Hi: I am hoping for a couple of coding opionions for this senario, please!!
Rt groin was acessed, using flouroscopic guidance, the axillary vein was cannulated. The 5-french introducer were places into the left axillar vein w/o complication. Multipolar coronary sinus cath ws advanced into the coronary sinus. A 7-french troduces was placed in the rt fem vein. an 8-mm tipped ablation catheter was advanced into the rt atrium.
Conduction times fro the coronary sinus to 7 o'clock on the tricusped isthmus were measured in both directions. In both directions, conduction time in the baseline state is 175mm.
Attempts a inducing atrial flutter were then made from Multiple Pacing sites. We were unable to induce AF. the pt has had documented episodes, and we decided to place a line along the cavatricuspid isthmus. This was done w/drag burns. Three-D map of annulus and Inferior vena cava were made. His position was identified. It showed A-V interval(93602??) of 90, H-V interval of 40 (93600-26??)ms. After placement of line burns attempts at inducing AF were unsuccessful
I am not sure what to give him for the EP part of this. Ablation is 93651 & 93613-26 for mapping.
Any advice would be very appreciated~ Thanks
Rt groin was acessed, using flouroscopic guidance, the axillary vein was cannulated. The 5-french introducer were places into the left axillar vein w/o complication. Multipolar coronary sinus cath ws advanced into the coronary sinus. A 7-french troduces was placed in the rt fem vein. an 8-mm tipped ablation catheter was advanced into the rt atrium.
Conduction times fro the coronary sinus to 7 o'clock on the tricusped isthmus were measured in both directions. In both directions, conduction time in the baseline state is 175mm.
Attempts a inducing atrial flutter were then made from Multiple Pacing sites. We were unable to induce AF. the pt has had documented episodes, and we decided to place a line along the cavatricuspid isthmus. This was done w/drag burns. Three-D map of annulus and Inferior vena cava were made. His position was identified. It showed A-V interval(93602??) of 90, H-V interval of 40 (93600-26??)ms. After placement of line burns attempts at inducing AF were unsuccessful
I am not sure what to give him for the EP part of this. Ablation is 93651 & 93613-26 for mapping.
Any advice would be very appreciated~ Thanks
