Ask Dr. Z

Due to the fact that it was obvious that the distal aorta had to be dilated an angiogram was first obtained with the finding of the renal arteries to be higher than the area to be treated and therefore, the wires were placed on both sides. Next we dilated the area of the distal abdominal aorta to be able to place the stent there, which was an 11 mm across and 39 mm long. The wires were still both inside that stent and therefore, both of them were to be used to place the stents into each of the iliacs on each side, and both had to be simultaneously inflated. Once the stents were placed on both sides in the form of kissing stents, the patient had an angiogram done, which showed no obvious extravasation. the 8-French sheaths were used on both sides to make sure that upon injection of the sideports, the internal iliacs were not involved. Given the fact that the angiogram was acceptable, the patient had Perclose devices placed . Considerations: 37221-50, 37236 (stenosis bridging?) vs. 34701 or 34703, 37221-50 treatment of dissection or stenosis?