Ask Dr. Z

Can you please help/guide? Patient had 2 giant pseudoaneurysms left forearm fistula: The pseudoaneurysm inflow and outflow was identified and carefully managed with isolation of the inflow vein and the outflow vein. 4 to 6 cm aneurysm was carefully opened and excised. Dissection of the entire aneurysm component tree was performed from the proximal forearm adown to the distal forearm where the inflow from the proximal forearm down to the distal forearm where the inflow from the radial artery was identified. The complex of the inflow was resected at the radial artery. This unfortunately caused a discontinuation of the radial artery. The cephalic vein was harvested and of nice caliber. Radial artery to radial artery wbypass was performed with teh reversed cephalic vein. Once that was complete, complete resection of the pseudoaneurysms was ensured. The capsules were completely resected. The distal outflow of the cephalic vein AV fistula was ligated with prolene... I am so lost.36832-22? 35045 with a 22? Would really appreciate your expert opinion. Thanking you in advance!