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34111, 34201

Date: Mar 21, 2012

Question:

Hi Dr. Z, If our doctor is performing an open emrbolectomy of the Brachial artery, Radial artery and the Ulna artery can i use 34111 twice with 34101 or do i just use 34101? Thanks for your help... Please see an example below ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A linear incision was made of the patients right medial aspect of the elbow and carried down with dissection. the patients bracial artery, radial artery,and ulna artery was identified, respectevily controlled with vessel loop. Than a transverse arteriotomy was made of the brachial artery. A #2 Forgaty catheter was passing through to the proximal brachial artey. There is organized embolus was expressed. Brisk flow was achieved and irrigated with saline and then embolectomy catheter was passing through the radial artery . the radial artery had minimal clots and passing through the ulna artery, the ulnar artery has an organized embolus as well. Both achieved brisk back flow and were flushed with heparinized saline. After satisfaction the transversed arterectomy was closed with interrupted 7-0 prolene stitch and restored right upper arm blood supply, palpable radial and ulnar pulse.
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