Also, does can anyone recommend any good resources/tools/mentors for learning more about peripheral coding/coding interventions similar to these? I want/need to understand these better!

Thank you in advance!

PROCEDURES PERFORMED:
Right common femoral artery access catheter placement and contralateral
popliteal arthrectomy of the left SFA, PTA of the left SFA, and above
knee POP.

COMPLICATIONS:
None.

ESTIMATED BLOOD LOSS:
Less than 5 mL.

INDICATION FOR PROCEDURE:
Recurrent claudication, lifestyle limiting symptomatology.

COMORBID FACTORS:
Coronary artery disease, end-stage renal disease on peritoneal dialysis.

CONSCIOUS SEDATION TIME:
One hour.

DESCRIPTION OF PROCEDURE:
After informed consent, discussion of risks and benefits, a 5-French
sheath was placed under ultrasound guidance in the right common femoral
artery. A catheter was placed up and over, aortography was done, selective
angiography was done. There were no complications.

ANGIOGRAPHIC FINDINGS:
Right common femoral artery, diffuse calcium. Common iliacs bilaterally,
mild disease. External iliacs bilaterally, mild disease. Left common
femoral, mild disease. Left SFA, heavy calcification from the ostium
all the way to the popliteal with multiple 90% stenosis. Runoff is
via the posterior tibial, the peroneal terminates at the ankle and reconstitutes
at the dorsalis pedis.

INTERVENTION OF PROCEDURE:
Given the diffuse nature of the disease and the extensive calcification,
we did have a Vascular Surgery consult for possible femoral-popliteal,
and they recommended endovascular therapy as well. The patient was
anticoagulated to a therapeutic ACT. A 6-French sheath was placed up
and over. We got across where the ChoICE PT wire, which was exchanged
for a stiff Viper wire. Atherectomy was done with a 2.0 classic diamondback
at low and medium speeds throughout the SFA. Balloon angioplasty was
done with a 5.0 x 150 drug balloon. The same balloon was used to treat
the proximal SFA. Final angiography showed non-flow limiting dissection
with good flow. Runoff was confirmed to be unchanged. There were no
complications. The 6-French sheath was exchanged for a short 6-French
sheath and will be pulled manually. The patient was given 600 mg of
Plavix. There were no complications. The patient does have significant
SFA and popliteal disease on the right as well, which is amenable to
endovascular intervention.