calorom2
Networker
I have never coded for one of these before. Can anyone provide any suggestions or point me towards the right path?
Thank you!
PROCEDURE PERFORMED:
1. Bilateral common femoral artery access.
2. Intracardiac ultrasound.
3. Closure of atrial septal communication with a 25 mm cribriform
Amplatzer occluder device.
COMPLICATIONS:
None.
ESTIMATED BLOOD LOSS:
Less than 3 mL.
TOTAL CONSCIOUS SEDATION TIME:
30 minutes.
INDICATION FOR PROCEDURE:
Cerebrovascular accident, interatrial communication with left to right shunting.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, the patient
was sedated with conscious sedation. A 10-French sheath was placed
in the left common femoral vein. An 8-French sheath placed in the right
common femoral vein. The patient was anticoagulated to a therapeutic
ACT. Intracardiac ultrasound was done, which identified all 4 pulmonary
veins and identified the defect. LV and RV systolic function was normal.
There was no pericardial effusion. We got across the PFO and parked
on the left inferior pulmonary vein. A 10-French sheath was then advanced
over the stiff wire into the left atrium. The left atrial mean pressure
was 8. We put a 25 mm device and both disks were deployed under ultrasound
and fluoroscopic guidance. A push-pull technique was done to ensure
stabilization. Echocardiogram did not show any pericardial effusion,
showed good filling of the defect without any residual shunt. There
were no complications. The long sheaths were removed. Short sheaths
were placed, which will be pulled manually. The patient was given Ancef
during the procedure. The patient will be treated with aspirin and
Plavix. Further recommendations to follow hospital course.
DEVICE USED: CCL C Contrast Omnipaque 350/ml
Thank you!
PROCEDURE PERFORMED:
1. Bilateral common femoral artery access.
2. Intracardiac ultrasound.
3. Closure of atrial septal communication with a 25 mm cribriform
Amplatzer occluder device.
COMPLICATIONS:
None.
ESTIMATED BLOOD LOSS:
Less than 3 mL.
TOTAL CONSCIOUS SEDATION TIME:
30 minutes.
INDICATION FOR PROCEDURE:
Cerebrovascular accident, interatrial communication with left to right shunting.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, the patient
was sedated with conscious sedation. A 10-French sheath was placed
in the left common femoral vein. An 8-French sheath placed in the right
common femoral vein. The patient was anticoagulated to a therapeutic
ACT. Intracardiac ultrasound was done, which identified all 4 pulmonary
veins and identified the defect. LV and RV systolic function was normal.
There was no pericardial effusion. We got across the PFO and parked
on the left inferior pulmonary vein. A 10-French sheath was then advanced
over the stiff wire into the left atrium. The left atrial mean pressure
was 8. We put a 25 mm device and both disks were deployed under ultrasound
and fluoroscopic guidance. A push-pull technique was done to ensure
stabilization. Echocardiogram did not show any pericardial effusion,
showed good filling of the defect without any residual shunt. There
were no complications. The long sheaths were removed. Short sheaths
were placed, which will be pulled manually. The patient was given Ancef
during the procedure. The patient will be treated with aspirin and
Plavix. Further recommendations to follow hospital course.
DEVICE USED: CCL C Contrast Omnipaque 350/ml