Results 1 to 2 of 2

Please help Endovascular repair of AAA

  1. #1
    Default Please help Endovascular repair of AAA
    Exam Training Packages
    Oh my....please help me, the more reading I do, the more I think I may be confusing myself, or over thinking, possibly both...

    Bilateral common femoral arteries were dissected out using oblique incisions. The vessels were encircled with vessel loops. The common femoral arteries were accessed using a multipurpose needle and guidewire. 10-Fernch dilator and sheath was placed over the wires. Lunderquist wire was placed up the left common femoral artery and a glidewire was placed up the right common femoral artery. The IVUS was inserted over te lunderquist wire and the renal vein was visualized___imaging the aorta. The IVUS was then brought through to the bifurcation of the iliac vessels and the bifurcation of the internal as well as the external iliac vessels. A pigtail marking cath was placed up the right common femorral artery over the Glidewire. An angiogram was obtaqined. The 10-French sheath was exchanged for a 20-french dilator and sheath. The decision was made to go main body left and the bifurcated graft was then placed up the left common femoral artery to the level of the renal arteris which had been marked and identified. An angiogram was repeated and placement of the Gore-Tex excluder C3. The proximal portion of the graft to the gate was then deployed. The ipsilateral limb remianed contained. Another angiogram was obtained. The glidewire was inserted into the pigtail catheter. The wire remained and the pigtail cather was exchanged for a 5-french angled glide catheter. This was used to easily access the gate using a glidewire. A 12-french dilator and sheath was placed over a lunderquist wire to exchange the 10-french sheath that was previously in the right common femoral artery. At this oint the constraining loop to the proximal neck of the graft was released and the ipsilateral limb was then released. The contraleteral limb measurements are on the chart. It was palced and deployed without incident. A retro grade angiogram showed exellent positioning. It should be noted before the deployment of the contralteral and ipsilateral limb, the location of the bifurcation of the internal and external iliac arteries were identified and marked. _ballons were then placed bilaterally. They were i nflated at the proximal neck at the gate at the bifurcation and then at the distal limbs. No eveidence on endoleak, kinking or stenosis.

    34812 mod 50
    36200 LT
    36200 RT
    34802 LT
    34802 RT

    I hope I can get some assitance as this is not something I come across frequently.

    Thanks for your help.

    Nikki Payne, CPC

  2. #2
    Here is what I came up with. Hope this helps.


Similar Threads

  1. AAA Endovascular Repair CoSurgery
    By R1CPC in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 02-06-2015, 01:33 PM
  2. Endovascular AAA repair
    By R1CPC in forum Cardiology
    Replies: 11
    Last Post: 01-15-2015, 11:26 AM
  3. AAA Endovascular repair with no IR MD
    By Liza559 in forum Interventional Radiology
    Replies: 1
    Last Post: 09-04-2012, 12:06 PM
  4. Help with coding Endovascular AAA Repair
    By RainyDaze in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 07-02-2010, 03:37 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.