Application Detail
Description of Medical Service
Implantation of an epicardial clip producing exclusion of the left atrial appendage, concomitant to open cardiac surgery. The left atrial appendage is sized via direct measurement, then the device is placed under direct visualisation at the base of the left atrial appendage, resulting in electrical and haemodynamic isolation from the left atrium. Implantation will occur concomitant to open cardiac surgery, most commonly valvular replacement/repair surgery and Coronary artery bypass grafting.Description of Medical Condition
Atrial fibrillation is a key risk factor for ischaemic strokes.It is the most common sustained cardiac arrhythmia. Thrombus may form when blood becomes trapped in the left atrial appendage due to the fibrillation, effectively causing intermittent stasis of the blood. As the thrombus is in the systemic circulation downstream of the cerebral vasculature, it may migrate the arterial system to the cerebral circulation and cause ischaemic stroke via occlusion of a cerebral arteryReason for Application
Advice to Prostheses List Advisory Committee for inclusion on the Prostheses ListMedical Service Type
TherapeuticPrevious Application Number/s
Not ApplicableAssociated Documentation
Application Form
Application Form (PDF 1350 KB)Application Form (Word 945 KB)
Consultation Survey
Consultation Survey (PDF 586 KB)Consultation Survey (Word 68 KB)
PASC Consultation
PASC consultation closed
MSAC Consultation
MSAC consultation TBA – please subscribe to the MSAC Email Bulletin to be notified when consultation opens for this application
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 1891 KB)PICO Confirmation (Word 286 KB)