Description of Medical ServiceTranscatheter 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 ConditionThe 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 ApplicationNew MBS item
Medical Service TypeTherapeutic
Previous Application NumberNot Applicable
PICO Confirmation11 February – 22 March 2013
Consultation Decision Analytic Protocol (DAP) (PDF 313 KB)
Consultation Decision Analytic Protocol (DAP) (Word 172 KB)
Final Decision Analytic Protocol (PDF 221 KB)
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Assessment ReportContracted Assessment Report (PDF 378 KB)
Contracted Assessment Report (Word 237 KB)
Public Summary DocumentPublic Summary Document - August 2013 (PDF 205 KB)
Public Summary Document - August 2013 (Word 98 KB)