I have an attempted LAAO but MD was unable to access the right femoral vein.
Report:
"#6-French venous sheath and arterial sheath were placed on the left femoral vein and artery. After completing the placement, a right femoral vein was attempted, but unfortunately due to anatomy, we were unable to obtain access. but instead cannulated the artery a second time, requiring a second #6 French sheath.
In order to localized the right femoral vein in a better fashion, a crossover from the left of the right iliac venous system was performed and a glidewire was placed crossing the femoral head for landmark. Under fluoroscopic control, reattempt at accessing the femoral vein was done with both distended Seldinger needle as well as a micropuncture. Despite multiple attempts, we were unable to cannulate the right femoral vein and the procedure was aborted."
What can I code in this situation?
Thanks!!!
Report:
"#6-French venous sheath and arterial sheath were placed on the left femoral vein and artery. After completing the placement, a right femoral vein was attempted, but unfortunately due to anatomy, we were unable to obtain access. but instead cannulated the artery a second time, requiring a second #6 French sheath.
In order to localized the right femoral vein in a better fashion, a crossover from the left of the right iliac venous system was performed and a glidewire was placed crossing the femoral head for landmark. Under fluoroscopic control, reattempt at accessing the femoral vein was done with both distended Seldinger needle as well as a micropuncture. Despite multiple attempts, we were unable to cannulate the right femoral vein and the procedure was aborted."
What can I code in this situation?
Thanks!!!