Wiki stents

right arm and shoulder were prepped and draped in the usual steril fasion. Local anesthesia was used. I made two incisions over the stent. One was below the axilla and one was in the axilla. I cut the graft that the stent was in I then slowly dissected around the graft until I got to the venous anastomosis and the upper incision. I cut through the vein. The stent was present here and there were multiple stents that extended higher up into her axilla towards the subclavian vein. I dissected up a few centimeteres above this level and transected the stent. The lower stent which was bothering her was completely removed. A portion of an overlapping stent was also removed. Hemostasis achieved and I oversewed this with 4-0 vicryl. Subcutaneous tissue and skin were closed.

This is the body of the note for Removal of stent graft from right upper arm.

I didnt think that the 37607 code was right - any suggestions
 
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