Documentation for Endovascular Procedures

Question:

What information needs to be documented in the body of the operative report for endovascular procedures?

Answer:

Documentation must include a thorough description of the procedure detailing vascular access points, catheterizations including the end point of all catheterizations, description of all interventions performed including placement of any prosthesis, results of the intervention, percentage of residual stenosis for all vessels treated, and any attempted procedures that were not successful or not able to be completed. Radiological supervision for diagnostic angiograms with rationale, vessels visualized, and findings should also be detailed in a separate paragraph.

*This response is based on the best information available as of 11/14/24.