Can anyone get me the possible codes for the below procedure???????
42-year-old G2P1001 35 weeks 6-day gravid female
with placenta previa and possible placenta accreta. Patient
referred for bilateral uterine artery catheter placement prior to
cesarean section
The bilateral groins were prepped and draped in the usual sterile
fashion.
After the administration of local anesthesia and under ultrasound
guidance, access into the right common femoral artery was obtained
a 21-gauge micropuncture set. A Bentson wire was placed through
the transition dilator and advanced centrally into the abdominal
aorta. The transition dilator was then exchanged for a 5-French
vascular sheath.
After the administration of local anesthesia and under ultrasound
guidance, access into the left common femoral artery was obtained
a 21-gauge micropuncture set. A Bentson wire was placed through
the transition dilator and advanced centrally into the abdominal
aorta. The transition dilator was then exchanged for a 5-French
vascular sheath.
A 4-French glide Berenstein catheter was then advanced over the
wire and through the right common femoral artery sheath and
positioned within the abdominal aorta. The catheter and wire were
then used to select the contralateral left common femoral artery.
The Bentson wire was then exchanged for a Glidewire and the
catheter and glide wire were used to select the left internal
iliac artery.
A gentle injection of contrast confirmed good positioning within
the left internal iliac artery and identified the origin of the
left uterine artery. Using roadmap technique, the catheter and
Glidewire were used to select the left uterine artery. The
catheter was advanced over the wire and positioned within the mid
left uterine artery. A gentle injection of contrast confirmed
good positioning of the distal tip of the catheter within the mid
left uterine artery.
A 4-French glide Berenstein catheter was then advanced over the
wire and through the left common femoral artery sheath and
positioned within the abdominal aorta. The catheter and wire were
then used to select the contralateral right common femoral artery.
The Bentson wire was then exchanged for a Glidewire and the
catheter and glide wire were used to select the right internal
iliac artery.
A gentle injection of contrast confirmed good positioning within
the right internal iliac artery and identified the origin of the
right uterine artery. Using roadmap technique, the catheter and
Glidewire were used to select the right uterine artery. The
catheter was advanced over the wire and positioned within the mid
right uterine artery. A gentle injection of contrast confirmed
good positioning of the distal tip of the catheter within the mid
right uterine artery.
The catheters and sheaths were attached secured to the skin with
20 Prolene suture and attached to pressure flush bags. Sterile
dressings were then applied over the skin entry sites.
Impression:
Bilateral uterine artery catheterizations as described above.
42-year-old G2P1001 35 weeks 6-day gravid female
with placenta previa and possible placenta accreta. Patient
referred for bilateral uterine artery catheter placement prior to
cesarean section
The bilateral groins were prepped and draped in the usual sterile
fashion.
After the administration of local anesthesia and under ultrasound
guidance, access into the right common femoral artery was obtained
a 21-gauge micropuncture set. A Bentson wire was placed through
the transition dilator and advanced centrally into the abdominal
aorta. The transition dilator was then exchanged for a 5-French
vascular sheath.
After the administration of local anesthesia and under ultrasound
guidance, access into the left common femoral artery was obtained
a 21-gauge micropuncture set. A Bentson wire was placed through
the transition dilator and advanced centrally into the abdominal
aorta. The transition dilator was then exchanged for a 5-French
vascular sheath.
A 4-French glide Berenstein catheter was then advanced over the
wire and through the right common femoral artery sheath and
positioned within the abdominal aorta. The catheter and wire were
then used to select the contralateral left common femoral artery.
The Bentson wire was then exchanged for a Glidewire and the
catheter and glide wire were used to select the left internal
iliac artery.
A gentle injection of contrast confirmed good positioning within
the left internal iliac artery and identified the origin of the
left uterine artery. Using roadmap technique, the catheter and
Glidewire were used to select the left uterine artery. The
catheter was advanced over the wire and positioned within the mid
left uterine artery. A gentle injection of contrast confirmed
good positioning of the distal tip of the catheter within the mid
left uterine artery.
A 4-French glide Berenstein catheter was then advanced over the
wire and through the left common femoral artery sheath and
positioned within the abdominal aorta. The catheter and wire were
then used to select the contralateral right common femoral artery.
The Bentson wire was then exchanged for a Glidewire and the
catheter and glide wire were used to select the right internal
iliac artery.
A gentle injection of contrast confirmed good positioning within
the right internal iliac artery and identified the origin of the
right uterine artery. Using roadmap technique, the catheter and
Glidewire were used to select the right uterine artery. The
catheter was advanced over the wire and positioned within the mid
right uterine artery. A gentle injection of contrast confirmed
good positioning of the distal tip of the catheter within the mid
right uterine artery.
The catheters and sheaths were attached secured to the skin with
20 Prolene suture and attached to pressure flush bags. Sterile
dressings were then applied over the skin entry sites.
Impression:
Bilateral uterine artery catheterizations as described above.
