suela923@aol.com
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ARCH AORTOGRAM, LEFT SUBCLAVIAN ARTERY ARTERIOGRAM, LEFT SUBCLAVIAN ARTERY ANGIOPLASTY AND STENT PLACEMENT
Timeout was performed. Skin over the right and left groins were prepped and drapped sterilely; 2% lidocaine was used as a local anesthetic. Moderate sedation was also administered. An 18-gauge single wall needle was advanced int the right common femoral artery and a wire could not be advanced centrally. Needle was removed and hemostasis was achieved. An 18-gauge single wall needle was advanced into the left common femoral artery and the wire was readily advanced into the iliac arteries. A 6-French sheath was placed pigtail catheter was advanced into the ascending aorta and LAO aortography was performed. Berenstein catheter was used to select the left subclavian artery and a diagnostic left subclavian artery arteriogram was performed. A 70 cm 8-French sheat was advanced to the left subclavian artery origin and wire was advanced into the distal left subclavian artery. The patient is anticoagulated. A 7 mm x 4 mm angioplasty balloon was inflated across the left subclavian artery stenosis and a 10 mm x 29 mm Genesis stent was deployed across the left subclavian artery stenosis. Completeion arteriogram was performed.
Doctor dicated findings for arch aortogram, left subclavian arteriogram and angioplasty with stent.
Looking to bill:
36221
36215, 75710
37205, 75960
Any feedback is welcome!
Thank you.
Sue
Timeout was performed. Skin over the right and left groins were prepped and drapped sterilely; 2% lidocaine was used as a local anesthetic. Moderate sedation was also administered. An 18-gauge single wall needle was advanced int the right common femoral artery and a wire could not be advanced centrally. Needle was removed and hemostasis was achieved. An 18-gauge single wall needle was advanced into the left common femoral artery and the wire was readily advanced into the iliac arteries. A 6-French sheath was placed pigtail catheter was advanced into the ascending aorta and LAO aortography was performed. Berenstein catheter was used to select the left subclavian artery and a diagnostic left subclavian artery arteriogram was performed. A 70 cm 8-French sheat was advanced to the left subclavian artery origin and wire was advanced into the distal left subclavian artery. The patient is anticoagulated. A 7 mm x 4 mm angioplasty balloon was inflated across the left subclavian artery stenosis and a 10 mm x 29 mm Genesis stent was deployed across the left subclavian artery stenosis. Completeion arteriogram was performed.
Doctor dicated findings for arch aortogram, left subclavian arteriogram and angioplasty with stent.
Looking to bill:
36221
36215, 75710
37205, 75960
Any feedback is welcome!
Thank you.
Sue
