1354 - Intravascular ultrasound (IVUS) guided coronary stent insertion

Page last updated: 11 July 2016

Application Detail



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


Previous Application Number

Not Applicable

Associated Documentation

Application Form


PICO Confirmation

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


16 to 17 April 2014


12 to 13 February 2015


1 to 2 April 2015