• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Attempted Left Atrial Appendage Occlusion

Create Wiki
R

Robbin109

Expert
Messages
386
Location
San Diego, CA
Best answers
0
I have an attempted LAAO but MD was unable to access the right femoral vein.

Report:

"#6-French venous sheath and arterial sheath were placed on the left femoral vein and artery. After completing the placement, a right femoral vein was attempted, but unfortunately due to anatomy, we were unable to obtain access. but instead cannulated the artery a second time, requiring a second #6 French sheath.

In order to localized the right femoral vein in a better fashion, a crossover from the left of the right iliac venous system was performed and a glidewire was placed crossing the femoral head for landmark. Under fluoroscopic control, reattempt at accessing the femoral vein was done with both distended Seldinger needle as well as a micropuncture. Despite multiple attempts, we were unable to cannulate the right femoral vein and the procedure was aborted."

What can I code in this situation?

Thanks!!!
 
Cannulation of the right femoral artery; 36140, possibly? From what I read it seems like he had two sheaths and was able to get it only in the femoral artery. Initially, I thought you might be able to get 36247 for the right iliac but it was not a selective placement.

HTH
 
You must log in or register to reply here.
Top