CPCI-1224 - Sequence # 7800 | PCI Status-1224 - Sequence # 7800

Video Transcription

Video Summary

This case reviews Sequence No. 7800 PCI Status coding for a 78-year-old male with STEMI and cardiogenic shock. Despite initial stabilization, the patient's condition worsened with hypotension, confusion, and pulselessness requiring CPR before PCI. The correct PCI status is "Salvage," as the patient was in cardiogenic shock at procedure start, received chest compressions within 10 minutes prior, and required unanticipated mechanical support. PCI status is determined at the decision time before cath lab arrival, aligning with procedure start time. Salvage coding reflects acute, decompensated ischemia needing urgent intervention before PCI begins.

Keywords

PCI registry

hypertension

stent placement

ischemia

angiography

STEMI

cardiogenic shock

PCI salvage

Cath PCI registry

emergency procedure

PCI

Impella

salvage

Sequence No. 7800

PCI Status coding

Salvage PCI