Name of the Procedure:

Catheter, balloon tissue dissector, non-vascular (insertable) (C1727)

Common Name(s):

Balloon Tissue Dissection Catheter, Non-Vascular Balloon Catheter

Summary

This procedure involves inserting a specialized balloon catheter that gently separates tissue. The catheter is designed for non-vascular applications, meaning it is used in areas of the body outside the blood vessels.

Purpose

The primary purpose is to create a safe and controlled separation of tissues during various medical procedures. This can be necessary for creating space or access within the body, especially in complex surgical environments.

Indications

• Patients requiring tissue dissection in non-vascular regions.
• Conditions where traditional methods of tissue separation may pose higher risks.
• Situations where precision is crucial to avoid damaging surrounding tissues.

Preparation

• Fasting for several hours before the procedure may be required.
• Adjustments or temporary discontinuation of certain medications as advised by the physician.
• Diagnostic tests such as imaging studies to guide the procedure.

Procedure Description

1. Initial Preparation: The patient is prepped and draped in a sterile manner.
2. Anesthesia: Local or general anesthesia might be given depending on the extent of the procedure and patient needs.
3. Insertion: A small incision is made, and the balloon catheter is carefully inserted into the target tissue area.
4. Inflation: The balloon is gradually inflated to gently separate the tissues as needed.
5. Completion: Once tissue separation is achieved, the balloon is deflated and the catheter is removed.
6. Closure: The incision is closed using sutures or surgical glue.

Tools/Equipment: Balloon catheter, imaging tools (e.g., ultrasound, fluoroscopy), surgical instruments.

Duration

Typically, the procedure lasts from 30 minutes to 1 hour, depending on the complexity of the dissection needed.

Setting

Usually performed in a hospital setting, surgical center, or specialized outpatient clinic.

Personnel

• Surgeon or Interventional Radiologist
• Nurses
• Anesthesiologist (if general anesthesia is used)
• Surgical Technician

Risks and Complications

• Common risks: minor bleeding, infection at the incision site.
• Rare risks: accidental damage to surrounding tissues, allergic reactions to materials used.
• Complication management: prompt medical intervention and supportive care.

Benefits

• Precision in separating tissues minimizes risk to surrounding structures.
• Less invasive compared to traditional surgical methods.
• Faster recovery and less post-operative pain.

Recovery

• Post-procedure monitoring for a few hours to ensure there are no immediate complications.
• Patients may experience mild soreness at the incision site.
• Follow post-procedure care instructions such as keeping the incision clean and dry.
• Recovery time varies but is generally shorter than traditional surgery.
• A follow-up appointment may be scheduled to check healing progress.

Alternatives

• Traditional dissection methods: may involve more extensive surgery and longer recovery.
• Minimally invasive techniques using different technologies.
• The choice depends on the patient's specific condition, overall health, and physician recommendation.

Patient Experience

• During the procedure: Should feel minimal discomfort if local anesthesia is used.
• Post-procedure: Mild soreness at the medication site manageable with over-the-counter pain relievers.
• Quick return to daily activities is often possible, with specific instructions provided by the healthcare team for a smooth recovery.