Australian Government - Department of Health

Medical Services Advisory Committee (MSAC)

1354 - Intravascular ultrasound (IVUS) guided coronary stent insertion

Application Number

Application NameIntravascular ultrasound (IVUS) guided coronary stent insertion
Description of Medical ServiceIVUS - 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 ConditionCoronary 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.

Consultation Protocol25 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 Final Protocol (PDF 376 KB)
Final Protocol (Word 355 KB)
MSAC OutcomesPublic Summary Document (PDF 131 KB)
Public Summary Document (Word 123 KB)

Meetings for this Application

Meeting Type:Date:
PASC16 to 17April 2014
ESC 12 to 13 February 2015
MSAC 1 to 2 April 2015

Page currency, Latest update: 06 July, 2015