IMPACT-0423 - Sequence # 8090 | Bleeding Events-0423 - Sequence # 8090

Video Transcription

Video Summary

In this video, an IMPACT registry case scenario for April 2023 is presented. The scenario focuses on intra and post-procedure events. A 22-year-old female with a history of tetralogy of Fallot presents to the emergency department with symptoms of dyspnea, palpitations, and near-syncopal events. Further investigations reveal severe pulmonary regurgitation, and the patient is scheduled for transcatheter pulmonary valve replacement (TPVR) procedure. During the procedure, the patient remains stable, but postoperatively, she experiences bleeding at the right access site. The patient undergoes arterial repair with balloon angioplasty, and there is no further bleeding. However, two days later, the patient returns to the emergency department with a significant hematoma and a change in hemoglobin. She receives packed red blood cell transfusion and is admitted for observation. The coding question regarding the bleeding event is answered as "yes," while the red blood cell transfusion is coded as "no." The video concludes by stating the patient's episode of care ends upon discharge from the facility. No credits are mentioned in the video.

Keywords

IMPACT registry

case scenario

April 2023

intra and post-procedure events

tetralogy of Fallot