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37241 & 36012 or 36005? left leg/thigh venous malformation examined with US. suitable access site for needle
placement was id'd and skin marked. Left leg prep/draped from upper
thigh to ankle. Using US guidance access into
multiple hypoechoic venous structures with a 21 gauge needle was performed along lateral distal thigh & proximal leg. Initially blood return was noted and contrast was injected- demonstrated small and large outflow veins,
type 2 drainage.
Therefore, balloon occlusion technique via percu
retrograde access into the large abnormal outflow vein seen draining into the popliteal vein was performed after placement of
a 5F Vascular sheath via 0.018" Nitrex and micropuncture sheath.
Over a 0.035" wire, a 6 mm x 40 mm Mustang balloon was advanced
through vascular sheath and positioned just proximal to the inflow to popliteal vein. The balloon was inflated. After confirming adequate outflow occlusion w/contrast injxn,30% glue solution.,US guid. used to access distal point in lateral mid leg (site 1)-glue injxn...vasc.sheath wire removed-3 addt'l sites treated.
placement was id'd and skin marked. Left leg prep/draped from upper
thigh to ankle. Using US guidance access into
multiple hypoechoic venous structures with a 21 gauge needle was performed along lateral distal thigh & proximal leg. Initially blood return was noted and contrast was injected- demonstrated small and large outflow veins,
type 2 drainage.
Therefore, balloon occlusion technique via percu
retrograde access into the large abnormal outflow vein seen draining into the popliteal vein was performed after placement of
a 5F Vascular sheath via 0.018" Nitrex and micropuncture sheath.
Over a 0.035" wire, a 6 mm x 40 mm Mustang balloon was advanced
through vascular sheath and positioned just proximal to the inflow to popliteal vein. The balloon was inflated. After confirming adequate outflow occlusion w/contrast injxn,30% glue solution.,US guid. used to access distal point in lateral mid leg (site 1)-glue injxn...vasc.sheath wire removed-3 addt'l sites treated.