Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial
CPT4 code
Name of the Procedure:
Therapeutic, Prophylactic, or Diagnostic Injection (Intra-Arterial)
Summary
This procedure involves administering a drug or substance directly into an artery through an injection. It can serve diagnostic purposes, provide therapy, or prevent medical conditions.
Purpose
The intra-arterial injection is used to diagnose conditions, deliver certain treatments directly to affected areas, or prevent complications in at-risk patients. It ensures high concentrations of the medication reach specific tissues quickly and efficiently.
Indications
- Conditions requiring targeted medication delivery, such as cancer.
- Situations needing rapid diagnostic imaging enhancement.
- Prophylactic measures to prevent complications in high-risk patients.
Preparation
- Patients may need to fast for a specified period before the procedure.
- Medications might need adjustment according to healthcare provider instructions.
- Diagnostic tests such as blood work or imaging studies may be required.
Procedure Description
- The patient is positioned and the injection site is sterilized.
- Local anesthesia is administered to numb the site.
- A needle or catheter is inserted into an artery, often guided by imaging technology.
- The specified drug or substance is injected directly into the arterial bloodstream.
- The needle or catheter is then carefully removed, and pressure is applied to prevent bleeding.
Duration
The procedure typically takes 30 minutes to an hour, depending on the complexity and purpose.
Setting
Usually performed in a hospital or outpatient clinic with suitable facilities for image-guided interventions.
Personnel
- An interventional radiologist or specialized physician to perform the injection.
- Nurses to assist and monitor the patient.
- An anesthesiologist if sedation or anesthesia is required.
Risks and Complications
- Bleeding or bruising at the injection site.
- Infection.
- Arterial damage.
- Allergic reaction to the injected substance.
- Rarely, unintended drug effects on non-target tissues.
Benefits
- Direct delivery of medication for faster and more effective outcomes.
- Improved accuracy in diagnostics.
- Increased control in preventing or treating medical conditions.
Recovery
- Monitoring for a few hours post-procedure for any immediate complications.
- Instructions to avoid vigorous activity for 24-48 hours.
- Follow-up appointments to assess the effectiveness and address any issues.
Alternatives
- Oral or intravenous drug administration.
- Non-invasive imaging techniques for diagnostic purposes.
- Each alternative varies in invasiveness, efficacy, and target specificity compared to intra-arterial injection.
Patient Experience
- Mild discomfort or pressure during the injection process.
- Possible soreness at the injection site post-procedure.
- Pain relief and sedation options are available to ensure patient comfort.