CPCI-1225- Sequence #8023 (Guidewire Across Lesion)-CPCI-1225- Sequence #8023 (Guidewire Across Lesion)

CPCI-1225- Sequence #8023 (Guidewire Across Lesion)

Video Transcription

Video Summary

In this December 2025 Cath PCI Registry case, a patient undergoes elective PCI for a chronic total occlusion in the mid-LED. Despite multiple balloon inflations and guidewire attempts, the guidewire fails to cross the lesion, leading to procedure cessation with zero post-intervention TIMI flow. No complications occurred. Coding guidelines state that Sequence 8023 Guidewire Across Lesion is coded "Yes" since mechanical treatment was applied, even though the wire didn’t cross the lesion. Subsequent related sequences for device deployment and intracoronary devices used are also coded "Yes," while stenosis is coded 100% and TIMI flow as 0%.

Keywords

PCI registry

bifurcation lesions

balloon angioplasty

stenting

sequence 8022

Cath PCI Registry

Chronic Total Occlusion

Guidewire Across Lesion

Balloon Inflation

TIMI Flow 0%