Introduction of needle or intracatheter, aortic, translumbar
CPT4 code
Name of the Procedure:
Introduction of Needle or Intracatheter, Aortic, Translumbar
Summary
This procedure involves the insertion of a needle or catheter into the aorta via a puncture in the lumbar region of the back. It is used for diagnostic or therapeutic purposes, such as administering medication or obtaining blood samples from the aorta.
Purpose
The procedure is used to address conditions requiring direct access to the aorta, such as in the administration of contrast material for imaging or in some cases of vascular intervention. The goal is to provide accurate diagnostics or effective treatment.
Indications
- Major blood vessel diseases (e.g., aortic aneurysms)
- Need for precise cardiovascular imaging
- Vascular access for administration of specific treatments
- Diagnosing conditions affecting blood flow or pressure in the aorta
Preparation
- Fasting for at least 6-8 hours before the procedure
- Adjustments in certain medications as instructed by the healthcare provider
- Pre-procedure imaging tests such as ultrasound or CT scans to plan the needle entry site
Procedure Description
- The patient lies face down on the procedure table.
- Local anesthetic is injected to numb the lumbar area.
- Using imaging guidance (e.g., fluoroscopy), a needle or catheter is carefully inserted through the back into the aorta.
- Depending on the purpose, the needle or catheter may be used to inject contrast material, draw blood samples, or administer medication.
- Once the procedure is complete, the needle or catheter is removed, and a bandage is applied to the insertion site.
Duration
The procedure typically takes 30-60 minutes.
Setting
The procedure is usually performed in a hospital's radiology department or an outpatient surgical center.
Personnel
- Interventional radiologist or vascular surgeon
- Radiology technologists
- Nurses
- Anesthesiologist (if deeper sedation is needed)
Risks and Complications
- Infection at the puncture site
- Bleeding or hematoma formation
- Injury to surrounding structures
- Rarely, adverse reactions to contrast material
- Blood vessel damage or thrombosis
Benefits
- Accurate diagnosis of aortic and vascular conditions
- Effective treatment delivery directly to the aorta
- Minimally invasive with quick recovery
Recovery
- Patients usually rest for a few hours under observation
- Instructions on keeping the puncture site clean and dry
- Limited physical activity for a day or two
- Follow-up appointment with the treating physician for results and further plan
Alternatives
- Non-invasive imaging techniques (e.g., MRI, CT scan) for diagnostic purposes
- Endovascular procedures using other entry points (e.g., femoral artery)
- Pros: Less invasive options may carry fewer risks of complications
- Cons: Less direct access might result in less precise diagnostics or therapeutic outcomes
Patient Experience
- Some pressure or mild discomfort during the needle insertion
- Post-procedure pain at the puncture site, manageable with pain medication
- Slight bruising or swelling may occur but typically resolves within a few days
This Markdown text provides a comprehensive description of the procedure, suitable for patient education materials or detailed procedure manuals.