1523 - Transluminal insertion, management, repositioning and removal of an intravascular microaxial blood pump (ImpellaŽ), for patients requiring mechanical circulatory support

Page last updated: 02 March 2020

Application Detail



Description of Medical Service

The proposed medical service is for insertion, repositioning and removal of an ImpellaŽ ventricular assist device. ImpellaŽ is a transluminal ventricular assist device that is inserted percutaneously or surgically. The device has a small microaxial pump at one end of a thin, flexible catheter, that pumps blood from the ventricle (through an inlet area near the tip) and expels that blood into the ascending aorta/pulmonary artery. The other end of the tube is connected to an automated control system outside the body, that controls the pump rate.

Description of Medical Condition

ImpellaŽ is indicated for clinical use in cardiology and cardiac surgery to support patients with compromised ventricular function, i.e. patients experiencing advanced heart failure, heart attack (myocardial infarction), cardiogenic shock and those undergoing high risk cardiac procedures.

Coronary heart disease is the most common form of cardiovascular disease, and approximately half of deaths from coronary heart disease result from acute myocardial infarction. An acute myocardial infarction may also result in heart failure. Cardiogenic shock is a life-threatening situation that can develop because of a myocardial infarction, and occurs when the heart’s ability to function causes organs in the body to begin to fail. Heart failure occurs when the heart is unable to maintain strong enough blood flow to meet the body’s needs. It is considered advanced when conventional heart therapies and symptom management strategies no longer work and the patient is symptomatic at rest.

Reason for Application

New MBS item/s

Medical Service Type


Previous Application Number

Not Applicable

Associated Documentation

Application Form

Application Form (Word 1038 KB)
Application Form (PDF 2016 KB)

Consultation Survey

Consultation Survey (Word 508 KB)
Consultation Survey (PDF 307 KB)

PICO Confirmation

PICO Confirmation (PDF 1401 KB)
PICO Confirmation (Word 810 KB)

Assessment Report


Public Summary Document

Public Summary Document (Word 467 KB)
Public Summary Document (PDF 624 KB)

Meetings for this Application


9 August 2018


10-11 October 2019


28-29 November 2019