Would this be 37221-LT and 37221-RT? Thanks in advance for the help!

PROCEDURE:

Bilateral common iliac stent, bilateral selective angiogram.

COMPLICATIONS:

None.

ESTIMATED BLOOD LOSS:

Less than 5 mL.

INDICATION FOR PROCEDURE:

Lifestyle limiting claudication, recurrent stenting.

DESCRIPTION OF PROCEDURE:

After informed consent, discussion of risks and benefits, a 5-French

sheath was placed in the right common femoral artery under ultrasound

guidance. Angiography was performed using a Contra catheter. The patient

has had 2 bare metal stents in the right common iliac and there are

2 areas of stenosis inside the stent of 90% in both in the proximal

edge and the distal edge. The patient was anticoagulated to a therapeutic

ACT. A 7-French sheath was placed. The artery was stented with a 8.0

x 58 atrium covered stent at 12 atmospheres of pressure to reach a size

of 8.5 with good apposition. We then took selective angiography of

the left. There was a significant lesion in the common femoral, but

there was no gradient across it. On pullback, there was a 60 mm gradient

in the common iliac, selective angiography confirmed 80 to 90% stenosis.

Of note, right internal iliac is totally occluded and is supplied through

sacral artery. The left internal iliac was patent. We decided to do

a non-covered stent. The artery was stented with a cobalt 8.0 x 27

stent at 10 atmospheres of pressure. The stent was post dilated proximally

by a 9.0 __________ x 15. We did lose the internal iliac on the left.

I am hoping that

this collateralizes through that same sacral collateral. The patient

was counseled on symptoms. Further recommendations to follow clinical

course.