Invasive Cardiologist-Vorlage
Peripheral Artery Catheterization Template
Eine professionelle Invasive Cardiologist-Vorlage für medizinisches Fachpersonal.
Über diese Vorlage
This template is designed for Invasive Cardiologists to document peripheral artery catheterization procedures. It's a comprehensive tool for recording details of angiograms and interventions like angioplasty and stenting. The template captures crucial information such as lesion locations, interventions, and post-procedure recommendations. With Heidi, this template can be quickly populated from a patient's visit transcript, streamlining the documentation process and saving valuable time. This template is perfect for creating detailed and accurate medical documentation, ensuring all critical aspects of the procedure are recorded efficiently.
Vorlagenvorschau
Patient is a 78-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus who presents for peripheral artery angiogram with possible intervention due to severe claudication in the left leg.
Summary:
- Successful angioplasty of the left superficial femoral artery (SFA) with a 70% stenosis.
- Deployment of a drug-eluting stent (DES) in the left SFA.
Procedures Performed:
- Left common femoral artery access, ultrasound guided.
- Left lower extremity angiogram.
- Angioplasty of the left SFA.
- Deployment of a 6 x 100 mm drug-eluting stent.
- Left common femoral artery hemostasis with manual compression.
Interventions:
- Lesion Location: Left SFA, mid-segment, 70% stenosis.
- Sheath: 6 Fr sheath.
- Guide: 6 Fr guide catheter.
- Wire: .014 inch wire.
- PTA Pre: 4 x 40 mm balloon.
- DES: A 6 x 100 mm drug-eluting stent was deployed.
- PTA Post: 6 x 40 mm balloon.
- Stenosis: Pre: 70% Post: 10%
- TIMI grade: Pre: 0 Post: 3
Recommendations:
- ASA + Plavix for 12 months; high-intensity statin
- IV fluids post-catheterization per Poseidon protocol
- Monitor access site above per protocol
- Monitor vitals, telemetry, labs with renal function & CBC
- Risk factor management with lifestyle modifications - diet, exercise, weight loss, medical compliance
- Follow-up in cardiology outpatient clinic in 1 week after discharge with primary cardiologist.
Peripheral Anatomy:
Left SFA: patent with stent in place.
Fares Jamal, DO
Interventional Cardiology PGY-7
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