{"id":11666,"date":"2021-03-24T03:46:59","date_gmt":"2021-03-24T03:46:59","guid":{"rendered":"http:\/\/lavascular.com\/?p=11666"},"modified":"2021-03-24T03:46:59","modified_gmt":"2021-03-24T03:46:59","slug":"follow-up-pulmonary-artery-thrombolysis-and-removal-of-infusion-catheter-technique-and-dictation","status":"publish","type":"post","link":"https:\/\/lavascular.com\/follow-up-pulmonary-artery-thrombolysis-and-removal-of-infusion-catheter-technique-and-dictation\/","title":{"rendered":"Follow up pulmonary artery thrombolysis and removal of infusion catheter Technique and Dictation"},"content":{"rendered":"
PROCEDURE:\u00a0<\/span><\/p>\n DATE OF PROCEDURE:\u00a0<\/span><\/p>\n CLINICAL HISTORY:\u00a0 ___-year-old male with recent travel presenting with submassive pulmonary embolus status post catheter directed thrombolysis returning for follow-up evaluation.<\/span><\/p>\n OPERATOR:\u00a0<\/span><\/p>\n Dr. ___ (Faculty)<\/span><\/p>\n Dr. ____ (Fellow)<\/span><\/p>\n MEDICATIONS:\u00a0 Ativan 1 mg.<\/span><\/p>\n CONTRAST:\u00a0 60 ml of Isovue 350<\/span><\/p>\n ACCESS SITE:\u00a0 Existing right-sided internal jugular vein sheaths.<\/span><\/p>\n <\/p>\n TECHNIQUE:<\/span><\/p>\n The risks, benefits, and alternatives to the procedure and sedation were explained to the patient, and written informed consent obtained.<\/span><\/p>\n The patient was placed in supine position on the angiography table and the right neck and pre-existing catheters were prepped and draped in sterile fashion. The right pulmonary artery UniFuse catheter was removed and a 5 French pigtail catheter was advanced over the wire through the sheath and positioned in the main pulmonary artery. The left pulmonary artery UniFuse catheter was also removed over a guidewire. Pulmonary angiography was performed in AP projection using non-ionic contrast. The pigtail catheter was then repositioned over a Rosen guidewire into the main right pulmonary artery and pulmonary angiography was performed in the AP projection.<\/span><\/p>\n The pigtail catheter was pulled back and again repositioned over a Rosen guidewire into the main left pulmonary artery and pulmonary angiography was again performed.<\/span><\/p>\n The pigtail catheter and left UniFuse catheter were then removed, followed by the sheaths and hemostasis was achieved at both access sites utilizing pursestring 2-0 Ethilon sutures.<\/span><\/p>\n The procedure was well-tolerated, and the patient discharged in stable condition.<\/span><\/p>\n <\/p>\n FINDINGS: Comparison is made with chest CT from ______.<\/span><\/p>\n <\/p>\n IMPRESSION:\u00a0 Technically successful bilateral pulmonary artery catheter directed thrombolysis for pulmonary emboli with improved perfusion of both lungs.<\/span><\/p>\n <\/p>\n The patient will be scheduled in Dr. _____ clinic in approximately 3 months for discussion of filter removal.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":" PROCEDURE:\u00a0 Main pulmonary artery angiogram. Right pulmonary artery angiogram. Left pulmonary artery angiogram. Removal of bilateral pulmonary artery infusion catheters DATE OF PROCEDURE:\u00a0 CLINICAL HISTORY:\u00a0 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\n\n
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