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AHA Coding Clinic® for ICD-9 - 1994 First Quarter

Pleuroperitoneal shunt

The "new" Denver(tm) Shunt Pleuroperitoneal shunting is a relatively new palliative procedure for the treatment of intractable pleural effusion, both benign and malignant, or chylothorax (the presence of effused lymph and triglyceride fat in the thorax). The insertion of the shunt can be accomplished under local or general anesthesia. The shunt, manufactured by Denver Biomaterials, and often referred to by its trade name, is a single unit silicone rubber conduit consisting of a unidirectional valved pumping chamber located between fenestrated pleural and peritoneal catheters. Manual compression is required to stimulate thoracic evacuation as pleural pressure is lower than peritoneal...

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