drhoads
Guru
Please help code op-report: Left subclavian artery engioplasty and stenting.
Description of procedure: Access was obtained through right common femoral artery using fluoroscopic guidance. Wire was placed up through the right iliac system into the aorta. We placed a 7-French 70 cm sheath all the way up into the thoracic aorta. We then used a Bern catheter and a glidewire t select he left subclavian artery. 4000 units of intravenous heparin were give prior to angioplasty and stenting and 2 gm of Ancef were infused prior to stenting. The stenosis was visualized and crossed. We then exchanged wires for a Rosen wire. The sheath would not advance across the stenosis. We then placed a 9x2 balloon to postdilate this in multiple areas. A completion angiogram showed excellent results. The wires, catheters and sheaths were removed and 8-French Angioseal was placed in the groin and good hemostasis was obtained.
Any help in coding this report would be greatly appreciated.
Thank you!
Description of procedure: Access was obtained through right common femoral artery using fluoroscopic guidance. Wire was placed up through the right iliac system into the aorta. We placed a 7-French 70 cm sheath all the way up into the thoracic aorta. We then used a Bern catheter and a glidewire t select he left subclavian artery. 4000 units of intravenous heparin were give prior to angioplasty and stenting and 2 gm of Ancef were infused prior to stenting. The stenosis was visualized and crossed. We then exchanged wires for a Rosen wire. The sheath would not advance across the stenosis. We then placed a 9x2 balloon to postdilate this in multiple areas. A completion angiogram showed excellent results. The wires, catheters and sheaths were removed and 8-French Angioseal was placed in the groin and good hemostasis was obtained.
Any help in coding this report would be greatly appreciated.
Thank you!
