venography

AgnieszkaMarek

Networker
Messages
60
Location
Saratoga Springs, NY
Best answers
0
PREOPERATIVE DIAGNOSIS:
Recurrent right DVT.

POSTOPERATIVE DIAGNOSIS:
Bilateral common iliac compression.

PROCEDURE NAME:
1. Pelvic venography.
TECHNIQUE/FINDINGS:

The risks, benefits and alternatives of the procedure were discussed
with the patient, and informed written consent was obtained. The
patient was brought to the angiography suite, and the bilateral groins
were prepped and draped in sterile fashion. All elements of maximal
sterile barrier technique were followed including cap and mask,
sterile gown, sterile gloves, large sterile sheet, hand hygiene and 2%
chlorhexidine for cutaneous antisepsis. Sterile ultrasound technique
was used, including sterile gel and sterile probe covers.
Using ultrasound and fluoroscopic guidance, the left great saphenous
vein was accessed with micropuncture set. 5 French sheath placed.
In similar fashion, 5 French vascular sheath was placed in the right
greater saphenous vein.
Bilateral pelvic venography was performed in multiple projection.
Next, the right internal iliac vein was selected with Cobra catheter
over the Glidewire. Superselective venography was performed.
Sheaths and wires were removed and hemostasis was achieved with manual
compression. The left leg was wrapped.
The patient tolerated the procedure well and there were no immediate
competitions.

IMPRESSION:
* Diagnostic bilateral pelvic venography. No iliac caval DVT. Mild to
moderate stenosis of the bilateral common iliac vein with reflux of
contrast into the internal iliac branches.
* Selective right internal iliac vein venography. Enlarged cross
pelvic collaterals noted.
* Bilateral great saphenous vein venotomy closure with manual
compression.


36012,75820? or 36005 instead 36012?
 

suchang78

Guru
Messages
138
Location
Baldwin Park, CA
Best answers
0
PREOPERATIVE DIAGNOSIS:
Recurrent right DVT.

POSTOPERATIVE DIAGNOSIS:
Bilateral common iliac compression.

PROCEDURE NAME:
1. Pelvic venography.
TECHNIQUE/FINDINGS:

The risks, benefits and alternatives of the procedure were discussed
with the patient, and informed written consent was obtained. The
patient was brought to the angiography suite, and the bilateral groins
were prepped and draped in sterile fashion. All elements of maximal
sterile barrier technique were followed including cap and mask,
sterile gown, sterile gloves, large sterile sheet, hand hygiene and 2%
chlorhexidine for cutaneous antisepsis. Sterile ultrasound technique
was used, including sterile gel and sterile probe covers.
Using ultrasound and fluoroscopic guidance, the left great saphenous
vein was accessed with micropuncture set. 5 French sheath placed.
In similar fashion, 5 French vascular sheath was placed in the right
greater saphenous vein.
Bilateral pelvic venography was performed in multiple projection.
Next, the right internal iliac vein was selected with Cobra catheter
over the Glidewire. Superselective venography was performed.
Sheaths and wires were removed and hemostasis was achieved with manual
compression. The left leg was wrapped.
The patient tolerated the procedure well and there were no immediate
competitions.

IMPRESSION:
* Diagnostic bilateral pelvic venography. No iliac caval DVT. Mild to
moderate stenosis of the bilateral common iliac vein with reflux of
contrast into the internal iliac branches.
* Selective right internal iliac vein venography. Enlarged cross
pelvic collaterals noted.
* Bilateral great saphenous vein venotomy closure with manual
compression.


36012,75820? or 36005 instead 36012?

I got 36005-59 for left great saphenous vein ( because access was gained), 36011-for right internal iliac vein
, 75822, and 76496(selevtive right internal iliac vein).
 
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