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upper extremity angiography via axillofemoral bypass graft access

Date: Oct 24, 2023

Question:

What catheterization code would be used for the following? Is this considered non-selective or selective?

Access was obtained in the right axillofemoral graft near the anterior superior iliac spine with the underlying inguinal ligament and iliac crest available for compression, using a micropuncture kit. This was exchanged for a 6 French sheath over a Bentson wire. A kumpe catheter and wire were advanced into the subclavian artery and angiogram images were obtained.

Angiographic Findings:

- successful access of the right axillofemoral graft with acute thrombus

- Patent right subclavian, axillary, and proximal brachial arteries and main branches

- Acute thrombus throughout axillary graft.

I found a similar case on question ID 4047 but it is outdated (2012) with now deleted codes. Thanks!

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