IMPACT-1022 - Intra and Post Procedure Events-1022 - Intra and Post Procedure Events

Video Transcription

Video Summary

The video discusses a case scenario involving a 38-year-old female with a history of aortic bicuspid stenosis. The patient presents to the emergency department with syncopal episodes, chest pressure, and dyspnea on exertion. Studies reveal severe RVPA homograft stenosis, leading to a TPVR and balloon angioplasty procedure in the cath lab. Post-procedure, there is swelling, bruising, and a hematoma at the access site. The hematoma grows and a pulsatile mass is noted, prompting an ultrasound that reveals a pseudoaneurysm treated with thrombin injection. The video then presents multiple questions regarding the coding of other events, vascular complications requiring treatment, and bleeding events in this scenario. The answers are provided, along with explanations for each. This is the IMPACT Registry Monthly Case Scenario for October 2022.

Keywords

aortic bicuspid stenosis

syncopal episodes

RVPA homograft stenosis

pseudoaneurysm

IMPACT Registry