JayRitten
Guest
I need a little help please.
Procedure as dictated:
Right heat cath performed.
Left heart cath with selective coronary angiography performed.
Left ventricular angiography performed.
Selective saphenous vein graft.
Selective left subclavian artery angiography.
Selective right subclavian artery angiography performed.
Thoracic aortography performed.
Abdominal aortography with runoff to the feet.
Sequence:
1. Sheath placed in right femoral artery, right heart cath performed.
2. Left heart cath, selective cors performed. Left ventricular angiography performed. Selective saphenous vein graft angiography performed. Selective left subclavian artery angiography performed.
3. Selective right subclavian artery angiography performed. Using the pigtail catheter, thoracic aortography was performed.
4. Using pigtail catheter, abdominal aortography with runoff to the feet was performed.
Diagnostic findings:
1. Left ventricular function normal, no aortic gradient on pullback, left main is normal, LAD is occluded proximally, circumflex is normal, obtuse marginals normal, right coronary 70% stenosis. Right heart pressures are given.
2. Saphenous vein graft to diagonal patent, with visualization retrogradely feeds the LIMA all the way back with retrograde feed of the left subclavian as well.
3. Saphenous vein graft to another saphenous vein graft occluded.
4. Right innominate artery is normal, right common carotid patent. Right subclavian is patent, with right to left filling using subclavian steal physiology to the left vertebral artery, retrogradely fills the left subclavian and left internal mammary artery.
5. Left carotid is patent
6. Left subclavian artery is completely occluded at its ostium.
7. Thoracic aortography revealed no other bypass grafts and thoracic aorta is normal, no aneurysm.
8. Abdominal aortography reveals the renal arteries patent. Distal abdominal aorta has atherosclerotic ulceration, but no gradient and to significant stenosis or aneurysm.
9. Bilateral common iliacs with previous stent ar widely patent, bilateral internal iliacs, external iliacs, common femorals are patent. Bilateral SFA and profunda vessels are patent no significant disease. Bilater popliteals are patent, bilateral posterior tibial artery, peroneal vessels are patent, left antecubital not well seen, also endothelial dysfunction flow to the feet.
93461-26
75605-26-59
75716-26-59
36215
75710-26-59
Is this correct?
Procedure as dictated:
Right heat cath performed.
Left heart cath with selective coronary angiography performed.
Left ventricular angiography performed.
Selective saphenous vein graft.
Selective left subclavian artery angiography.
Selective right subclavian artery angiography performed.
Thoracic aortography performed.
Abdominal aortography with runoff to the feet.
Sequence:
1. Sheath placed in right femoral artery, right heart cath performed.
2. Left heart cath, selective cors performed. Left ventricular angiography performed. Selective saphenous vein graft angiography performed. Selective left subclavian artery angiography performed.
3. Selective right subclavian artery angiography performed. Using the pigtail catheter, thoracic aortography was performed.
4. Using pigtail catheter, abdominal aortography with runoff to the feet was performed.
Diagnostic findings:
1. Left ventricular function normal, no aortic gradient on pullback, left main is normal, LAD is occluded proximally, circumflex is normal, obtuse marginals normal, right coronary 70% stenosis. Right heart pressures are given.
2. Saphenous vein graft to diagonal patent, with visualization retrogradely feeds the LIMA all the way back with retrograde feed of the left subclavian as well.
3. Saphenous vein graft to another saphenous vein graft occluded.
4. Right innominate artery is normal, right common carotid patent. Right subclavian is patent, with right to left filling using subclavian steal physiology to the left vertebral artery, retrogradely fills the left subclavian and left internal mammary artery.
5. Left carotid is patent
6. Left subclavian artery is completely occluded at its ostium.
7. Thoracic aortography revealed no other bypass grafts and thoracic aorta is normal, no aneurysm.
8. Abdominal aortography reveals the renal arteries patent. Distal abdominal aorta has atherosclerotic ulceration, but no gradient and to significant stenosis or aneurysm.
9. Bilateral common iliacs with previous stent ar widely patent, bilateral internal iliacs, external iliacs, common femorals are patent. Bilateral SFA and profunda vessels are patent no significant disease. Bilater popliteals are patent, bilateral posterior tibial artery, peroneal vessels are patent, left antecubital not well seen, also endothelial dysfunction flow to the feet.
93461-26
75605-26-59
75716-26-59
36215
75710-26-59
Is this correct?
Last edited: