1354.1 – Intravascular ultrasound guided coronary stent insertion

Page last updated: 22 June 2022

Application Detail

Description of Medical Service

The applicant has described that Intravascular Ultrasound (IVUS) is the generic name provided to any ultrasound technology that provides tomographic, three-dimensional, 360-degree images from inside the lumen of a blood vessel. During percutaneous coronary intervention (PCI), IVUS may be used to guide coronary stent insertion as an adjunct to angiography. IVUS, compared with angiography alone, is proposed to provide physicians with a better understanding of the atherosclerotic vessels, thus supporting appropriate treatment strategy, stent selection, stent placement, visualisation of stent apposition to the vessel, and adequate stent deployment to restore blood flow at the target site. The service therefore involves a therapeutic aspect and an investigative aspect. The proposed service in this Application is for the therapeutic use of IVUS during PCI for stent optimization

Description of Medical Condition

The applicant states that the main underlying pathology in ischaemic heart disease (IHD) is atherosclerosis, which can lead to occlusion of the coronary arteries and oxygen starvation of the heart, which presents as acute coronary syndrome (ACS). ACS is the result of atheromatous plaques or endothelial disruption with associated transient or permanent thrombotic occlusion of the coronary vascular tree leading to unstable angina or myocardial ischaemia. When one or more of the coronary arteries are completely blocked, a myocardial infarction may occur. When the cerebral blood flow is compromised, IHD may result in stroke or cerebrovascular accident.

Reason for Application

New MBS item

Medical Service Type


Previous Application Number/s


Associated Documentation

Application Form

Application Form (PDF 1218 KB)
Application Form (Word 193 KB)

Consultation Survey

Consultation Survey (PDF 556 KB)
Consultation Survey (Word 70 KB)

PASC Consultation
Not applicable

MSAC Consultation
MSAC consultation closed 11 February 2022.

For further information please refer to PASC, ESC, MSAC Key Dates
For further information on the consultation process please refer to MSAC Consultation Process

PICO Confirmation

PICO Confirmation (PDF 1840 KB)
PICO Confirmation (Word 1070 KB)

Assessment Report


Public Summary Document

Public Summary Document (PDF 1043 KB)
Public Summary Document (Word 406 KB)

Meetings for this Application


15-16 April 2021


10-11 February 2022


31 March-1 April 2022