Ask Dr. Z

I have an MD who is questioning whether we can charge a limited extremity angio to evaluate for patency in the vessel after access to evaluate for dissection or pseudoaneurysm caused by the access. It is also used to evaluate for closure device. I realize that imaging done to evaluate if the vessel is appropriate for the closure device is included, but am wondering if this encompasses more. Below is a typical note in the rad report.

"A limited right common femoral angiogram was performed to evaluate the vessel diameter and puncture site. This demonstrated normal anatomy without evidence for vessel injury or spasm. Good flow was seen in the common femoral and superficial femoral arteries. The introducer sheath was removed, and hemostasis was achieved with Angio-Seal."