C2625 Stent, non-coronary, temporary, with delivery system

HCPCS code

# Stent, Non-Coronary, Temporary, with Delivery System (C2625)

#### Name of the Procedure:
- Common Name: Non-coronary stent placement
- Technical/Medical Term: Temporary non-coronary stent implantation with delivery system

#### Summary
A non-coronary stent is a small, temporary tube inserted into a non-coronary blood vessel or duct to keep it open. This procedure involves placing the stent with the help of a specialized delivery system.

#### Purpose
- Medical Conditions: Used to address conditions such as urinary, biliary, or peripheral vascular obstructions.
- Goals: The main goal is to ensure adequate blood flow or fluid drainage by keeping the vessel or duct open. Expected outcomes include the alleviation of symptoms and improved organ function.

#### Indications
- Symptoms: Pain, swelling, difficulty in organ function due to blocked vessels or ducts.
- Conditions: Peripheral artery disease, biliary obstructions, urinary tract obstructions.
- Patient Criteria: Suitable for patients with diagnosed vessel or duct obstructions where temporary relief is needed.

#### Preparation
- Instructions: Patients may need to fast for several hours before the procedure. Medication adjustments, especially blood thinners, may be necessary.
- Diagnostic Tests: Imaging tests like ultrasound, CT scans, or MRIs may be required to determine the exact location and nature of the blockage.

#### Procedure Description
1. **Anesthesia**: Typically performed under local or general anesthesia.
2. **Access**: A catheter is inserted into the appropriate vessel or duct.
3. **Delivery System**: The stent, mounted on a special delivery system, is guided through the catheter to the site of the blockage.
4. **Deployment**: Once in place, the stent is expanded to fit the vessel or duct.
5. **Completion**: The delivery system is withdrawn, leaving the stent in place. 

#### Duration
The procedure typically takes 1 to 2 hours.

#### Setting
Performed in a hospital, outpatient clinic, or surgical center, typically in a sterile procedure room or operating room.

#### Personnel
- Surgeons or Interventional Radiologists
- Nurses
- Anesthesiologists (if general anesthesia is used)

#### Risks and Complications
- Common Risks: Infection, bleeding, pain at the insertion site.
- Rare Risks: Stent migration, allergic reactions to anesthesia, damage to the vessel or duct.
- Management: Complications are managed with antibiotics, careful monitoring, and additional procedures if necessary.

#### Benefits
- Expected Benefits: Quick relief from symptoms, improved organ function.
- Onset of Benefits: Benefits are typically noticeable immediately or within a few days post-procedure.

#### Recovery
- Post-Procedure Care: Monitoring for signs of infection or complications, pain management.
- Recovery Time: Patients often recover within a few days, with some activity restrictions.
- Follow-Up: Regular follow-up appointments to monitor the stent and the treated area.

#### Alternatives
- Other Options: Long-term stent placement, surgical bypass, balloon angioplasty.
- Pros and Cons: Non-coronary stent placement is less invasive than surgery but typically offers temporary relief, requiring future interventions.

#### Patient Experience
- During Procedure: Patients might feel pressure or discomfort during catheter insertion. Sedation or local anesthesia is used to minimize pain.
- After Procedure: Mild pain or discomfort at the insertion site is common. Patients may experience some limitations in activities for a few days.

Pain management will be provided to maintain comfort, and most patients can resume normal activities shortly after.

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