Application Detail
Description of Medical Service
Surgical 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 Condition
Atrial 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 Application
New MBS itemMedical Service Type
Therapeutic technologyPrevious Application Number/s
Not ApplicableAssociated Documentation
Application Form
Application Form (PDF 1472 KB)Application Form (Word 415 KB)
Consultation Survey
Consultation Survey (PDF 690 KB)Consultation Survey (Word 72 KB)
PASC Consultation
Consultation closed
MSAC Consultation
MSAC consultation closed Friday, 10 February 2023.
For further information please refer to PASC, ESC, MSAC Key Da
For further information on the consultation process please refer to MSAC Consultation Process
PICO Confirmation
PICO Confirmation (PDF 626 KB)PICO Confirmation (Word 395 KB)
Assessment Report
-Public Summary Document
Public Summary Document (PDF 489 KB)Public Summary Document (Word 113 KB)