coders_rock!
Guest
- Messages
- 410
- Best answers
- 0
Please confirm the codes I've chosen:37227[RT], 36247, 75716[26], 36200, 36140.
Are my choices correct, if not, please indicate why you disagree.
Thank you!
Vessel Angiography Findings
RIGHT LOWER EXTREMITY ANGIOGRMA:
-Moderate diffuse disease right external iliac and common femoral artery
-Severe diffuse disease of the SFA terminating in 100% occlusion distal SFA with reconstitution of the popliteal artery via collaterals from the profunda and geniculate arteries
-90% stenosis TPT trunk
-100% occlusion peroneal and PT arteries with reconstitution of the PT distally
-Moderate diffuse disease mid AT
-1 vessel run-off to the foot via the AT
LEFT LOWER EXTREMITY ANGIOGRAM:
-Moderated diffuse disease common femoral artery
-80% stenosis ostial SFA
-Widely patent self expanding stents seen in the mid and distal SFA
-80% calcified stenosis popliteal artery
-Below knee arteries not visualized in this study
Catheterization Procedure:
Access gained via the left common femoral artery and a 6F 70 cm Cook sheath was advanced to the level of the right common femoral artery. An Aquatrack wire was advanced through the distal SFA occlusion and exchanged for a Viper Wire. Elliptical artherectomy using 1.5 crown Diamondback device was performed in the popliteal, proximal mid and distal SFA followed by balloon angioplasty. Flow limiting dissection necessitated the placement of self expanding SMART stents measuring 7 x 150mm, 7 x 120 mm and 7 x 60mm from distal to proximal. The SFA was then dilated using 5mm and 6mm PTA balloons.
Are my choices correct, if not, please indicate why you disagree.
Thank you!
Vessel Angiography Findings
RIGHT LOWER EXTREMITY ANGIOGRMA:
-Moderate diffuse disease right external iliac and common femoral artery
-Severe diffuse disease of the SFA terminating in 100% occlusion distal SFA with reconstitution of the popliteal artery via collaterals from the profunda and geniculate arteries
-90% stenosis TPT trunk
-100% occlusion peroneal and PT arteries with reconstitution of the PT distally
-Moderate diffuse disease mid AT
-1 vessel run-off to the foot via the AT
LEFT LOWER EXTREMITY ANGIOGRAM:
-Moderated diffuse disease common femoral artery
-80% stenosis ostial SFA
-Widely patent self expanding stents seen in the mid and distal SFA
-80% calcified stenosis popliteal artery
-Below knee arteries not visualized in this study
Catheterization Procedure:
Access gained via the left common femoral artery and a 6F 70 cm Cook sheath was advanced to the level of the right common femoral artery. An Aquatrack wire was advanced through the distal SFA occlusion and exchanged for a Viper Wire. Elliptical artherectomy using 1.5 crown Diamondback device was performed in the popliteal, proximal mid and distal SFA followed by balloon angioplasty. Flow limiting dissection necessitated the placement of self expanding SMART stents measuring 7 x 150mm, 7 x 120 mm and 7 x 60mm from distal to proximal. The SFA was then dilated using 5mm and 6mm PTA balloons.