CPT® Code 0644T

Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated blood, including imaging guidance, when performed

Transcatheter removal or debulking of an intracardiac mass is a minimally invasive procedure that employs catheter-based technologies to eliminate harmful materials, such as vegetations or thrombus, from within the heart. This procedure is performed using a percutaneous approach, which means that it is conducted through the skin rather than requiring open surgery. The technique typically involves the use of specialized devices, such as the AngioVac System, which utilizes suction to remove the unwanted mass. During the procedure, an extracorporeal bypass circuit is established, allowing for the safe suctioning of the mass while simultaneously reinfusing the aspirated blood back into the patient. The procedure is generally performed under general anesthesia, ensuring that the patient is completely unconscious and pain-free throughout the process. Additionally, anticoagulation with heparin is administered to prevent clot formation during the procedure. Imaging guidance, including ultrasound and fluoroscopy, is utilized to accurately navigate the catheters to the target area within the heart, ensuring precision and safety. This innovative approach not only minimizes the risks associated with traditional surgical methods but also enhances recovery times for patients.