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Vasospasm infusion in bilateral vertebral arteries

Date: Sep 5, 2019

Question:

I have a question from one of my NIR physicians regarding vasospasm treatment in both vertebral arteries: "I've read about the 3 territories for vasospasm infusions, but in reality there are 4. If there is vasospasm of both vertebral arteries proximal to the point where they merge to form the basilar, infusion of verapamil into one of them won't treat the other. Since I performed therapeutic infusion over 10 minutes each into bilateral vertebral arteries could we justify 61651 as well?"

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