Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial
CPT4 code
Name of the Procedure:
Anesthesia for Therapeutic Interventional Radiological Procedures involving the Venous/Lymphatic System (intracranial)
Summary
This procedure involves administering anesthesia to a patient who is undergoing a therapeutic interventional radiological treatment aimed at addressing issues in the venous or lymphatic system within the brain. Anesthesia ensures the patient remains comfortable and free from pain during these specialized and delicate operations.
Purpose
The procedure addresses various medical conditions affecting the venous or lymphatic systems in the brain, such as blood vessel abnormalities or lymphatic blockages. The goal is to alleviate symptoms, improve blood flow or lymphatic drainage, and prevent complications such as blood clots or swelling.
Indications
- Intracranial venous malformations
- Lymphatic disorders within the brain
- Conditions leading to inadequate blood flow or lymphatic drainage in the brain
- Symptoms like severe headaches, swelling, or neurological deficits related to venous or lymphatic issues
Preparation
- Fasting for at least 6-8 hours before the procedure
- Adjusting or stopping certain medications as advised by the healthcare team
- Pre-procedure diagnostic tests such as MRI, CT scans, or blood work
Procedure Description
- Initial Assessment: Patient is assessed to ensure they are fit for anesthesia.
- Anesthesia Administration: An anesthesiologist administers general anesthesia via an IV line.
- Monitoring: Vital signs (heart rate, blood pressure, oxygen levels) are continuously monitored.
- Radiological Procedure: The interventional radiologist performs the therapeutic procedure using specialized imaging equipment to guide the treatment.
- Completion: Once the procedure is finished, the patient is gradually awakened from anesthesia under careful monitoring.
Duration
The duration varies depending on the complexity of the radiological procedure but typically ranges from 1 to 4 hours.
Setting
The procedure is usually performed in a hospital's interventional radiology suite.
Personnel
- Anesthesiologist
- Interventional Radiologist
- Radiologic Technologists
- Nurses
Risks and Complications
- Common Risks: Nausea, vomiting, dizziness, sore throat (from the breathing tube)
- Rare Risks: Allergic reactions, blood clots, infection, stroke, or complications related to anesthesia such as respiratory or cardiovascular issues.
Benefits
- Reduced pain and discomfort during the procedure
- Improved surgical outcomes due to the patient's immobility
- Enhanced precision in the therapeutic intervention
Recovery
- Initial recovery in a post-anesthesia care unit (PACU) for monitoring until fully awake
- Possible observation in a hospital room for a day or two
- Instructions on activity restrictions, medication, and any follow-up appointments
Alternatives
- Local anesthesia or conscious sedation for less invasive procedures
- Non-interventional treatments depending on the condition, such as medication or physical therapy
Patient Experience
During the procedure, the patient will be under general anesthesia and will not feel any pain or discomfort. After waking up, some disorientation or grogginess is common. Pain management strategies will be employed to ensure comfort during the recovery period.