Description of Medical ServiceSurgical exclusion of the left atrial appendage via implantation of an epicardial clip via totally thorascopic access. The left atrial appendage is sized via direct measurement under view of the thorascope, an epicardial left atrial appendage exclusion device is then positioned and deployed under thorascope visualization at the base of the left atrial appendage. The result is electrical and haemodynamic isolation of the appendage from the left atrium.
Description of Medical ConditionAtrial fibrillation is a key risk factor for ischaemic strokes. Thrombus may form when blood becomes trapped in the left atrial appendage due to the fibrillation causing intermittent stasis of the blood. This thrombus is able to enter the systemic circulation upstream of the cerebral vasculature, creating the risk of ischaemic stroke via blockage of one or more cerebral arteries.
Reason for ApplicationNew MBS item
Medical Service TypeTherapeutic technology
Previous Application Number/sNot Applicable
Application FormApplication Form (PDF 1472 KB)
Application Form (Word 415 KB)
Consultation SurveyConsultation Survey (PDF 690 KB)
Consultation Survey (Word 72 KB)
MSAC consultation must be received by no later than Friday, 10 February 2023 for it to be considered by MSAC at its March 2023 meeting.
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 ConfirmationPICO Confirmation (PDF 626 KB)
PICO Confirmation (Word 395 KB)