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Transverse Sinus Stenosis Stent Placement

Date: Jul 25, 2013

Question:

How would I code the following stent placement?

A 5 French terminal angled glide catheter was advanced over a Glidewire through the right femoral sheath into the right internal jugular vein. Right internal jugular venogram was performed. This confirms the placement within the normal-appearing jugular vein. The 5 French angled glide catheter was then advanced through the femoral arterial sheath into the right internal carotid artery. Cerebral angiogram was not performed. This shows a normal appearance of the internal carotid artery as well as the anterior and middle cerebral arteries. The parenchymal phase is normal. The venous phase is normal aside from the severe stenosis of the right transverse sinus. The microcatheter was exchanged over an exchange length Synchro 2 microwire. A Precise stent 9 mm x 30 mm was advanced over the wire into the internal jugular vein. By advancing the guide catheter into the sigmoid and transverse emesis, the stent was delivered across the stenosis and deployed.

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