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 optimizationDescription 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 itemMedical Service Type
TherapeuticPrevious Application Number/s
1354Associated 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)