LRKoschoreck
Networker
I am really struggling with this case. Could someone please take a look and let me know what you think? I've put my codes in parentheses:
Under fluoroscopic guidance, the right common femoral artery was accessed with a micropuncture needle. Over a guide wire, the needle was exchanged for a 70cm 4-French Flexor sheath. A C2 catheter and sheath were then used to access the superior mesenteric artery and arteriogram was performed. (36245, 75726)
The C2 catheter and sheath were advanced into the common hepatic artery and arteriogram was performed. (75774)
Catheter and sheath combination was then advanced into the gastroduodenal artery and arteriogram was performed.
A 6-mm Amplatzer plug was successfully deployed in the gastroduodenal artery and successful embolization was achieved. (37204, 75894)
Contrast was injected through the proper hepatic artery for an arteriogram. (36248, 75774)
Attempts were made to access a right gastric artery arising from the proper hepatic artery with a Prowler 90 degrees microcatheter but were not successful.
C2 catheter was placed in the medial left hepatic artery and arteriogram was performed. MAA was injected separately via the right and the medial left left hepatic arteries. (36247, 75774)
Renegade Hi Flo microcatheter was used to select the gastrohepatic trunk and arteriogram was performed. (36246, 75726)
Under fluoroscopic guidance, the right common femoral artery was accessed with a micropuncture needle. Over a guide wire, the needle was exchanged for a 70cm 4-French Flexor sheath. A C2 catheter and sheath were then used to access the superior mesenteric artery and arteriogram was performed. (36245, 75726)
The C2 catheter and sheath were advanced into the common hepatic artery and arteriogram was performed. (75774)
Catheter and sheath combination was then advanced into the gastroduodenal artery and arteriogram was performed.
A 6-mm Amplatzer plug was successfully deployed in the gastroduodenal artery and successful embolization was achieved. (37204, 75894)
Contrast was injected through the proper hepatic artery for an arteriogram. (36248, 75774)
Attempts were made to access a right gastric artery arising from the proper hepatic artery with a Prowler 90 degrees microcatheter but were not successful.
C2 catheter was placed in the medial left hepatic artery and arteriogram was performed. MAA was injected separately via the right and the medial left left hepatic arteries. (36247, 75774)
Renegade Hi Flo microcatheter was used to select the gastrohepatic trunk and arteriogram was performed. (36246, 75726)