MBS item

Medical Service Type

Therapeutic

Previous Application Number

Not Applicable

Associated Documentation

Application Form

-

PICO Confirmation

Final Decision Analytic Protocol (PDF 221 KB)
Final Decision Analytic Protocol (DAP) (Word 175 KB)

Assessment Report

Contracted Assessment Report (PDF 378 KB)
Contracted Assessment Report (Word 237 KB)

Public Summary Document

Public Summary Document - August 2013 (PDF 205 KB)
Public Summary Document - August 2013 (Word 98 KB)

Predicted versus Actual

Public Summary Document - November 2017 (PDF 304 KB)
Public Summary Document - November 2017 (Word 125 KB)

Meetings for this Application

PASC

13 – 14 December 2012

ESC

13 – 14 June 2013

MSAC

1 August 2013
23 November 2017