AMA CPT® Assistant - 2006 Issue 11 (November)

Endovascular Therapy (November 2006)

November 2006 pages 8-14 Coding Communication:Endovascular Therapy Many of the concepts applied to modern endovascular treatment of cerebrovascular disease have been around for quite some time. Abrupt permanent surgical ligation of extracranial vessels for treatment of intracranial aneurysms (Hunterian ligation) as well as other vascular pathology has been performed for many years but with limited efficacy and unpredictable cerebral tolerance with risk of ischemic sequelae (stroke). Gradual occlusion of the internal or common carotid artery using the Selverstone or Crutchfield clamp has been performed as an open surgical procedure for more than 30 years in an attempt to decrease...

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