EPDIR-0622 - Sequence # 4310 | Results of Angiography-0622 - Sequence # 4310

Video Transcription

Video Summary

In this video, a case scenario from June 2022 is presented, focusing on the results of angiography in a 54-year-old male patient who presented with sudden chest pain. The patient had a STEMI diagnosed and underwent primary PCI to the left anterior descending coronary artery. Further diagnostic angiogram revealed additional coronary artery disease, with occlusions in the right coronary artery and OM1 branch. The patient was discharged but readmitted later with shortness of breath, and another STEMI was diagnosed, prompting primary PCI to the right coronary artery. A third coronary angiography was done, showing patent stents but a 95% stenosis in the first diagonal branch. The patient received an ICD implant for secondary prevention. Despite these interventions, the patient continued to experience angina, and a subsequent angiogram showed stenosis in the distal LAD. The first diagonal branch remained stenosed and not amenable to PCI. The video then discusses how to code the results of angiography and concludes that it should be coded as number three, non-revascularizable significant disease.

Keywords

angiography

case scenario

STEMI

coronary artery disease

PCI