Please note this question was answered in 2023. The coding advice may or may not be outdated.
Selective vs Non Selective pulmonary artery angio
Question:
Would this be a non selective PA angio from the RV or a bilateral selective PA angio due to this additional note? RV: Antegrade RV angiogram shows normal systolic function with mild to moderate
TR. The RV-PA PECA conduit is widely patent. There is to an fro flow across the
valveless conduit. Well-developed, dilated bilateral pulmonary arteries are present. The
RPA measures 20 mm and the LPA measures 23 mm. Levophase demonstrates
unobstructed bilateral pulmonary venous return to the left atrium. No discernible atrial
level shunting is present.***Due to her anatomy and atrial baffling, the RV was difficult to enter using the
conventional wedge catheter. A 5Fr AR1 over an exchange length glide wire was used
to enter the RV then pulmonary arteries. The AR1 catheter was exchanged over the
glide wire for a 0.035 Quick Cross catheter. An 0.035 Amplatz ES wire was used to
exchange for pressure measurement with a glide catheter and 5Fr pigtail for angiogram.
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