Percutaneous Galen Malformation repair

[ErnaV_2250]

Good day,
The doctor information provided: Galen Malformation.

Peri-operative info: Cerebral digital subtraction angiogram right side coil of Galen malformation. 2 x coils placed endovascularly via the left internal carotid. Flow decreased in those feeder vessels but malformation still large and receiving flow via posterior circulation.
Perfusion to rest of left hemisphere now appears better. Will need further procedures in due course.

We considered:
61624 Transcatheter permanent occlusion or embolization (e.g., for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord)

Does Stent include Coils ?


Regards
Erna

 

[Alicia]

Yes, a stent is a coil.

Carotid angioplasty is often combined with another procedure called stenting. Stenting involves placing a small metal coil (stent) in the clogged artery. The stent helps prop the artery open and decreases the chance of it narrowing again. Carotid angioplasty and stenting may be used when traditional carotid surgery (carotid endarterectomy) isn't possible, or it's too risky. (MayoClinic)
Coronary Therapeutic Services and Procedures
92928 PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH
92929 PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH
92937 PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL
92938 PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL
92941 PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL
92943 PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL
92944 PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL