Not sure what to bill for the following,
Thank you.
Melissa
NAME OF PROCEDURE:
Bilateral coronary angiograms.
INDICATION:
Status post recent PTCA stenting with ongoing chest pain.
DESCRIPTION OF PROCEDURE:
Risks and benefits of the procedure were explained to the patient. Consent was signed. He was brought to the treatment room. The right femoral sheath was in place and right coronary catheter was placed into the right coronary and selective injections taken showing patency of the recently placed stents with moderate diffuse disease seen distally in the small coronary, PDA and posterolateral branch. Catheter was exchanged for a 4-French left 4-Judkins catheter in the left coronary, selective injections taken showing patency of the previously placed stent in the circumflex artery with good flow into the distal vessel and no change seen in the left main or more proximal LAD and subtotal ramus branch with a known total occluded LAD. Small earlier dissection seen in the circumflex artery appears to be healing well with good flow. Catheter was removed. The patient was feeling improved. Subsequent Angio-Seal closure was done. There were no complications to the procedure.
OVERALL CONCLUSION:
Successful stable picture of the right coronary artery stent with small distal vessels and successful percutaneous transluminal coronary angioplasty (PTCA) stenting of the circumflex with a small stable dissection seen in the obtuse marginal rami. Left main disease, subtotal ramus and occluded LAD unchanged.
Thank you.
Melissa
NAME OF PROCEDURE:
Bilateral coronary angiograms.
INDICATION:
Status post recent PTCA stenting with ongoing chest pain.
DESCRIPTION OF PROCEDURE:
Risks and benefits of the procedure were explained to the patient. Consent was signed. He was brought to the treatment room. The right femoral sheath was in place and right coronary catheter was placed into the right coronary and selective injections taken showing patency of the recently placed stents with moderate diffuse disease seen distally in the small coronary, PDA and posterolateral branch. Catheter was exchanged for a 4-French left 4-Judkins catheter in the left coronary, selective injections taken showing patency of the previously placed stent in the circumflex artery with good flow into the distal vessel and no change seen in the left main or more proximal LAD and subtotal ramus branch with a known total occluded LAD. Small earlier dissection seen in the circumflex artery appears to be healing well with good flow. Catheter was removed. The patient was feeling improved. Subsequent Angio-Seal closure was done. There were no complications to the procedure.
OVERALL CONCLUSION:
Successful stable picture of the right coronary artery stent with small distal vessels and successful percutaneous transluminal coronary angioplasty (PTCA) stenting of the circumflex with a small stable dissection seen in the obtuse marginal rami. Left main disease, subtotal ramus and occluded LAD unchanged.