Shirleybala
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Hello:
36200-59
75625
36246
75736
75898
37204
75894
Are these codes possible for the below report:
After obtaining informed consent, the patient's left groin was prepped
and draped in sterile fashion. Using Seldinger technique the left common
femoral artery was punctured and a 5 Fr. sheath was placed into the
common femoral artery. Through the sheath, a 4 Fr. Omniflush catheter was
used to catheterize the aorta. Aortogram was performed with the catheter
just proximal to the aortic stent graft. Pelvic angiogram was also
performed with a catheter within the stent graft itself.
On the pelvic angiogram, there is evidence of redemonstration of a type
of leak wire lumbar collaterals.
Similarly, on the abdominal angiogram a subtle leak is seen. However, the
inferior leak is more impressive.
A left internal iliac artery injection revealed a collateral branch
extending into the lumbar artery providing supply to the area of the type
of leak. This branch was then catheterized and the catheter was then
placed into the leak site. The site was then coiled with coils. Post
procedure there was no evidence to suggest a recurrent leak.
Multiple different catheters and guide wires were used to catheterize a
lumbar vessel just proximal to the stent graft. This was supplying a
small leak in the proximal aortic lumen. This was then coiled with as
single coil. However, the coil extended into the aortic lumen. This coil
then had to be retrieved and multiple repeat attempts could not gain
access into the artery. The patient should have a follow-up CT scan to
see if there is a persistent leak.
IMPRESSION: Successful embolization of a type of leak in the inferior
portion of the stent graft.
Successful catheterization of the vessel supplying the superior leak
however, this could not be successfully embolized. Repeat scan is
recommended in two to three months.
36200-59
75625
36246
75736
75898
37204
75894
Are these codes possible for the below report:
After obtaining informed consent, the patient's left groin was prepped
and draped in sterile fashion. Using Seldinger technique the left common
femoral artery was punctured and a 5 Fr. sheath was placed into the
common femoral artery. Through the sheath, a 4 Fr. Omniflush catheter was
used to catheterize the aorta. Aortogram was performed with the catheter
just proximal to the aortic stent graft. Pelvic angiogram was also
performed with a catheter within the stent graft itself.
On the pelvic angiogram, there is evidence of redemonstration of a type
of leak wire lumbar collaterals.
Similarly, on the abdominal angiogram a subtle leak is seen. However, the
inferior leak is more impressive.
A left internal iliac artery injection revealed a collateral branch
extending into the lumbar artery providing supply to the area of the type
of leak. This branch was then catheterized and the catheter was then
placed into the leak site. The site was then coiled with coils. Post
procedure there was no evidence to suggest a recurrent leak.
Multiple different catheters and guide wires were used to catheterize a
lumbar vessel just proximal to the stent graft. This was supplying a
small leak in the proximal aortic lumen. This was then coiled with as
single coil. However, the coil extended into the aortic lumen. This coil
then had to be retrieved and multiple repeat attempts could not gain
access into the artery. The patient should have a follow-up CT scan to
see if there is a persistent leak.
IMPRESSION: Successful embolization of a type of leak in the inferior
portion of the stent graft.
Successful catheterization of the vessel supplying the superior leak
however, this could not be successfully embolized. Repeat scan is
recommended in two to three months.