amym
Guest
I need help coding this, please. This was done at time of CATH. I did not include a CATH report!
INFERIOR VENA CAVA FILTER PLACEMENT:
Indication: Deep venous thrombosis and pulmonary embolus in the
setting of a patient who has a history of gastrointestinal bleeding
and is not a candidate for long-term anticoagulation.
Procedure And Findings: After written and informed consent was
obtained, the patient was brought to the endovascular lab, and the
right internal jugular artery area was prepped and draped in usual
sterile fashion. Under ultrasound guidance, the right internal
jugular artery was cannulated without difficulty using a
micropuncture needle, and using a dilator, a guidewire was advanced,
and an Eclipse inferior vena cava filter sheath was placed under
fluoroscopic guidance, and then subsequently, CO2 contrast was used
for imaging. Imaging revealed presence of the inferior vena cava
filter and identification of the renal vein takeoff. Subsequently,
the catheter tip was placed at the desired level, and the inferior
vena cava filter then was positioned and deployed with excellent
deployment, following which imaging was performed with CO2 contrast,
revealing adequate placement of the filter. At this point, the
entire assembly was removed, and hemostasis was achieved by gentle
compression. No complications occurred.
Impression:
Successful inferior vena cava filter placement using a Bard Eclipse
system via right internal jugular approach without difficulty or
complication.
INFERIOR VENA CAVA FILTER PLACEMENT:
Indication: Deep venous thrombosis and pulmonary embolus in the
setting of a patient who has a history of gastrointestinal bleeding
and is not a candidate for long-term anticoagulation.
Procedure And Findings: After written and informed consent was
obtained, the patient was brought to the endovascular lab, and the
right internal jugular artery area was prepped and draped in usual
sterile fashion. Under ultrasound guidance, the right internal
jugular artery was cannulated without difficulty using a
micropuncture needle, and using a dilator, a guidewire was advanced,
and an Eclipse inferior vena cava filter sheath was placed under
fluoroscopic guidance, and then subsequently, CO2 contrast was used
for imaging. Imaging revealed presence of the inferior vena cava
filter and identification of the renal vein takeoff. Subsequently,
the catheter tip was placed at the desired level, and the inferior
vena cava filter then was positioned and deployed with excellent
deployment, following which imaging was performed with CO2 contrast,
revealing adequate placement of the filter. At this point, the
entire assembly was removed, and hemostasis was achieved by gentle
compression. No complications occurred.
Impression:
Successful inferior vena cava filter placement using a Bard Eclipse
system via right internal jugular approach without difficulty or
complication.