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ASD Closure-Device removed after AV block

Date: Aug 16, 2018

Question:

Would this be 93580-74, 93580 or cath only? "A prograde right and left heart catheterization was performed with a 6 French GL. The GL was advanced across the atrial septum to the LUPV and exchanged over a wire for a 20 mm ASD sizing balloon, which was advanced over the wire and across the ASD to straddle the atrial septum. The balloon was inflated during real-time TEE color Doppler, and the stopflow diameter of the ASD was found. This was found to be 12 mm by TEE and 13.4 mm by fluoroscopy. The balloon was deflated and removed. A 30 mm Gore/Cardioform was selected, prepped, flushed, and loaded. The device/delivery catheter were advanced via the RFV to the RA and across the ASD to the LA. The LA disc was deployed and pulled to the atrial septum, and the RA disc was deployed. Device position was assessed by fluoroscopy, TEE, and gentle push-pull. The mandril was popped deploying the RA locking loop. The patient went into 2:1 AV block with a heart rate of 70 and a normal blood pressure. The device was recaptured with the retention suture and removed."

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