AshleyMartin
Networker
Is there documentation here for cath placement?
Procedure:
The patient was brought to the cath lab and placed on the table. The patient was prepped and draped in sterile fashion. Access was obtained via the right femoral artery via modified Seldinger technique after 1% lidocaine was used to anesthetize the area. A 5-french sheath was placed in the right femoral artery. There was a 4-french venous access that was obtained as well as no peripheral access was available. Used a 5-french rim catheter to cross over and selective angiogram shots of the right lower extremity were taken. We as well took selective shots of the left lower extremity through the sheath. The patient tolerated the procedure well. There were no complications. Sheath was held and manual pressure was used to obtain hemostasis.
Findings:
1. The right lower extremity shows a 40% lesion. The common femoral artery has a 40% lesion just proximal to the graft, the graft is patent and popliteal is patent. There is two0vessel runoff below the leg.
2. In the left lower extremity there is no significant disease in the external iliac or the common femoral artery. There is a patent graft on the left. There is a kink at the distal anastomosis. The popliteal is patent. There is two-vessel runoff below the knee.
Procedure:
The patient was brought to the cath lab and placed on the table. The patient was prepped and draped in sterile fashion. Access was obtained via the right femoral artery via modified Seldinger technique after 1% lidocaine was used to anesthetize the area. A 5-french sheath was placed in the right femoral artery. There was a 4-french venous access that was obtained as well as no peripheral access was available. Used a 5-french rim catheter to cross over and selective angiogram shots of the right lower extremity were taken. We as well took selective shots of the left lower extremity through the sheath. The patient tolerated the procedure well. There were no complications. Sheath was held and manual pressure was used to obtain hemostasis.
Findings:
1. The right lower extremity shows a 40% lesion. The common femoral artery has a 40% lesion just proximal to the graft, the graft is patent and popliteal is patent. There is two0vessel runoff below the leg.
2. In the left lower extremity there is no significant disease in the external iliac or the common femoral artery. There is a patent graft on the left. There is a kink at the distal anastomosis. The popliteal is patent. There is two-vessel runoff below the knee.
