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Wire Removal

Date: Aug 13, 2014

Question:

I still need help coding the following two-day procedure. "PROCEDURE DETAIL: Nephroureteral stent was injected, outlining the renal pelvis. Scout films demonstrated calcification in the proximal ureter. An exchange length Amplatz wire was passed down along the tube and into the bladder. The nephroureteral stent was removed over the wire. The wire was then secured to the skin. FINDINGS: Renal stone in the left ureter. Removal of the ureteral stent with wire placed into the bladder. IMPRESSION: Successful removal of left nephroureteral stent over a wire, with the wire left down into the bladder for laser lithotripsy. The following day after patient had laser lithotripsy and insertion of double-J ureteral stent by surgeon. PROCEDURE DETAIL: Using fluoroscopic guidance the Amplatz wire was removed using continuous visualization of the double-J tube to ensure no movement. FINDINGS: No significant movement of the double-J stent upon removal of the Amplatz wire. IMPRESSION: Successful removal of Amplatz wire without disruption of the double-J stent."

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