1354 - Intravascular ultrasound (IVUS) guided coronary stent insertion

Page last updated: 11 July 2016

Application Detail

Status

Closed

Description of Medical Service

IVUS - is the generic name for any ultrasound technology that is used in vivo within blood vessels. Intracoronary IVUS provides a tomographic, 360-degree view of the coronary artery anatomy from the inside during the percutaneous coronary intervention with stent insertion procedure.

With intracoronary IVUS, a catheter is inserted into a coronary artery where high-frequency sound waves reflect off tissue or vessel walls. The reflected sound waves create a cross-sectional image from within the vessel to aid in visualising vessel structure. IVUS technology provides physicians with a better understanding of atherosclerotic vessels, supporting appropriate treatment strategy, stent selection, stent placement and adequate deployment to restore blood flow at the target site.

Description of Medical Condition

Coronary heart disease (CHD), also known as ischaemic heart disease or atherosclerotic heart disease is the most common form of cardiovascular disease.

CHD occurs as a result of narrowing or blockage of the coronary arteries. Healthy coronary arteries are smooth and elastic but atherosclerosis arises when the normal lining of the arteries deteriorates, the walls of the arteries thicken and deposits of fat and plaque build-up on the coronary artery walls, blocking or limiting the flow of oxygen-rich blood to the heart muscle.

Without adequate blood, the heart becomes starved of oxygen and the vital nutrients it needs to work properly. This can cause chest pain called angina. When one or more of the coronary arteries are completely blocked a heart attack may occur.

Reason for Application

New MBS item

Medical Service Type

Therapeutic

Previous Application Number

Not Applicable

Associated Documentation

Application Form

-

PICO Confirmation

25 June 2014 - 18 July 2014
Consultation Protocol (PDF 468 KB)
Consultation Protocol (Word 351 KB)

Survey and Feedback Form - 1354 (PDF 37 KB)
Survey and Feedback Form - 1354 (Word 107 KB)

Final Protocol (PDF 376 KB)
Final Protocol (Word 355 KB)

Assessment Report

-

Public Summary Document

Public Summary Document (PDF 131 KB)
Public Summary Document (Word 123 KB)

Meetings for this Application

PASC

16 to 17 April 2014

ESC

12 to 13 February 2015

MSAC

1 to 2 April 2015