CPT® Code 0545T

Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach

The procedure described by CPT® Code 0545T involves the transcatheter reconstruction of the tricuspid valve annulus through a percutaneous approach. The tricuspid valve annulus is a critical anatomical structure that supports the tricuspid valve, which is responsible for regulating blood flow between the right atrium and the right ventricle of the heart. In patients suffering from chronic tricuspid regurgitation, often resulting from a dilated annulus due to conditions such as heart failure or dilated cardiomyopathies, this procedure aims to restore proper function and reduce regurgitation. The use of an adjustable annulus reconstruction device allows for precise modifications to the annular size, which can significantly improve the patient's hemodynamic status. The procedure is guided by advanced imaging techniques, including transesophageal echocardiography (TEE) and fluoroscopy, ensuring accurate placement of the device. The approach typically involves accessing the femoral vein, followed by a series of catheterization steps to navigate to the right atrium and deploy the annulus device effectively.