I have a question regarding Mechanical Thrombectomy.
This is a scenario I have not seen before and would entertain some recommendations. This patient had an EKOS catheter placed on Day 1. On Day 2 Subsequent day EKOS catheter was pulled out and angio revis performed. Clot burden still present in Graft therefore physician introduced a spider filter wire and passed the wire back and forth 3 times with in the graft removing the spider filter wire with its basket full of clot. Could this technique be considered a Mechanical thrombectomy? IF not how would this be coded?
"The graft is widely patent with several areas of thrombus residual (proximal/mid and distal). A 7mm spider over the delivery catheter was taken down past the thrombus and deployed. We then pull the spider filter proximally capturing the thrombus.
Successful mechanical removal of residual nonocclusive thrombus in
the left femoral to distal PTA graft using a 7 mm Spider FX filter
deployed distal to the thrombus followed by pullback of the filter
capturing strand-like thrombus. This was performed 3 times in the
proximal, mid, and very distal segment of the graft using the same
Spider filter."
Charles
This is a scenario I have not seen before and would entertain some recommendations. This patient had an EKOS catheter placed on Day 1. On Day 2 Subsequent day EKOS catheter was pulled out and angio revis performed. Clot burden still present in Graft therefore physician introduced a spider filter wire and passed the wire back and forth 3 times with in the graft removing the spider filter wire with its basket full of clot. Could this technique be considered a Mechanical thrombectomy? IF not how would this be coded?
"The graft is widely patent with several areas of thrombus residual (proximal/mid and distal). A 7mm spider over the delivery catheter was taken down past the thrombus and deployed. We then pull the spider filter proximally capturing the thrombus.
Successful mechanical removal of residual nonocclusive thrombus in
the left femoral to distal PTA graft using a 7 mm Spider FX filter
deployed distal to the thrombus followed by pullback of the filter
capturing strand-like thrombus. This was performed 3 times in the
proximal, mid, and very distal segment of the graft using the same
Spider filter."
Charles