Ask Dr. Z

R CFV accessed w/ ease & 8F sheath inserted followed by single Preclose suture. Series of dilators used to insert 24F Inari sheath. Angled pigtail catheter used to access the pulmonary artery. RT pulmonary artery accessed & MPA catheter used to access subsegmental branch. J-wire was exchanged for Amplatz wire. T24 inserted w/ ease, multiple rounds of thrombectomy performed w/ successful retrieval of thrombus. Angiography confirmed excellent result. Small thrombi in peripheral/subsegmental branches, too distal to retrieve. T24 was withdrawn to the main PA. Angiography was performed. Curved T20 introduced. Thrombectomy performed, but there wasn't return of blood. Both catheters placed under suction & T20 was removed. Thrombus was retrieved. Angiography performed again & confirmed an excellent result on the LT side. Realizing there was clot in transit resting inside the RV 2 rounds of thrombectomy were performed as the catheter was withdrawn. Significant thrombus was removed from the right ventricle.

Is there a code for the right ventricle thrombus?