calorom2
Networker
So far I'm thinking 36200, 76937, 37225, 75710, 75716 or some combination of these? Any help or thoughts are greatly appreciated!
PROCEDURE PERFORMED:
Right common femoral artery access, selective left lower extremity angiogram,
bilateral iliac angiogram, arthrectomy of left SFA, balloon angioplasty
of left SFA with 6.0 drug coated balloon.
INDICATION FOR PROCEDURE:
Lifestyle limiting claudication.
COMPLICATIONS:
None.
ESTIMATED BLOOD LOSS:
Less than 2 mL.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, a 5-French
sheath was placed in the right common femoral artery under ultrasound
guidance. A catheter was placed in the abdominal aorta. Bilateral
iliac angiography was performed. A catheter was placed up and over.
Selective left lower extremity angiography was performed. The patient
tolerated the procedure well. There were no complications.
ANGIOGRAPHIC FINDINGS:
Abdominal aorta, bilateral common, external iliac had mild disease.
Left common femoral has 80% stenosis. Left SFA has a focal 95% stenosis
in the midportion. The runoff is via the anterior and posterior tibial.
INTERVENTION PROCEDURE:
We consulted with Vascular Surgery, decided to fix the SFA and do a common
femoral endarterectomy for the common femoral. The patient was anticoagulated
to a therapeutic ACT. A 6-French sheath was placed up and over. Atherectomy
was performed with a diamondback 2.0 bur at low medium and high speeds,
four runs. Following that, balloon angioplasty was done with the 6.0
x 40 drug-coated balloon. Final angiography showed excellent flow.
Runoff
was confirmed to be unchanged. The sheath will be pulled manually.
The patient will be considered for endarterectomy in the future.
PROCEDURE PERFORMED:
Right common femoral artery access, selective left lower extremity angiogram,
bilateral iliac angiogram, arthrectomy of left SFA, balloon angioplasty
of left SFA with 6.0 drug coated balloon.
INDICATION FOR PROCEDURE:
Lifestyle limiting claudication.
COMPLICATIONS:
None.
ESTIMATED BLOOD LOSS:
Less than 2 mL.
DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, a 5-French
sheath was placed in the right common femoral artery under ultrasound
guidance. A catheter was placed in the abdominal aorta. Bilateral
iliac angiography was performed. A catheter was placed up and over.
Selective left lower extremity angiography was performed. The patient
tolerated the procedure well. There were no complications.
ANGIOGRAPHIC FINDINGS:
Abdominal aorta, bilateral common, external iliac had mild disease.
Left common femoral has 80% stenosis. Left SFA has a focal 95% stenosis
in the midportion. The runoff is via the anterior and posterior tibial.
INTERVENTION PROCEDURE:
We consulted with Vascular Surgery, decided to fix the SFA and do a common
femoral endarterectomy for the common femoral. The patient was anticoagulated
to a therapeutic ACT. A 6-French sheath was placed up and over. Atherectomy
was performed with a diamondback 2.0 bur at low medium and high speeds,
four runs. Following that, balloon angioplasty was done with the 6.0
x 40 drug-coated balloon. Final angiography showed excellent flow.
Runoff
was confirmed to be unchanged. The sheath will be pulled manually.
The patient will be considered for endarterectomy in the future.
