Please help with this. Puncture right femoral artery J-wire advanced into abdominal aorta followed by ultra flush catheter and abdominal aortogram performed. The catheter was pulled down to the level of the bifurcation and iliac runoff was obtained. Then catheter was advanced to the left femoral artery and a left femoral arteriogram was performed. The wire was advanced throught the catheter and the catheter pulled out and a right femoral arteriogram was performed.
Findings: patent aorta, renal arteries and iliac arteries on both sides.
left side: patent profunda, occlude SFA at origin. Popliteal occluded at the knee
joint. peroneal only vessel reconstituted beyond multiple collaterals all the way
down to the ankle.
right side: profunda open but occluded after first branch. SFA occluded after
origin. Popliteal reconstitued above knee, main runoff via peroneal which
reconstituteds dorsalis pedis.
Codes: 36246, 75716/26 75625/26 I am stuck on the catheter placement at the bifurcation and then iliac runoff...as there is movement of the catheter from high to a low position but only the iliacs are viewed? Then right and left arteriograms are performed?
Thanks in advance for any help.
Findings: patent aorta, renal arteries and iliac arteries on both sides.
left side: patent profunda, occlude SFA at origin. Popliteal occluded at the knee
joint. peroneal only vessel reconstituted beyond multiple collaterals all the way
down to the ankle.
right side: profunda open but occluded after first branch. SFA occluded after
origin. Popliteal reconstitued above knee, main runoff via peroneal which
reconstituteds dorsalis pedis.
Codes: 36246, 75716/26 75625/26 I am stuck on the catheter placement at the bifurcation and then iliac runoff...as there is movement of the catheter from high to a low position but only the iliacs are viewed? Then right and left arteriograms are performed?
Thanks in advance for any help.