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RHC prior to insertion of Impella VAD

Date: Jul 31, 2020

Question:

The patient came in for a staged complicated procedure of the LAD and LC. The physician states, "Given the patient's LV dysfunction and cardiomyopathy, we elected to put in an Impella device." A right heart cath was done. RH hemodynamics: RA pressure was 7, RV was 36/5 with a PA of 36/10, and a wedge of 11. Mix venous sat was 74%. Should there be an additional charge for the RHC, or is this procedure a standard of care prior to an insertion of a VAD except during an emergency?

Question ID : 14265
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