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Endovascular AVF - WavelinQ

Posted By Alejandro C. Alvarez, Thursday, October 25, 2018

Dear Colleagues,

 

We had the Privilege to perform our first three endovascular AVF's using the wavelinQ system early this week.

 

All were an immediate technical success. We will follow the patients closely to the time of cannulation. 

 

I am very grateful to my team at the VAC and the patients that put their trust on us.

 

Here are the most meaningful images of our very first patient - these include a the final run and blood flow volume by me two days later

 

The second video is the final run of the second patient. 

 

The third is a still corresponding to the final patient.

 

Now we will follow them until the are ready to be accessed

 

Thanks,

 

Alejandro Alvarez


SSM VAC STL MO

Download File (MOV)

 Attached Thumbnails:

 Attached Files:
IMG_1924.mov (1.66 MB)

Tags:  AVF endovascular at SSM STL 

Permalink | Comments (2)
 

Comments on this post...

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Theodore F. Saad says...
Posted Friday, October 26, 2018
Congratulations Alex, strong work, and thanks for sharing this experience. Can you tell me in what setting these were performed? ASC, OBL, Hospital? I wasn’t aware that the codes and reimbursement issues were settled yet; expect to get more info at CiDA next week.
Ted
Permalink to this Comment }

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Alejandro C. Alvarez says...
Posted Friday, October 26, 2018
Thanks Ted.

These first patients, we did in the Hospital Cardiac Cath Lab Angio suites as out patients. The plan is to move these procedures into our Hospital base outpatient Vascular access center, where I am the Medical Director.

Currently SVS and CMS have to generate a final code. This is already in process as far as I know.

For the time being we are charging the Surgical code and S&I code for each of the steps of the procedure. We are also working with our coding department to make sure we are charging appropriately. We do not really know what the final reimbursement will be.

We felt this important and beneficial enough for a large number of our patient population that we decided to proceed prior to CMS's Final determination.

Thankfully our group (NHS Vascular) and our institution (SSM Health) have been very supportive of us (The VAC team) spearheading this endeavor. We hope that the reimbursement reflects the clinical benefit.

Alex
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