KaylaRieken
True Blue
64561 vs 64581 percutaneous vs open. What is considered open in these situations?
Example 1: The inner stylet was removed from the percutaneous needle, and the directional guide. We then proceeded to make a small skin incision with a scalpel blade over the directional guide. The percutaneous needle was removed, and then we proceeded to place the dilator under fluoroscopic guidance. The inner stylet of the dilator was removed. And the permanent lead was was obtained.
Example 2: I used fluroscopy to identify the midline of the sacrum and the lower end of the SI joint and the medial aspect of the sacral foramen on each side and made marks. I infiltrated the right sacral foraminal line and used a needle to gain access several times to the S3 foramen. Once this was done, there was a good stimulation to the bellows, followed by tow at low stimulation. I chose this and placed a stylet down the needle and then made an incision in the skin. I removed the needle and used the sheath in the lateral fluroscopic plane to dilate to midway through the bone window. I then placed the lead and saw a good curl and tested and felt all 4 contact points tested at or below 1.
TIA!!
Example 1: The inner stylet was removed from the percutaneous needle, and the directional guide. We then proceeded to make a small skin incision with a scalpel blade over the directional guide. The percutaneous needle was removed, and then we proceeded to place the dilator under fluoroscopic guidance. The inner stylet of the dilator was removed. And the permanent lead was was obtained.
Example 2: I used fluroscopy to identify the midline of the sacrum and the lower end of the SI joint and the medial aspect of the sacral foramen on each side and made marks. I infiltrated the right sacral foraminal line and used a needle to gain access several times to the S3 foramen. Once this was done, there was a good stimulation to the bellows, followed by tow at low stimulation. I chose this and placed a stylet down the needle and then made an incision in the skin. I removed the needle and used the sheath in the lateral fluroscopic plane to dilate to midway through the bone window. I then placed the lead and saw a good curl and tested and felt all 4 contact points tested at or below 1.
TIA!!