![]() ![]() There is another 90% lesion in the distal 1/3 of this vessel. The posterior descending branch is identified and this is 80% narrowed at its ostium. The rest of this vessel also appears to be diffusely diseased. There is a long segment of severe subtotal disease extending from the proximal portion to almost the mid third. RIGHT CORONARY ARTERY: This is a dominant vessel. The catheters were then withdrawn, the sheath was removed and VasoSeal applied, and the patient was sent to her room in good condition without complications. A ventriculogram was done in the RAO projection with the use of a 6-French pigtail catheter. The left and right coronary arteries were selectively opacified in the LAO and RAO projections using manual injections of Optiray. A local anesthetic was used and sublingual nitroglycerin was given no heparin was used. Seldinger technique was used and a 6-French sheath was placed in the right femoral artery. The right groin was prepped and draped in the usual fashion. Left heart catheterization with coronary angiography and left ventriculogram. Both these vessels appear relatively unremarkable with no stenosis or fibromuscular dysplasia seen either.ĬPT Code: (Surgery Code) _ Left renal artery-there are two renal arteries, the upper pole renal artery rising in the normal location and the lower pole renal artery considerably lower. The distal nephrogram appears unremarkable. Results: Right renal artery-there is a single right renal artery with a minimal irregularity along the wall, but no evidence of significant fibromuscular dysplasia or stenosis is noted. The patient was sent to her room in good condition without complications after renal angiograms had been done, the sheath had been removed, and hemostasis had been secured. Next a 5-French Cobra catheter was introduced, and both the left renal artery and the right renal artery were selectively opacified. After placement of the 6-French sheath, a pigtail catheter was introduced and an aortogram was done in the AP projection using 20 cc of dye. The patient had a BP of over 200 systolic. The right femoral artery was entered by Seldinger technique, and a 6-French sheath was placed. Selective catheterization of both renal arteries.
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