herrera4
Guru
Ive never come across an IVUS procedure and not sure where to start 37252 and 37253 are both add ons any help is appreciated
The patient was brought to the endovascular suite, placed in a Supine position,and draped in routine sterile fashion. right groin region were prepped . Sedation administered with a trained independent observer in attendance to monitor the level of consciousness and physiological status using 100 mcg Fentanyl and 2 mg Versed. Please see procedure log for all drug administered and monitoring data and further information.
The Right CFV was visualized using Ultrasound Guidance. US images were recorded and documented in the chart. Under US guidance, the Right CFV was accessed in antegrade fashion using a Micropuncture needle. The needle was removed and a 6fr echo ndle niti long taper sheath was introduced over the guidewire. Then the dilator was removed. Sheath was flushed. Then, a wire and catheter were advanced to the IVC. Wire was removed and IVCgram was done. Then, a wire and catheter were advanced to the Right CFV. Wire was removed and venogram was done. A sgl super sheath - 9 fr x 11 cm .035 gw wire was introduced.
Intervention:
IVUS Catheter was performed on the Right CIV.
The balloon was inflated at 8 atm for 45 sec.
Then, Venoplasty was performed on the Right CIV using xxl/16-6/5.8/75.
The balloon was inflated at 8 atm for 45 sec.
IVUS Catheter was performed on the IVC.
Hemostasis:
All wires, catheters, and sheaths were removed. The puncture site (Right CFV) was closed by Manual compression for 5 minutes and hold pressure.
Findings:
IVC: Normal.
Right CIV: 50% Stenosis.
The patient was brought to the endovascular suite, placed in a Supine position,and draped in routine sterile fashion. right groin region were prepped . Sedation administered with a trained independent observer in attendance to monitor the level of consciousness and physiological status using 100 mcg Fentanyl and 2 mg Versed. Please see procedure log for all drug administered and monitoring data and further information.
The Right CFV was visualized using Ultrasound Guidance. US images were recorded and documented in the chart. Under US guidance, the Right CFV was accessed in antegrade fashion using a Micropuncture needle. The needle was removed and a 6fr echo ndle niti long taper sheath was introduced over the guidewire. Then the dilator was removed. Sheath was flushed. Then, a wire and catheter were advanced to the IVC. Wire was removed and IVCgram was done. Then, a wire and catheter were advanced to the Right CFV. Wire was removed and venogram was done. A sgl super sheath - 9 fr x 11 cm .035 gw wire was introduced.
Intervention:
IVUS Catheter was performed on the Right CIV.
The balloon was inflated at 8 atm for 45 sec.
Then, Venoplasty was performed on the Right CIV using xxl/16-6/5.8/75.
The balloon was inflated at 8 atm for 45 sec.
IVUS Catheter was performed on the IVC.
Hemostasis:
All wires, catheters, and sheaths were removed. The puncture site (Right CFV) was closed by Manual compression for 5 minutes and hold pressure.
Findings:
IVC: Normal.
Right CIV: 50% Stenosis.