Nov 3rd, 2015 - JBTOOLEY0723 3
I selected the codes below for the Op Note that follows. Can someone please read this and tell me if you agree?
Pre-procedure Diagnosis: Acute right lower extremity ischemia with ultrasound evidence of popliteal artery occlusion Post-procedure Diagnosis: same as pre-op diagnosis
1. Exposure of infrageniculate popliteal artery
2. Forgarty thrombectomy of popliteal artery
3. Fogarty thrombectomy of posterior tibial artery
4. Fogarty thrombectomy of peroneal artery
5. Angiogram of tibial arteries
6. Bovine patch angioplasty of popliteal artery
Operative Narrative: The right lower extremity was prepped and draped and an incision was made below the right knee to expose the popliteal artery. Vessel loops were placed proximally and distally and 3000 units of heparin was given prior to the arteriotomy. Thrombus was visualized and it was extracted with a right angle then fogarty catheter was passed proximally until pulsatile flow was restored then distally down the tibial arteries until back bleeding occured. An angiogram was then performed confirming flow to the foot via the peroneal and posterior tibial arteries. The anterior tibial artery is likely chronically occluded. A bovine patch was used to patch the popliteal artery. A #19 Round Blake drain was placed through a separate stab incision. The incision was closed with layered -0 Vicryl and skin staples.