Ask Dr. Z

Please advise how you would report the following: "Exposure of the proximal 4-5 cm of the profunda femoral artery, which lay below the previously worked on common superficial femoral system. The profunda femoral artery was ligated just distal to the stenotic connection to the lateral branch and divided. The distal portion of the profunda fomoris artery was mobilized. The distal hood of the existing vein graft was opened longitudinally and had an excellent lumen. The end of the profunda femoral artery was spatulated and an anastomosis carried out to the vein graft with 7-0 prolene suture. Backbleeding and for bleeding were allowed to occur, and flow was restored into the profunda system."