jcbenjamin
New
I need help coding this op report:
Preoperative Diagnosis: Right common iliac aneurysm, right external iliac stenosis, greater than 80% with total right SFA occlusion, severe claudication, right leg.
Postoperative Diagnosis: Right common iliac aneurysm, right external iliac stenosis, greater than 80% with total right SFA occlusion, severe claudication, right leg.
Operative Procedure: Right groin access assisted by ultrasound, followed by multiple intraoperative arteriograms to guide covered stent within right common iliac to exclude right common iliac aneurysm and bare-metal stent to remote right external iliac for greater than 80% right external iliac occlusive lesion.
Procedure in detail: Under ultrasound guidance, access was obtained to the right common femoral artery with a Micro-stick. This was exchanged for a Brite Tip sheath, which was advanced into a previously placed proximal right common iliac stent. Multiple angiograms were performed t further delineate the above anatomy and the patient was systemically heparinized. This was followed by placement of a right common iliac at about 8 x 38 covered stent to exclude a right common iliac aneurysm with excellent post-stent placement angiographic results with no residual waste within the covered stent. The Brite Tip sheath was then pulled caudad as guided by angiography into the distal external iliac artery beyond the severe stenosis of the right external iliac. A Cordis 7 x 6 Smart Control iliac stent was then placed and post-sheath was then removed and replaced with the short sheath, which was left into position to be removed in ICU when ACT was appropriate. The patient tolerated the procedure well.
Preoperative Diagnosis: Right common iliac aneurysm, right external iliac stenosis, greater than 80% with total right SFA occlusion, severe claudication, right leg.
Postoperative Diagnosis: Right common iliac aneurysm, right external iliac stenosis, greater than 80% with total right SFA occlusion, severe claudication, right leg.
Operative Procedure: Right groin access assisted by ultrasound, followed by multiple intraoperative arteriograms to guide covered stent within right common iliac to exclude right common iliac aneurysm and bare-metal stent to remote right external iliac for greater than 80% right external iliac occlusive lesion.
Procedure in detail: Under ultrasound guidance, access was obtained to the right common femoral artery with a Micro-stick. This was exchanged for a Brite Tip sheath, which was advanced into a previously placed proximal right common iliac stent. Multiple angiograms were performed t further delineate the above anatomy and the patient was systemically heparinized. This was followed by placement of a right common iliac at about 8 x 38 covered stent to exclude a right common iliac aneurysm with excellent post-stent placement angiographic results with no residual waste within the covered stent. The Brite Tip sheath was then pulled caudad as guided by angiography into the distal external iliac artery beyond the severe stenosis of the right external iliac. A Cordis 7 x 6 Smart Control iliac stent was then placed and post-sheath was then removed and replaced with the short sheath, which was left into position to be removed in ICU when ACT was appropriate. The patient tolerated the procedure well.