bevann0402@bellsouth.net
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I am slowing getting there with these procedures, but am still having a little trouble. need you guys help!! Please and Thanks!! I don't know why I am having such a hard time grasping this, I do all right when it is part of any procedure!! go figure.
Distal Aortogram with bilateral runoff;
Selective angiography of left common femoral artery
selective angiography of left superficial femoral artery
selective angiography of right common femoral artery
The patient underwent 6 french sheath placement in the right common femoral artery with a mild amount of difficulty. We took a Wholey wire over a pigtail catheter placement to the distal aorta and distal aortagram with bilateral lower extremity runoff was performed.
right common iliac artery was widely patent
right external iliac artery was widely patent
right internal iliac artery was widely patent
right common femoral artery was widely patent
left common iliac artery had 30% proximal stenosis
left external iliac artery was widely patent
left internal iliac artery was widely patent
left common femoral artery was widely patent
We took an IMA catheter and the Wholey wire and we went down into the bifurcation. WE were able to take the IMA catheter down into the left common femoral artery for angiography, as well as left superficial femoral artery to complete the angiography. The completion of lower extremity angiography demonstrated. The left superficial femoral artery was widely patent. Left profundus femoral artery widely patent. Left popliteal trunk intact and patent. The left posterior tibial artery has in-line flow to the foot. The left peroneal artery has a functioning occluded proximally at the left anterior tibial artery 100% proximal occlusion with short CPO noted.
The catheter and wire were removed from the body, and next angiography was performed to the right lower extremity via the right common femoral artery. the right common femoral artery selective angiography demonstrating widely patent vessel. runoff to the right superficial femoral artery shows that it was widely patent.
right popliteal trunk was patent and intact. next, the right anterior tibial artery short CTO occlusion, right peroneal artery functionally occluded in the mid portion.
next right posterior tibial artery functionally occluded proximally.
recommendation here would be walking therapy for the left lower extremity. patient needs recascularization to the right lower extremity.. ther was no in-line flow here by any of the infrapopliteal vessels.
I am not sure if my aortagram will be 75625, 75716?? My others codes will I need a 36246 or use the 75774 X ??
My mind is shot this afternoon. Taking it home to work in the peace and quiet!!
Thanks again,
Beverly, CPC, CIMA
Distal Aortogram with bilateral runoff;
Selective angiography of left common femoral artery
selective angiography of left superficial femoral artery
selective angiography of right common femoral artery
The patient underwent 6 french sheath placement in the right common femoral artery with a mild amount of difficulty. We took a Wholey wire over a pigtail catheter placement to the distal aorta and distal aortagram with bilateral lower extremity runoff was performed.
right common iliac artery was widely patent
right external iliac artery was widely patent
right internal iliac artery was widely patent
right common femoral artery was widely patent
left common iliac artery had 30% proximal stenosis
left external iliac artery was widely patent
left internal iliac artery was widely patent
left common femoral artery was widely patent
We took an IMA catheter and the Wholey wire and we went down into the bifurcation. WE were able to take the IMA catheter down into the left common femoral artery for angiography, as well as left superficial femoral artery to complete the angiography. The completion of lower extremity angiography demonstrated. The left superficial femoral artery was widely patent. Left profundus femoral artery widely patent. Left popliteal trunk intact and patent. The left posterior tibial artery has in-line flow to the foot. The left peroneal artery has a functioning occluded proximally at the left anterior tibial artery 100% proximal occlusion with short CPO noted.
The catheter and wire were removed from the body, and next angiography was performed to the right lower extremity via the right common femoral artery. the right common femoral artery selective angiography demonstrating widely patent vessel. runoff to the right superficial femoral artery shows that it was widely patent.
right popliteal trunk was patent and intact. next, the right anterior tibial artery short CTO occlusion, right peroneal artery functionally occluded in the mid portion.
next right posterior tibial artery functionally occluded proximally.
recommendation here would be walking therapy for the left lower extremity. patient needs recascularization to the right lower extremity.. ther was no in-line flow here by any of the infrapopliteal vessels.
I am not sure if my aortagram will be 75625, 75716?? My others codes will I need a 36246 or use the 75774 X ??
My mind is shot this afternoon. Taking it home to work in the peace and quiet!!
Thanks again,
Beverly, CPC, CIMA