Ask Dr. Z

Would you assign 35266-59-51 in addition to 33984 and 33952? "I reopened the right axillary artery wound, placed a Henley retractor. There was diffuse oozing from the entire surface of the end-to-side graft with multiple areas of bleeding along the arterial edge. I attempted primary repair with a number figure-of-eight and pledgeted 6-0 Prolenes. However, I was not able to adequately control the bleeding. Therefore, I felt at this point, our only option was to reapply our clamp. The patient's ACT was greater than 200. Therefore, I placed a Satinsky side-biting clamp, removed the graft. The artery was very small and thin-walled and was quite diffusely injured, likely from the force of the ECMO cannula and flow. At this point, I elected to repair the artery in order to ensure good perfusion to her right arm, I sewed a bovine pericardial patch using a running 6-0 Prolene."