csorensen21@yahoo.com
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Please help me out with this coding!
Need some direction!
Procedure:
1: Aortogram
2: Celiac Artery Angio
3: SMA Selective Angio
4: Successful PTA and stent to Ostial SMA
The patient was prepped according to protocol. Access was obtained from the right femoral artery. A 6-french sheath was advanced over safety guidewire, and a pigtail catheter was advanced. Angiography of the aorta was done with hand injection and digital subtraction imaging, then subsequently we used a LIMA catheter that was used to engage with the celiac, superior mesenteric and the left renal artery, respectively, and selective angiography was performed in different angulations, Then, subsequently we used a LIMA guiding catheter, 55cm length, and to engage with the origin of the superior mesenteric artery, and a 50-mm gradient was noted across the ostial lesion. Then, subseuentlyh we used a 3.5 balloon to predilate the lesion, and due to suboptimal result, decided to proceded with the stent. A 5.0x21 paramount mini GPS stent was deployed at 10 atmospheres and then postdilated into ostial segment in the aorta with an excellent result, abolishing an ostial 90% lesion down to 0, maintaining TIMI 3 flow pre and post. No immediate complications were noted. Angio-seal was deployed in the right femoral artery after confirming mid position with the right femoral artery angiography. The patient will be maintained on Aspirin and Plavix.
Any help will be appreciated!
Need some direction!
Procedure:
1: Aortogram
2: Celiac Artery Angio
3: SMA Selective Angio
4: Successful PTA and stent to Ostial SMA
The patient was prepped according to protocol. Access was obtained from the right femoral artery. A 6-french sheath was advanced over safety guidewire, and a pigtail catheter was advanced. Angiography of the aorta was done with hand injection and digital subtraction imaging, then subsequently we used a LIMA catheter that was used to engage with the celiac, superior mesenteric and the left renal artery, respectively, and selective angiography was performed in different angulations, Then, subsequently we used a LIMA guiding catheter, 55cm length, and to engage with the origin of the superior mesenteric artery, and a 50-mm gradient was noted across the ostial lesion. Then, subseuentlyh we used a 3.5 balloon to predilate the lesion, and due to suboptimal result, decided to proceded with the stent. A 5.0x21 paramount mini GPS stent was deployed at 10 atmospheres and then postdilated into ostial segment in the aorta with an excellent result, abolishing an ostial 90% lesion down to 0, maintaining TIMI 3 flow pre and post. No immediate complications were noted. Angio-seal was deployed in the right femoral artery after confirming mid position with the right femoral artery angiography. The patient will be maintained on Aspirin and Plavix.
Any help will be appreciated!