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Renal Angiography

Date: Jan 19, 2016

Question:

"Right common femoral artery was accessed utilizing micropuncture technique. A Bentson wire was advanced into the abdominal aorta, over which a 5-French vascular sheath was placed. A 5-French Contra 2 catheter was then used to select the right renal artery and digital subtraction angiography was performed in the PA and RAO projections. The catheter was repositioned into the left renal artery and digital subtraction angiography was performed in the PA and LAO projections. Decision to intervene was made based of these images. The vascular sheath was exchanged for a new 6-French sheath. A 6-French guiding catheter was then advanced into the proximal renal artery. A 0.018 inch McNamara wire was advanced into the upper pole artery of the kidney, and a 0.016 inch fathom wire was advanced into the lower pole. Angioplasty of the proximal aspect of the upper pole renal artery was then performed utilizing a 5 mm x 2 cm balloon. The balloon was deflated and post angiography angiogram was obtained." Unilateral or bilateral renal angiogram? Which is correct: 36254 OR 36251-RT, 36253-LT with 35471/75966?

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