indirakumaris
Contributor
Hi
Please help out to select the codes for this report.
DIGITAL SUBTRACTION CEREBRAL ANGIOGRAM
- Selective catheter placement right internal carotid arteryy
- Cerebral Angiogram right internal carotid artery
- 3D rotational angiogram via right internal carotid artery
(14:11) Nithya Priya: TECHNIQUE:
DIAGNOSTIC ANGIOGRAM
Patient was prepped and draped in usual sterile fashion. The
left femoral pulse was palpated. 10 ml of 2% lidocaine was used
locally. A 19-gauge single wall puncture needle was used to access
the femoral artery. A 0.035" Bentson wire was inserted into the
needle and advanced under fluoroscopic guidance into the left
femoral artery. The needle was removed and a 5Fr sheath advanced
over the wire into the left femoral artery. The sheath was attached
to the skin with a tegaderm and attached to a standard flush
solution.
Utilizing a 5 French Berenstein catheter over a glide wire, the
right common carotid artery was selected. Under high magnification
and road map visualization the catheter was navigated into the
right internal carotid artery. A small hand injection of contrast
revealed the catheter to be in excellent position with good flow
in the artery. A cerebral angiogram was then performed in PA,
Lateral, and oblique projections.
A 3D rotational angiogram was performed via the right internal
carotid artery and reconstructed on a separate workstation.
Following the diagnostic angiogram the catheter was withdrawn
and the right iliac artery was selected and digital subtraction
angiogram was performed.
A femoral angiogram revealed the sheath to be at least 1cm from
the femoral bifurcation and within a vessels of appropriate size
for use on the Angioseal closure device. Hemostasis was achieved
by 6 French AngioSeal.
Patient tolerated the procedure well without immediate complication..
Thanks
Indira
Please help out to select the codes for this report.
DIGITAL SUBTRACTION CEREBRAL ANGIOGRAM
- Selective catheter placement right internal carotid arteryy
- Cerebral Angiogram right internal carotid artery
- 3D rotational angiogram via right internal carotid artery
(14:11) Nithya Priya: TECHNIQUE:
DIAGNOSTIC ANGIOGRAM
Patient was prepped and draped in usual sterile fashion. The
left femoral pulse was palpated. 10 ml of 2% lidocaine was used
locally. A 19-gauge single wall puncture needle was used to access
the femoral artery. A 0.035" Bentson wire was inserted into the
needle and advanced under fluoroscopic guidance into the left
femoral artery. The needle was removed and a 5Fr sheath advanced
over the wire into the left femoral artery. The sheath was attached
to the skin with a tegaderm and attached to a standard flush
solution.
Utilizing a 5 French Berenstein catheter over a glide wire, the
right common carotid artery was selected. Under high magnification
and road map visualization the catheter was navigated into the
right internal carotid artery. A small hand injection of contrast
revealed the catheter to be in excellent position with good flow
in the artery. A cerebral angiogram was then performed in PA,
Lateral, and oblique projections.
A 3D rotational angiogram was performed via the right internal
carotid artery and reconstructed on a separate workstation.
Following the diagnostic angiogram the catheter was withdrawn
and the right iliac artery was selected and digital subtraction
angiogram was performed.
A femoral angiogram revealed the sheath to be at least 1cm from
the femoral bifurcation and within a vessels of appropriate size
for use on the Angioseal closure device. Hemostasis was achieved
by 6 French AngioSeal.
Patient tolerated the procedure well without immediate complication..
Thanks
Indira