Shirleybala
Guest
- Messages
- 190
- Best answers
- 0
Procedure and findings: After obtaining informed consent, the
patient was placed supine on the fluoroscopic table and the right
arm was prepped and draped in a sterile fashion. Ultrasound
imaging of the upper arm demonstrated patency of the right basilic
and brachial veins. The brachial vein was then accessed above the
elbow using a 21 gauge micropuncture needle. A 0.0018 inch
guidewire was advanced through the needle and into the vein. The
needle was removed and exchanged for a peel-away sheath. A PICC
line was cut to 20 cm length, advanced through the peel-away
sheath and positioned with the tip at the junction of the superior
vena cava and right atrium. The peel away sheath was then removed.
The catheter was sutured into place using 2 4-0 Ethilon sutures.
Each catheter port was aspirated and flushed with heparinized
saline solution. A sterile dressing was applied. A supine
radiograph of the chest was performed demonstrating distal
catheter tip overlying the junction of the superior vena cava and
right atrium.
CPT CODES:
36571 OR 36569
Thanks
Shirley
patient was placed supine on the fluoroscopic table and the right
arm was prepped and draped in a sterile fashion. Ultrasound
imaging of the upper arm demonstrated patency of the right basilic
and brachial veins. The brachial vein was then accessed above the
elbow using a 21 gauge micropuncture needle. A 0.0018 inch
guidewire was advanced through the needle and into the vein. The
needle was removed and exchanged for a peel-away sheath. A PICC
line was cut to 20 cm length, advanced through the peel-away
sheath and positioned with the tip at the junction of the superior
vena cava and right atrium. The peel away sheath was then removed.
The catheter was sutured into place using 2 4-0 Ethilon sutures.
Each catheter port was aspirated and flushed with heparinized
saline solution. A sterile dressing was applied. A supine
radiograph of the chest was performed demonstrating distal
catheter tip overlying the junction of the superior vena cava and
right atrium.
CPT CODES:
36571 OR 36569
Thanks
Shirley