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Fluorescein Angiography Findings in Both Eyes of a Unilateral Retinoblastoma Case During Intra-Arterial Chemotherapy with Melphalan
Int J Ophthalmol, Vol. 12, No. 12, Dec.18, 2019 www.ijo.cn Tel: 8629-82245172 8629-82210956 Email: [email protected] ·Letter to the Editor· Fluorescein angiography findings in both eyes of a unilateral retinoblastoma case during intra-arterial chemotherapy with melphalan Cem Ozgonul1, Neeraj Chaudhary2, Raymond Hutchinson3, Steven M. Archer1, Hakan Demirci1 1Department of Ophthalmology and Visual Sciences, W.K. was inserted into the left femoral artery, advanced into the Kellogg Eye Center, MI 48105, USA internal carotid and up to the origin of the ophthalmic artery. 2Department of Radiology, University of Michigan, MI 48109, Once the catheter tip position was confirmed at the origin USA of the ophthalmic artery by fluoroscopy, 5 mg melphalan 3Department of Pediatric Hematology/Oncology, University of was infused in a pulsatile fashion over 30min. There was Michigan, MI 48109, USA no anatomical variant of orbital vascular structure. During Correspondence to: Hakan Demirci. Department of the 2nd IAC, following the infusion of melphalan, sodium Ophthalmology and Visual Science, W.K. Kellogg Eye Center, fluorescein dye at a dose of 7.7 mg/kg was injected through the 1000 Wall St, Ann Arbor, MI 48105, USA. hdemirci@med. same microcatheter. Real-time FA was recorded by using the umich.edu RetCam III (Clarity Medical Systems, Pleasanton, California). Received: 2018-11-01 Accepted: 2019-04-09 FA was repeated 4wk later during the 3rd IAC in the same manner, before infusion of the chemotherapy. In both sessions, DOI:10.18240/ijo.2019.12.24 there was no catheterization or injection of contrast material into the untreated carotid and ophthalmic artery. -
Risk Factors for Adverse Reactions of Fundus Fluorescein Angiography
Original Article Risk factors for adverse reactions of fundus fluorescein angiography Yi Yang1, Jingzhuang Mai2, Jun Wang1 1Department of Ophthalmology, 2Epidemiology Division, Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangzhou 510080, China Contributions: (I) Conception and design: All authors; (II) Administrative support: All authors; (III) Provision of study materials or patients: Y Yang; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: Y Yang, JZ Mai; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Yi Yang. Department of Ophthalmology, Guangdong General Hospital, #106, Zhongshan Second Road, Guangzhou 510080, China. Email: [email protected]. Background: To explore the difference between the outcomes of correlations between a series of variables and adverse reactions (ARs) to fluorescein from univariate and multivariate analysis and to evaluate the nausea effects in different age groups. Methods: A retrospective study of patients undergoing consecutive fluorescein angiography between March 2010 and February 2012 was conducted. No patients were excluded on the ground of age, presence of atopy, allergy history, previous procedures without severe allergic ARs, asymptomatic hypertension and kidney failure with serum creatinine levels lower than 250 μmol/L or with renal dialysis. Results: A total of 829 patients were enrolled and 22.2% of them had ARs. The majority of reactions were nausea (12.1%) which occurred less when age became old (P<0.0001). When the correlations between a series of variables and ARs were assessed separately, age (P<0.0001), prior reactions (P<0.0001) and motion sickness (P=0.0062) were highly and cardio/cerebrovascular disease (P=0.0015), diabetes (P=0.0001) and renal disease (P=0.0219) were lowly related to ARs. -
National Correct Coding Initiative's (Ncci) General
NATIONAL CORRECT CODING INITIATIVE’S (NCCI) GENERAL CORRESPONDENCE LANGUAGE AND SECTION-SPECIFIC EXAMPLES (FOR NCCI PROCEDURE TO PROCEDURE (PTP) EDITS AND MEDICALLY UNLIKELY EDITS (MUE)) EFFECTIVE: April 1, 2017* *INCLUDES 2017 HCPCS/CPT CODES Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association. Applicable FARS\DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained herein. TABLE OF CONTENTS Section Page Introduction 5 General Correspondence Language for NCCI PTP Edits and Medically Unlikely Edits (MUEs) Standard preparation/monitoring services for anesthesia 8 HCPCS/CPT procedure code definition 8 CPT Manual or CMS manual coding instruction 8 Mutually exclusive procedures 9 Sequential procedure 9 CPT “Separate procedure” definition 9 More extensive procedure 9 Gender-specific procedures 10 Standards of medical/surgical practice 10 Anesthesia service included in surgical procedure 10 Laboratory panel 10 Deleted/modified edits for NCCI 11 Misuse of column two code with column one code 11 Medically Unlikely Edits (MUE) (Units of Service) 11 Deleted/modified edits -
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 -
2Nd Quarter 2001 Medicare Part a Bulletin
In This Issue... From the Intermediary Medical Director Medical Review Progressive Corrective Action ......................................................................... 3 General Information Medical Review Process Revision to Medical Record Requests ................................................ 5 General Coverage New CLIA Waived Tests ............................................................................................................. 8 Outpatient Hospital Services Correction to the Outpatient Services Fee Schedule ................................................................. 9 Skilled Nursing Facility Services Fee Schedule and Consolidated Billing for Skilled Nursing Facility (SNF) Services ............. 12 Fraud and Abuse Justice Recovers Record $1.5 Billion in Fraud Payments - Highest Ever for One Year Period ........................................................................................... 20 Bulletin Medical Policies Use of the American Medical Association’s (AMA’s) Current Procedural Terminology (CPT) Codes on Contractors’ Web Sites ................................................................................. 21 Outpatient Prospective Payment System January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) ......................................................................................................................... 93 he Medicare A Bulletin Providers Will Be Asked to Register Tshould be shared with all to Receive Medicare Bulletins and health care -
Bilateral Exudative Retinal Detachment in a Patient with Cerebral Venous Sinus Thrombosis: a Case Report
Bilateral exudative retinal detachment in a patient with cerebral venous sinus thrombosis: a case report Liang Li The second Xiangya Hospital, Central South University Ling Gao ( [email protected] ) Second Xiangya Hospital https://orcid.org/0000-0002-9850-2038 Case report Keywords: exudative retinal detachment, cerebral venous sinus thrombosis, elschnig spot, retinal capillary ischemia Posted Date: June 6th, 2019 DOI: https://doi.org/10.21203/rs.2.9789/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/8 Abstract Background: Cerebral venous sinus thrombosis (CVST) is a rare cerebrovascular disease, it’s ocular symptoms often characterized by a subacute bilateral visual loss, or diplopia and paralysis of eye movements. Fundus examination usually presents as bilateral papilledema and other ocular signs are rare. We report a case of bilateral multiple retinal detachments and nally diagnosed as CVST. Case presentation: A 49-year old woman with progressive headache and bilateral vision deterioration visited our clinic. Ophthaomological examinations including medical history, best-corrected visual acuity, intraocular pressure, slit-lamp biomicroscopy, fundus ophthalmoscopy, uorescein angiography and Optical coherence tomography and head Magnetic Resonance Venogram (MRV) was also performed. Blood tests for ruling out systemic diseases were also performed. Fundus exam revealed bilateral multiple retinal detachment with sub-retinal uid and blurred disc margin. Fluorescein angiography (FA) revealed early hypouorescence in the background stage, multiple pinpoint leakages at the level of retinal pigment epithelium (RPE), and late pooling to outline the boundary of retinal detachment, with some of the leakage shaped as multiple circles in the late stage of FA. -
Fluorescein and Indocyanine Green Angiography Guidelines ______
Fluorescein and Indocyanine Green Angiography Guidelines _______________________________________________________________________________ Approved by: Board Last reviews: 21 January 2012, 3 June 2015 Approval date: 2007 Next review: 3 June 2018 The Royal Australian and New Zealand College of Ophthalmologists ACN 000 644 404 94-98 Chalmers Street, Surry Hills NSW 2010 Phone: +61 2 9690 1001 Fax: +61 2 9690 1321 www.ranzco.edu Introduction and purpose These Guidelines have been issued by RANZCO for the guidance of ophthalmologists. They should not be used by any other persons or provided to patients as a replacement for medical advice. 1. Fluorescein angiography (FA) is an extremely useful and minimally invasive diagnostic investigation that is frequently performed in ophthalmologists’ private practices and ophthalmology departments. Indocyanine Green (ICG) angiography is a similar but less frequently performed investigation. Despite the generally low risks of the procedure, deaths have occurred during and following FA in both Australia and overseas. General 2. Guidelines in eye care are neither minimal nor aspirational but represent quality eye care commensurate with knowledge as at the date of issue. These Guidelines are based on the best available scientific data and on the collective judgement and evaluation of available evidence by retinal specialists in consultation with medico legal and medical (immunology) colleagues. 3. The Guidelines are for the pattern-of-practice rather than the care of a particular individual. While they may meet the needs of most patients, they cannot possibly meet the needs of all patients. 4. Adherence to these Guidelines will not ensure a successful outcome in every situation and the Guidelines should not be deemed inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the best results. -
Using Sound Advice—Intravascular Ultrasound As a Diagnostic Tool
Commentary Using sound advice—intravascular ultrasound as a diagnostic tool Yasir Parviz1, Khady N. Fall1, Ziad A. Ali1,2 1Center for Interventional Vascular Therapy, Division of Cardiology, Presbyterian Hospital and Columbia University, New York, USA; 2Cardiovascular Research Foundation, New York, USA Correspondence to: Ziad A. Ali. Center for Interventional Vascular Therapy, Division of Cardiology, Presbyterian Hospital and Columbia University, New York, NY, USA; Cardiovascular Research Foundation, New York, NY, USA. Email: [email protected]. Submitted Sep 06, 2016. Accepted for publication Sep 08, 2016. doi: 10.21037/jtd.2016.10.64 View this article at: http://dx.doi.org/10.21037/jtd.2016.10.64 Intravascular ultrasound (IVUS) uses varying-frequency (6.0% vs. 13.6%) (5). catheter-based transducers for assessment of blood vessel By extrapolation, IVUS may also have utility in the dimensions and morphology. Along with advances in the emergency setting for pathologies involving the LMCA field of interventional cardiology, IVUS technology has such as spontaneous or iatrogenic dissection. The incidence progressed in the last two decades. Dedicated training of spontaneous dissection in the LMCA has been reported centers in combination with enthusiasm from a new to be ~1% of all epicardial coronary arteries (6,7). Similar generation of cardiologists complemented by well- to aortic dissection, a spontaneous dissection of the established evidence for simplicity, safety and efficacy of LMCA leads to generation of a false lumen and intramural IVUS systems have led to increased routine use of this hematoma with or without intimal tear that may propagate imaging modality. Currently available catheters use sound retrograde into the aorta. -
Crucial Role of Carotid Ultrasound for the Rapid Diagnosis Of
m e d i c i n a 5 2 ( 2 0 1 6 ) 3 7 8 – 3 8 8 Available online at www.sciencedirect.com ScienceDirect journal homepage: http://www.elsevier.com/locate/medici Clinical Case Report Crucial role of carotid ultrasound for the rapid diagnosis of hyperacute aortic dissection complicated by cerebral infarction: A case report and literature review a a, b a Eglė Sukockienė , Kristina Laučkaitė *, Antanas Jankauskas , Dalia Mickevičienė , a a c a Giedrė Jurkevičienė , Antanas Vaitkus , Edgaras Stankevičius , Kęstutis Petrikonis , a Daiva Rastenytė a Department of Neurology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania b Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania c Institute of Physiology and Pharmacology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania a r t i c l e i n f o a b s t r a c t Article history: Aortic dissection is a life-threatening rare condition that may virtually present by any organ Received 24 January 2016 system dysfunction, the nervous system included. Acute cerebral infarction among multiple Received in revised form other neurological and non-neurological presentations is part of this acute aortic syndrome. 14 September 2016 Rapid and correct diagnosis is of extreme importance keeping in mind the possibility of Accepted 8 November 2016 thrombolytic treatment if a patient with a suspected ischemic stroke arrives to the Emergency Available online 19 November 2016 Department within a 4.5-h window after symptom onset. Systemic intravenous thrombolysis in the case of an acute brain infarction due to aortic dissection may lead to fatal outcomes. -
Optos 200Tx and Heidelberg Spectralis
EXPERIMENTAL AND THERAPEUTIC MEDICINE 21: 19, 2021 Performance evaluation of two fundus oculi angiographic imaging system: Optos 200Tx and Heidelberg Spectralis SHUANG LI, JING‑JING WANG, HONG‑YANG LI, WEI WANG, MENG TIAN, XU‑QIANG LANG and KANG WANG Department of Ophthalmology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, P.R. China Received December 15, 2018; Accepted October 29, 2019 DOI: 10.3892/etm.2020.9451 Abstract. The present study aimed to compare the imaging Introduction performance of two ultra‑wide‑field fluorescein angiog‑ raphy imaging systems, namely the OptosOptomap 200Tx Ultra‑wide‑field fluorescein angiography (UWFA) is a novel (Optos 200Tx) and the Heidelberg Spectralis (Spectralis). A total technology that has developed rapidly in recent years (1,2). of 18 patients (36 eyes) underwent angiography using the two As numerous pathological changes of fundus diseases occur systems at the Department of Ophthalmology, Beijing Friendship at the edge of the retina, the limitation of imaging leads to Hospital (Beijing, China) between January and June 2017. The insufficient diagnosis or underestimation of the severity of the images were obtained as a single shot centered on the macula. disease (3,4). Therefore, clear imaging of the edge of the retina The total area and area within each of four visualized quadrants is important for the diagnosis, monitoring and prognostication were calculated and compared. The averages of the total and of patients with ocular fundus diseases. The traditional fundus individual quadrant area captured by the Optos 200Tx were fluorescein angiography system may only provide a vision field all larger than those obtained with the Spectralis (P<0.05). -
Acute Chest Pain-Suspected Aortic Dissection
Revised 2021 American College of Radiology ACR Appropriateness Criteria® Suspected Acute Aortic Syndrome Variant 1: Acute chest pain; suspected acute aortic syndrome. Procedure Appropriateness Category Relative Radiation Level US echocardiography transesophageal Usually Appropriate O Radiography chest Usually Appropriate ☢ MRA chest abdomen pelvis without and with Usually Appropriate IV contrast O MRA chest without and with IV contrast Usually Appropriate O CT chest with IV contrast Usually Appropriate ☢☢☢ CT chest without and with IV contrast Usually Appropriate ☢☢☢ CTA chest with IV contrast Usually Appropriate ☢☢☢ CTA chest abdomen pelvis with IV contrast Usually Appropriate ☢☢☢☢☢ US echocardiography transthoracic resting May Be Appropriate O Aortography chest May Be Appropriate ☢☢☢ MRA chest abdomen pelvis without IV May Be Appropriate contrast O MRA chest without IV contrast May Be Appropriate O MRI chest abdomen pelvis without IV May Be Appropriate contrast O CT chest without IV contrast May Be Appropriate ☢☢☢ CTA coronary arteries with IV contrast May Be Appropriate ☢☢☢ MRI chest abdomen pelvis without and with Usually Not Appropriate IV contrast O ACR Appropriateness Criteria® 1 Suspected Acute Aortic Syndrome SUSPECTED ACUTE AORTIC SYNDROME Expert Panel on Cardiac Imaging: Gregory A. Kicska, MD, PhDa; Lynne M. Hurwitz Koweek, MDb; Brian B. Ghoshhajra, MD, MBAc; Garth M. Beache, MDd; Richard K.J. Brown, MDe; Andrew M. Davis, MD, MPHf; Joe Y. Hsu, MDg; Faisal Khosa, MD, MBAh; Seth J. Kligerman, MDi; Diana Litmanovich, MDj; Bruce M. Lo, MD, RDMS, MBAk; Christopher D. Maroules, MDl; Nandini M. Meyersohn, MDm; Saurabh Rajpal, MDn; Todd C. Villines, MDo; Samuel Wann, MDp; Suhny Abbara, MD.q Summary of Literature Review Introduction/Background Acute aortic syndrome (AAS) includes the entities of acute aortic dissection (AD), intramural hematoma (IMH), and penetrating atherosclerotic ulcer (PAU). -
Public Use Data File Documentation
Public Use Data File Documentation Part III - Medical Coding Manual and Short Index National Health Interview Survey, 1995 From the CENTERSFOR DISEASECONTROL AND PREVENTION/NationalCenter for Health Statistics U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics CDCCENTERS FOR DlSEASE CONTROL AND PREVENTlON Public Use Data File Documentation Part Ill - Medical Coding Manual and Short Index National Health Interview Survey, 1995 U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland October 1997 TABLE OF CONTENTS Page SECTION I. INTRODUCTION AND ORIENTATION GUIDES A. Brief Description of the Health Interview Survey ............. .............. 1 B. Importance of the Medical Coding ...................... .............. 1 C. Codes Used (described briefly) ......................... .............. 2 D. Appendix III ...................................... .............. 2 E, The Short Index .................................... .............. 2 F. Abbreviations and References ......................... .............. 3 G. Training Preliminary to Coding ......................... .............. 4 SECTION II. CLASSES OF CHRONIC AND ACUTE CONDITIONS A. General Rules ................................................... 6 B. When to Assign “1” (Chronic) ........................................ 6 C. Selected Conditions Coded ” 1” Regardless of Onset ......................... 7 D. When to Assign