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Renal Embolization of Transplant Kidney

Date: Dec 31, 2014

Question:

Can you help me code this (selective renal transplant arteriogram with embolization). Report excerpt: "Micropuncture was performed of the right common femoral. A 0.018 wire was inserted, followed by placement of 5 French micropuncture set and subsequently a 5 French sheath. A 5 French Kumpe catheter was then advanced into the iliac artery, and injection was performed in the right external iliac artery, opacifying the feeding vessel to the transplant kidney. This was then superselected with a Kumpe catheter and formal arteriogram performed, showing evidence of renal cortical thinning. There is normal arterial blood flow. A 3 French microcatheter was then advanced selectively into the distal vascular bed of the transplant kidney. n-Butyl Cyanoacrylate (1 mL mixed with 4 mL of ethiodol) was then subsequently injected under fluoroscopic control, withdrawing the catheter and filling the entire vascular bed of the transplant kidney. The microcatheter was then subsequently removed. A follow-up injection was then performed with a Kumpe catheter in the right external iliac artery, showing complete occlusion of the transplant renal artery and no evidence of residual arterial flow."

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