During this procedure, a thin catheter (tube) is threaded to the heart from the blood vessels in the groin area. The catheter, guided by X-ray, allows a special device to be put in place to close the patent foramen ovale. The procedure lasts about 1 to 2 hours. An overnight hospital stay may be needed.
PFO/ASO Closure with ICE (93580 with 93662): Bill ICE-guided PFO closure with CPT 93580 (CardioSEALs, AMPLATZER™ Occluder, etc.). Bill 93580 has ICE/TEE codes if echocardiography was performed during PFO closure.
Within a few days of receiving a PFO closure device, your body's own tissue will start to grow over and around it. Three to six months later, your heart tissue completely covers the device.
Activity Restrictions After 5 days, no heavy activity that causes deep/heavy breathing for 6-8 weeks. No driving for 5 days. No tub baths, swimming, or hot tubs for 7 days. Most patients return to work within one week.
• You must lie flat in bed for 2 to 6 hours. You may be given pain medicines if you have any problems lying flat. during the first 3 to 4 hours after your procedure. recovery room is small, only 1 to 2 guests may visit at a time. You will be able to eat as usual.
Watch for bleeding from the site. A small amount of blood (up to the size of a quarter) on the bandage can be normal. If you are bleeding, lie down and press on the area for 15 minutes to try to make it stop. If the bleeding doesn't stop, call your doctor, nurse advice line, or seek immediate medical care.
Care of the catheter site For 1 or 2 days, keep a bandage over the spot where the catheter was inserted. Put ice or a cold pack on the area for 10 to 20 minutes at a time to help with soreness or swelling. You may shower 24 to 48 hours after the procedure, if your doctor okays it.
People who do not respond to medication may need a minimally invasive, catheter-based procedure. Your interventional cardiologist closes the PFO with a small closure device. This is done in a cardiac catheterization (cath) laboratory.
Your healthcare provider may also repair the PFO by transcatheter repair or heart surgery. A transcatheter repair is less invasive than a surgical repair.