DOCSLIB.ORG

Table of Contents

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Table of Contents Table of Contents Notice Regarding ICD-9-CM Updates ....................................ii Chapter 5. Mental Disorders ..................................................... 85 Chapter 6. Diseases of the Nervous System Preface ....................................................................................iii and Sense Organs .................................................103 Chapter 7. Diseases of the Circulatory System .................142 List of Features .......................................................................iv Chapter 8. Diseases of the Respiratory System ................165 Characteristics of ICD-9-CM ...................................................v Chapter 9. Diseases of the Digestive System ....................179 Chapter 10. Diseases of the Genitourinary System ...........203 Practical Steps for Using the ICD-9-CM Manual .................vii Chapter 11. Complications of Pregnancy, Childbirth, and the Puerperium .......................221 Additional Conventions Specific to this Chapter 12. Diseases of the Skin and Subcutaneous ICD-9-CM Manual ...................................................................ix Tissue .........................................................................238 Checklist for ICD-10-CM Preparation ....................................x Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue.........................................249 Legacy of ICD-9-CM and ICD-9-CM to Chapter 14. Congenital Anomalies .........................................265 ICD-10-CM Crosswalk ..........................................................xiii Chapter 15. Certain Conditions Originating in the Perinatal Period ......................................................282 Test Yourself: ICD-10-CM Challenge ..................................xliv Chapter 16. Symptoms, Signs, and Ill-Defined Conditions ...............................................................293 ICD-9-CM Official Guidelines for Coding and Chapter 17. Injury and Poisoning ............................................311 Reporting ...........................................................................xlvii Anatomical Illustrations ..................................................... xcv Supplementary Classifications: Classification of Factors Influencing Health Status and Alphabetic Index to Diseases ................................................1 Contact with Health Services .....................................................364 Classification of External Causes of Injury and Alphabetic Index to Poisoning and External Poisoning ......................................................................................406 Causes of Adverse Effects of Drugs and Other Chemical Substances – Table of Drugs and Chemicals ....401 Appendices, Including Explanations of each Appendix: A. Morphology of Neoplasms .........................................................i Alphabetic Index to External Causes of Injury B. Glossary of Mental Disorders – Deleted and Poisoning (E code) .......................................................447 October 1, 2004 .............................................................................ix C. Classification of Drugs by American Hospital Classification of Diseases and Injuries, Including Sections Formulary Service List Number and and Highlights from the Official Guidelines: Their ICD-9-CM Equivalents .......................................................x Chapter 1. Infectious and Parasitic Diseases ..........................1 D. Classification of Industrial Accidents Chapter 2. Neoplasms ................................................................. 32 According to Agency ................................................................ xiv Chapter 3. Endocrine, Nutritional, and Metabolic E. List of Three-Digit Categories................................................ xvi Diseases and Immunity Disorders..................... 61 Chapter 4. Diseases of the Blood and Blood-Forming Organs ......................................................................... 75 ICD-9-CM 2015 i ICD-9-CM 2015 ANATOMICAL ILLUSTRATIONS xcv BRAIN FUNCTION ICD-9-CM 2015 ANATOMICAL ILLUSTRATIONS xcvi BREAST ANATOMY ince 1979, the U.S. has used the International Classifi- The prototype International Classification of Disease Scation of Diseases, Ninth Revision, Clinical Modifica- (ICD) was adopted in 1893 by the International Statistical tions (ICD-9-CM) to identify diagnoses related to morbid- Institute. By 1938, the classification system would undergo ity and mortality. Twenty five years later, we will transition five revisions. International interest led to a sixth revision from ICD-9-CM to ICD-10-CM, on or after Oct. 2015. by the newly created World Health Organization (WHO) We have become very fa- in 1948. The seventh and miliar with ICD-9-CM; and, eighth revisions followed it is all many providers and in 1955 and 1965. The ninth coders have ever known revision, released in 1975, for diagnosis coding. As we forms the basis of our cur- transition from this long rent codes. used code set, let’s take a The Legacy of The National Center for quick look back to see what Health Statistics applied has brought us to where we clinical modifications are today. (CM) to ICD-9 in 1977. The ICD-9-CM code set provided for A LONG-TIME GOAL a wide variety of signs, Efforts to catalogue and symptoms, abnormal classify disease reach back findings, complaints, at least 400 years and social circumstances, and burgeoned during the 18th procedures. ICD-9-CM was Century. Responding to an adopted nationally in 1979. 1853 request of the newly formed International Statisti- cal Congress, English medical statistician William Farr and ADVENT OF ICD-10 Swiss physician Marc d’Espine each prepared a uniform WHO member states began adopting the tenth revi- classification of causes of death to present to the Inter- sion of the ICD in 1994. Compared to ICD-9-CM, ICD-10 national Statistical Congress in Paris. The resulting hybrid provides for greater specificity, promising to enhance the system of classification was never internationally adopted clarity of shared patient data. AAPC provides the follow- but we derive the principle of categorizing diseases by ing crosswalk of the most reported ICD-9-CM diagnoses anatomical site from these attempts. to ICD-10-CM codes for a number of specialties. ICD-10-CM Crosswalk—Copyright © AAPC xiii 692.2 1982 1986 ICD-9-CM became the driver of the An interim classication characterizing new Diagnosis Related Group (DRG) the causative agent of AIDS was added. reimbursement system. This facility inpatient payment system relies largely on the diagnoses and procedures 1988 documented for a patient by using The Catastrophic Coverage Act of ICD-9-CM codes. made the use of the ICD-9-CM system on all Medicare claims mandatory. 1991 465.9 The nomenclature for Human Immuno- deciency Virus (HIV) was claried, 1994 adding the 042-V044 series of 042 becomes the single code for HIV categories. disease and V08 is added for Asymp- tomatic HIV infection. HIV-specic 1996 guidelines are added to assist coders in selection and sequencing of The Health Insurance Portability and HIV-related illness. Accountability Act’s (HIPAA) Title II administration simplications clause make ICD-9-CM one of the ocial codesets to be used in all healthcare 2000 transactions. Worries about a computer-crushing “Millennium Bug” prompted the federal government to freeze ICD-9- 2001 E840.3 CM for the 2000 code year. No new The September 11 terror attacks codes were implemented in October resulted in a new set of U codes to 1999 but updates resumed the describe mortality and morbidity following year when fears passed. related to terror attacks. And E999, which was used previously to denote the late eects of war operations, was modied to include late eects of terrorism in 2001. 2003 Severe Acute Respiratory Syndrome (SARS) virus in 2003 prompted the addition of both 480.31 Pneumonia 2006 due to SARS-associated coronavirus Present on Admissions rules were and V01.82 Exposure to SARS- added to the ICD-9-CM Guidelines 280.9 associated coronaviruss Oct. 1, 2006. 2009 2009 The prevalence of traumatic brain The emergence of “swine u” (2009 injury (TBI) suered by solders falling H1N1) led to the creation of a new victim to improvised explosive diagnosis code in 2009. Several years devices in the Iraq War motivated later, the inuenza codes were once the U.S. Department of Defense to again overhauled to allow reporting request new codes for sequela of novel inuenza A virus. related to TBI (799.21-799.29), as well as codes for TBI screening (V80.01) 2009 and personal history of traumatic 782.4 E codes reecting new exercise and brain injury (V15.52). The new codes sporting activities such as boogie joined ICD-9-CM in October 2009. boarding and windsurng (E002.7); bungee jumping (E004.3); and Pilates (E010.3) were added in 2009. 2013 Other activity E codes for knitting With conversion to ICD-10-CM and and crocheting (E012.0); laundry ICD-10-PCS near, 2013 brings no (E013.1); vacuuming (E013.2); ironing changes to the diagnostic codes and (E013.3); and oor mopping and one new code in Vol. 3. cleaning (E013.4) also made their ICD-9-CM debut in 2009. The following crosswalks were developed by AAPC based on the ICD-10 Fast Forward crosswalking quick reference tools. If you’d like to purchase a laminated Fast Forward for your specialty, please go to www.aapc.com. xiv ICD-10-CM Crosswalk—Copyright © AAPC ICD-9 719.41 M53.2x8 Spinal instabilities,
Load more

Recommended publications
  • Are There Effective Ultrasound Parameters in the Management of Lateral Elbow Tendinopathy? a Systematic Review of the Literature
    hysical M f P ed l o ic a in n r e u & International Journal of o Stasinopoulos et al., Int J Phys Med Rehabil 2013, 1:3 R J l e a h n DOI: 10.4172/2329-9096.1000117 a o b i t i l a ISSN: 2329-9096i t a n r t i e o t Physical Medicine & Rehabilitation n n I Research Article Open Access Are there Effective Ultrasound Parameters in the Management of Lateral Elbow Tendinopathy? A Systematic Review of the Literature Stasinopoulos Dimitrios*, Cheimonidou Areti-Zoe and Chatzidamianos Theodoros Program of Physiotherapy, Department of Health Sciences, School of Sciences European University of Cyprus 6, Diogenes Str. Engomi, P. O. Box 22006, 1516, Nicosia, Cyprus Abstract Objective: Lateral elbow tendinopathy (LET) is a common clinical condition, and a wide array of physiotherapy treatments is used for treating LET. One of the most common physiotherapy modality is the ultrasound. Ultrasound is a dose response modality. The aim of the present article was to determine the effective ultrasound parameters in the management of (LET) and to provide recommendations based on this evidence. Methods: Randomized controlled trials (RCTs) identified by a search strategy in six databases were used in combination with reference checking. RCTs that included positive effects with ultrasound, description of ultrasound parameters in details, patients with LET, and at least one of the clinically relevant outcome measure were selected. The Pedro scale was used to analyse the results. Results: None RCTs fulfilled the criteria and therefore all the conducted trials were excluded in the review.
    [Show full text]
  • Signal Processing Techniques for Phonocardiogram De-Noising and Analysis
    -3C).1 CBME CeaEe for Bionedio¡l Bnginocdng Adelaide Univenity Signal Processing Techniques for Phonocardiogram De-noising and Analysis by Sheila R. Messer 8.S., Urriversity of the Pacific, Stockton, California, IJSA Thesis submitted for the degree of Master of Engineering Science ADELAIDE U N IVERSITY AUSTRALIA Adelaide University Adelaide, South Australia Department of Electrical and Electronic Faculty of Engineering, Computer and Mathematical Sciences July 2001 Contents Abstract vi Declaration vll Acknowledgement vul Publications lx List of Figures IX List of Tables xlx Glossary xxii I Introduction I 1.1 Introduction 2 t.2 Brief Description of the Heart 4 1.3 Heart Sounds 7 1.3.1 The First Heart Sound 8 1.3.2 The Second Heart Sound . 8 1.3.3 The Third and Fourth Heart Sounds I I.4 Electrical Activity of the Heart I 1.5 Literature Review 11 1.5.1 Time-Flequency and Time-Scale Decomposition Based De-noising 11 I CO]VTE]VTS I.5.2 Other De-noising Methods t4 1.5.3 Time-Flequency and Time-Scale Analysis . 15 t.5.4 Classification and Feature Extraction 18 1.6 Scope of Thesis and Justification of Research 23 2 Equipment and Data Acquisition 26 2.1 Introduction 26 2.2 History of Phonocardiography and Auscultation 26 2.2.L Limitations of the Hurnan Ear 26 2.2.2 Development of the Art of Auscultation and the Stethoscope 28 2.2.2.L From the Acoustic Stethoscope to the Electronic Stethoscope 29 2.2.3 The Introduction of Phonocardiography 30 2.2.4 Some Modern Phonocardiography Systems .32 2.3 Signal (ECG/PCG) Acquisition Process .34 2.3.1 Overview of the PCG-ECG System .34 2.3.2 Recording the PCG 34 2.3.2.I Pick-up devices 34 2.3.2.2 Areas of the Chest for PCG Recordings 37 2.3.2.2.I Left Ventricle Area (LVA) 37 2.3.2.2.2 Right Ventricular Area (RVA) 38 oaooe r^fr /T ce a.!,a.2.{ !v¡u Ãurlo¡^+-;^l ¡rr!o^-^^ \!/ ^^\r¡ r/ 2.3.2.2.4 Right Atrial Area (RAA) 38 2.3.2.2.5 Aortic Area (AA) 38 2.3.2.2.6 Pulmonary Area (PA) 39 ll CO]VTE]VTS 2.3.2.3 The Recording Process .
    [Show full text]
  • An Integrated Framework for Cardiac Sounds Diagnosis
    Western Michigan University ScholarWorks at WMU Master's Theses Graduate College 12-2015 An Integrated Framework for Cardiac Sounds Diagnosis Zichun Tong Follow this and additional works at: https://scholarworks.wmich.edu/masters_theses Part of the Computer Engineering Commons, and the Electrical and Computer Engineering Commons Recommended Citation Tong, Zichun, "An Integrated Framework for Cardiac Sounds Diagnosis" (2015). Master's Theses. 671. https://scholarworks.wmich.edu/masters_theses/671 This Masters Thesis-Open Access is brought to you for free and open access by the Graduate College at ScholarWorks at WMU. It has been accepted for inclusion in Master's Theses by an authorized administrator of ScholarWorks at WMU. For more information, please contact [email protected]. AN INTEGRATED FRAMEWORK FOR CARDIAC SOUNDS DIAGNOSIS by Zichun Tong A thesis submitted to the Graduate College in partial fulfillment of the requirements for a degree of Master of Science in Engineering Electrical and Computer Engineering Western Michigan University December 2015 Thesis Committee: Ikhlas Abdel-Qader, Ph.D., Chair Raghe Gejji, Ph.D. Azim Houshyar, Ph.D. AN INTEGRATED FRAMEWORK FOR CARDIAC SOUNDS DIAGNOSIS Zichun Tong, M.S.E. Western Michigan University, 2015 The Phonocardiogram (PCG) signal contains valuable information about the cardiac condition and is a useful tool in recognizing dysfunction and heart failure. By analyzing the PCG, early detection and diagnosis of heart diseases can be accomplished since many pathological conditions of the cardiovascular system cause murmurs or abnormal heart sounds. This thesis presents an algorithm to classify normal and abnormal heart sound signals using PCG. The proposed analysis is based on a framework composed of several statistical signal analysis techniques such as wavelet based de-noising, energy-based segmentation, Hilbert-Huang transform based feature extraction, and Support Vector Machine based classification.
    [Show full text]
  • ICD~10~PCS Complete Code Set Procedural Coding System Sample
    ICD~10~PCS Complete Code Set Procedural Coding System Sample Table.of.Contents Preface....................................................................................00 Mouth and Throat ............................................................................. 00 Introducton...........................................................................00 Gastrointestinal System .................................................................. 00 Hepatobiliary System and Pancreas ........................................... 00 What is ICD-10-PCS? ........................................................................ 00 Endocrine System ............................................................................. 00 ICD-10-PCS Code Structure ........................................................... 00 Skin and Breast .................................................................................. 00 ICD-10-PCS Design ........................................................................... 00 Subcutaneous Tissue and Fascia ................................................. 00 ICD-10-PCS Additional Characteristics ...................................... 00 Muscles ................................................................................................. 00 ICD-10-PCS Applications ................................................................ 00 Tendons ................................................................................................ 00 Understandng.Root.Operatons..........................................00
    [Show full text]
  • 2019 State of the Field Report in Part Or Its Entirety
    State of 20the Field 19 Focused Ultrasound The Focused Ultrasound Foundation encourages widespread No part of this report may be reproduced for commercial purposes in any written, distribution of the 2019 State of the Field Report in part or its entirety. electronic, recording, or photocopy form or stored in a retrieval system without the written permission of the Focused Ultrasound Foundation. Inquiries for reproduction can be directed to Emily White at The Focused Ultrasound Foundation strives to provide the most accurate information [email protected]. possible and therefore works proactively with the manufacturers and research sites to collect the most current data available in advance of the release of this publication. Date 8.6.0019 This report is based on data through December 31, 2018. The Focused Ultrasound © 2019 Focused Ultrasound Foundation. All rights reserved. Foundation assumes no responsibility for any errors or omissions as every precaution has been taken to verify the accuracy of the information contained herein. No liability is assumed for damages that may result from the use of information contained within. If you note something out of date or inaccurate, please submit the new information/updates to: [email protected]. 3 Focused Ultrasound Foundation | State of the Field 2019 CONTENTS 2 Introduction 59 Veterinary Medicine 2 Letter From the Chairman 59 FUS Veterinary Applications 3 Focused Ultrasound in Brief 60 State of Research by Indication 4 Overview 60 Developmental Landscape 4 State of Research and
    [Show full text]
  • Chapter 2 Ballistocardiography
    POLITECNICO DI TORINO Corso di Laurea Magistrale in Ingegneria Biomedica Tesi di Laurea Magistrale Ballistocardiographic heart and breathing rates detection Relatore: Candidato: Prof.ssa Gabriella Olmo Emanuela Stirparo ANNO ACCADEMICO 2018-2019 Acknowledgements A conclusione di questo lavoro di tesi vorrei ringraziare tutte le persone che mi hanno sostenuta ed accompagnata lungo questo percorso. Ringrazio la Professoressa Gabriella Olmo per avermi dato la possibilità di svolgere la tesi nell’azienda STMicroelectronics e per la disponibilità mostratami. Ringrazio l’intero team: Luigi, Stefano e in particolare Marco, Valeria ed Alessandro per avermi aiutato in questo percorso con suggerimenti e consigli. Grazie per essere sempre stati gentili e disponibili, sia in campo professionale che umano. Un ringraziamento lo devo anche a Giorgio, per avermi fornito tutte le informazioni e i dettagli tecnici in merito al sensore utilizzato. Vorrei ringraziare anche tutti i ragazzi che hanno condiviso con me questa esperienza ed hanno contribuito ad alleggerire le giornate lavorative in azienda. Ringrazio i miei amici e compagni di università: Ilaria e Maria, le amiche sulle quali posso sempre contare nonostante la distanza; Rocco, compagno di viaggio, per i consigli e per aver condiviso con me gioie così come l’ansia e le paure per gli esami; Valentina e Beatrice perché ci sono e ci sono sempre state; Rosy, compagna di studi ma anche di svago; Sara, collega diligente e sempre con una parola di supporto, grazie soprattuto per tutte le dritte di questo ultimo periodo. Il più grande ringraziamento va ai miei genitori, il mio punto di riferimento, il mio sostegno di questi anni.
    [Show full text]
  • Extracorporeal Shockwave Therapy Versus Ultrasound Therapy For
    medRxiv preprint doi: https://doi.org/10.1101/2020.09.20.20198168; this version posted September 22, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-ND 4.0 International license . Extracorporeal Shockwave Therapy Versus Ultrasound Therapy for Plantar Fasciitis: Systematic Review and Meta-Analysis Zeyana Al-Siyabi1*, Mohammad Karam2*, Ethar Al-Hajri1, Abdulmalik Alsaif2 1 Podiatry BSc (Hons), University of Huddersfield, Huddersfield, United Kingdom. 2 Department of Medicine, University of Leeds, Leeds, United Kingdom. * Z.A. and M.K. contributed equally as first co-authors. Corresponding Author: Mohammad Karam Address: Al-Firdous, Block 4, Street 1, Avenue 6, Al-Farwaniyah, State of Kuwait. Phone: +965 9916272, +44 7480644489 Email: [email protected] NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. 1 medRxiv preprint doi: https://doi.org/10.1101/2020.09.20.20198168; this version posted September 22, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-ND 4.0 International license . Abstract Objective To compare the outcomes of Extracorporeal Shockwave Therapy (ESWT) versus Ultrasound Therapy (UST) in plantar fasciitis. Methods A systematic review and meta-analysis were performed. An electronic search identifying studies comparing ESWT and UST for plantar fasciitis was conducted.
    [Show full text]
  • Letter to the Editor: Malignant Meningiomas
    J Neurosurg 122:1511–1519, 2015 Letters to the Editor NEUROSURGICAL FORUM Predictors of outcome for gunshot gunshot wounds, particularly if non-neurosurgeons in the emergency department triage the patients. It provides wounds rapid and accurate early information for patients and their families. TO THE EDITOR: I have read with great interest the I was intrigued by the fact that in our study, 39% of article by Gressot et al.1 (Gressot LV, Chamoun RB, Pa- patients achieved a functional survival status compared to tel AJ, et al: Predictors of outcome in civilians with gun- 19% in the authors’ study. The extent of injury caused by shot wounds to the head upon presentation. J Neurosurg a bullet is determined to the greatest degree at the time 121:645–652, September 2014). The authors concluded of impact and is dependent on bullet mass and exit muz- that several factors, including patient age, Glasgow Coma zle velocity squared. Passage of the bullet through brain Scale score, nonreactive pupils, and the path of the bullet tissue creates waves of massive increases in intracranial and its fragments on CT scans, have predictive value for pressure in the wake of the bullet. Based on the above for- patient survival, and they created a scoring system based mula, the damage is greater with a greater bullet mass and on these parameters. In their series of 119 patients 19% greater muzzle exit velocity such as that seen in military had good functional survival. We published an article in grade weapons. Thus, the degree of neurological deficit 2 1979 dealing with the same issues.
    [Show full text]
  • The Proceedings of the World Neurosurgery Webinar Conference 2020
    The Proceedings of the World Neurosurgery Webinar Conference 2020 Editor G Narenthiran FRCS(SN) Neurosurgery Research Listserv The Proceedings of the World Neurosurgery Webinar Conference Abstract 1 [Poster] Xanthogranuloma in the suprasellar region: a case report Mechergui H, Kermani N, Jemel N, Slimen A, Abdelrahmen K, Kallel J Neurosurgical department, National Institute of Neurology of Tunis Contact: [email protected]; Tunisia Conict of interests: none Objective: Xanthogranuloma, also known as cholesterol granuloma, is extremely rare. It represents approximately 1.9% of tumours in the sellar and parasellar region with 83 cases recognised in the literature. The preoperative diagnosis is dicult due to the lack of clinical and radiological specicities. Through this work, we report the third case of xanthogranuloma in the sellar region described in Tunisia. The Proceedings of the World Neurosurgery Webinar Conference Page 1 The Proceedings of the World Neurosurgery Webinar Conference Method: We report the case of 29-year-old girl who was followed up since 2012 for delayed puberty. The patient presented with a 1-year history of decreased visual acuity on the right side. On ophthalmological examination her visual acuity was rated 1/10 with right optic atrophy. Biochemical studies revealed ante-pituitary insuciency. The MRI demonstrated a sellar and suprasellar lesion with solid and cystic components associated with calcication evoking in the rst instance a craniopharyngioma. She underwent a total resection of the tumour by a pterional approach. Result: The anatomopathological examination concluded the lesion to be an intrasellar Xanthogranuloma. Conclusion: Sellar xanthogranuloma is a rare entity that is dicult to diagnose preoperatively due to its similarities with other cystic lesions of the sellar region, especially craniopharyngioma.
    [Show full text]
  • Introduction
    RIMS, IMPHAL ANNUAL REPORT 2014-15 INTRODUCTION 1. DESCRIPTION : The Regional Institute of Medical Sciences (RIMS), Imphal was established in the year 1972. It is an institution of regional importance catering to the needs of the North Eastern Region in the field of imparting undergraduate and post graduate medical education.The Institution brings together educational facilities for the training of personnel in all important branches of medical specialities including Dental and Nursing education in one place. The Institute is affiliated to the Manipur University, Canchipur, Imphal. 2. MANAGEMENT : The Institute was transferred to the Ministry of Health & Family Welfare, Government of India from North Eastern Council, Shillong (under Ministry of DoNER, Government of India) w.e.f. 1st April, 2007. Under the existing administrative set-up, the highest decision making body is the Board of Governors headed by the Union Minister of Health & Family Welfare as the President and the Director of the Institute as the Secretary. The Executive Council is responsible for the management of the Institute. The Secretary, Ministry of Health & Family Welfare, Government of India is the Chairman of the Executive Council while the head of the Institute remains as Secretary. Thus, the institute is managed at two levels, namely the Board of Governors and the Executive Council. A. Board of Governors : 1. Hon’ble Union Minister, - President Health & Family Welfare, Government of India. 2. Hon’ble Chief Minister, Manipur. - Vice-President 3. A Representative of the Planning Commission, - Member Government of India. 4. Health Ministers of the Beneficiary States - Member 5. Secretary, Ministry of Health & Family Welfare, - Member Government of India.
    [Show full text]
  • IVUS Imaging Catheters Reference Guide
    IVUS Imaging Catheters Reference Guide Peripheral Catheter Coronary Catheter Coronary Catheter Intracardiac Catheter OptiCross™ 18 OptiCross 6 OptiCross Ultra ICE™ Transducer 30 MHz 40 MHz 40 MHz 9 MHz Frequency Order Number H7493932800180 H7495181160 H749518110 M00499000 SFA, Popliteal, Typical Use Coronary Coronary Intracardiac Tibial, Renal Maximum Diameter 12 mm 6 mm 6 mm 50 mm Penetration Prep Location Proximal Proximal Proximal Distal Catheter 15 cm 15 cm 15 cm n/a Telescoping Length Sled Pullback Length 10 cm 10 cm 10 cm n/a Distance from 2.0 cm 2.0 cm 2.0 cm 1.0 cm Transducer to Tip Guidewire Lumen 1.6 cm 1.6 cm 1.6 cm n/a Length Guidewire ≤ 0.018" ≤ 0.014" ≤ 0.014" n/a Compatibility Sheath Compatibility 6 F 6 F 5 F 9 F (with max wire) Guide Catheter 6 F (ID ≥ 0.068") 6 F (ID ≥ 0.064") 5 F (ID ≥ 0.058") n/a Compatibility Crossing Profile 3.5 F 3.1 F 3.1 F n/a Imaging Window 2.9 F 2.9 F 2.6 F 9.0 F Profile Entry Profile 1.6 F 1.3 F 2.0 F 9.0 F Working Length 135 cm 135 cm 135 cm 110 cm OPTICROSS™ 18 CATHETER AND MDU5 PLUS BAG OPTICROSS 6 40 MHZ CORONARY IMAGING CATHETER CAUTION Federal law (USA) restricts this device to sale by or on the order of a physician. Rx only. Prior to use, please see the CAUTION: Federal law (USA) restricts this device to sale by or on the order of a physician.
    [Show full text]
  • Subtemporal Transparahippocampal Amygdalohippocampectomy for Surgical Treatment of Mesial Temporal Lobe Epilepsy Technical Note
    Subtemporal transparahippocampal amygdalohippocampectomy for surgical treatment of mesial temporal lobe epilepsy Technical note T. S. Park, M.D., Blaise F. D. Bourgeois, M.D., Daniel L. Silbergeld, M.D., and W. Edwin Dodson, M.D. Department of Neurology and Neurological Surgery, Washington University School of Medicine, and St. Louis Children's Hospital, St. Louis, Missouri Amygdalohippocampectomy (AH) is an accepted surgical option for treatment of medically refractory mesial temporal lobe epilepsy. Operative approaches to the amygdala and hippocampus that previously have been reported include: the sylvian fissure, the superior temporal sulcus, the middle temporal gyrus, and the fusiform gyrus. Regardless of the approach, AH permits not only extirpation of an epileptogenic focus in the amygdala and anterior hippocampus, but interruption of pathways of seizure spread via the entorhinal cortex and the parahippocampal gyrus. The authors report a modification of a surgical technique for AH via the parahippocampal gyrus, in which excision is limited to the anterior hippocampus, amygdala and parahippocampal gyrus while preserving the fusiform gyrus and the rest of the temporal lobe. Because transparahippocampal AH avoids injury to the fusiform gyrus and the lateral temporal lobe, it can be performed without intracarotid sodium amobarbital testing of language dominance and language mapping. Thus the operation would be particularly suitable for pediatric patients in whom intraoperative language mapping before resection is difficult. Key Words * amygdalohippocampectomy * complex partial seizure * parahippocampal gyrus * subtemporal approach Currently several different variations of temporal lobe resections are used for medically intractable complex partial seizures.[4,6,8,18,21,30,34] Among these operations is amygdalohippocampectomy (AH), first described in 1958 by Niemeyer,[16] who approached the amygdala and hippocampus through an incision on the middle temporal gyrus.
    [Show full text]