Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Medical Services Advisory Committee. Intravascular ultrasound (IVUS) guided coronary stent insertion. Canberra: Medical Services Advisory Committee (MSAC). MSAC application 1354. 2015 Authors' objectives Coronary heart disease (CHD), also known as ischaemic heart disease or atherosclerotic heart disease is the most common form of cardiovascular disease.
CHD occurs as a result of narrowing or blockage of the coronary arteries. Healthy coronary arteries are smooth and elastic but atherosclerosis arises when the normal lining of the arteries deteriorates, the walls of the arteries thicken and deposits of fat and plaque build-up on the coronary artery walls, blocking or limiting the flow of oxygen-rich blood to the heart muscle.
Without adequate blood, the heart becomes starved of oxygen and the vital nutrients it needs to work properly. This can cause chest pain called angina. When one or more of the coronary arteries are completely blocked a heart attack may occur. Authors' conclusions After considering the available evidence presented in relation to safety, clinical effectiveness and cost-effectiveness of intravascular ultrasound (IVUS)-guided coronary stent insertion, MSAC did not support public funding for IVUS-guided coronary stent insertion for patients undergoing percutaneous coronary intervention due to uncertain clinical effectiveness and uncertainty around the cost-effectiveness of the procedure. Indexing Status Subject indexing assigned by CRD MeSH Coronary Artery Disease; Coronary Vesselss; Percutaneous Coronary Intervention; Stents; Ultrasonography, Interventional Language Published English Country of organisation Australia English summary An English language summary is available. Address for correspondence MDP 106, GPO Box 9848, Canberra ACT 2601 AUSTRALIA Email: msac.secretariat@health.gov.au AccessionNumber 32015000922 Date abstract record published 10/08/2015 |