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Left ventricular Thrombolysis

Date: Feb 24, 2021

Question:

"Next, given the patient's cardiogenic shock as well as her anemia, blood transfusions were continued and given the patient's cardiogenic shock again suspected secondary to the patient's HVAD thrombosis, we performed a retrograde left heart catheterization after exchanging for a J wire and inserted a 6 French pigtail catheter in the left ventricle. Then 2 mg of tPA were given directly through the pigtail catheter followed by 1 mg per hour for continued catheter-directed thrombolytics. After this the patient's sheaths were sewn in place. Access was obtained in the left femoral artery to allow for continued pressor infusion done using ultrasound and micropuncture technique. The sheath was additionally sewn in place." Since the thrombolysis was performed in the left ventricle, would this be reported with unlisted code 33999?

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