Janice Posted Fri 15th of December, 2017 12:00:48 PM
The patient was brought to the cath lab after informed consent was obtained. The patient was prepped and draped in a sterile fashion. 2% lidocaine was infiltrated into the right groin for anesthesia. Right femoral arterial access was obtained using a modified Seldinger technique and a 6 French sheath was introduced into the right femoral artery. A 6 French JL4 preformed catheter was taken up over a J-wire however upon crossing the arch had difficulty in traversing with the wire. Due to this the wire was removed and the catheter was in the descending aorta injection was made through it with no discernible flap. We attempt was made to cross the arch with the wire however again was unable to do and decision was made to abort the procedure and proceed with a stat CT of the chest to rule out a dissection especially in the setting of bicuspid aortic valve with a dilated aorta. Sheath was removed with manual pressure was held with syvek with good hemostasis
SuperCoder Answered Mon 18th of December, 2017 05:47:33 AM
Modifier 53 (Discontinued procedure) will be appended to the above mentioned procedure.