My doctor states a subclavian limb was placed, size is 12mm X 6 cm. Is this limb he's referring to a proximal extension? Or should I be using a different code for this subclavian limb. Please help.....Thanks!
At this time the graft was brought into the field. The graft was flushed. We then passed the Lunderquist wire through the endhole of the graft. We then passed the 0.035 Glidewire through subclavian port. The device was then passed over the double wire system advancing into the arch of the aorta. There was a single wrap which was addressed on advancing the system. We advanced the device into the arch of the aorta positioning the subclavian port and markers at the i most inferior wall of the takeoff of the subclavian artery. The graft being in good position was then deployed. After completion of deployment we then turned attention to the subclavian limb. We passed the 12 mm x 6 cm device into the thoracic aorta. We passed a long 5 French sheath from the left wrist advancing to the plastic aorta. We then advanced the limb through the subclavian port into the subclavian artery. The limb was positioned appropriately and the subclavian limb was deployed under fluoroscopic guidance. After completion of deployment we then profiled the subclavian graft extension first the inferior portion at the entry off the aorta followed by the superior portion of the limb in the subclavian artery followed by the curved area in the port of the graft with an MO B balloon.. After completion of deployment a final completion arteriogram was done that showed wide patency of the ascending aorta. The patient has a bovine origin arch. There is patency of the innominate artery with the takeoff of the left common and of the right common and subclavian arteries with patency of the graft segment in the arch and into the descending thoracic aorta. There is wide patency of the subclavian limb. At this time sheath catheters and wires were withdrawn from the left groin. The left groin arterial puncture was closed with interrupted 5-0 Prolene suture. The was closed in 3 layers with 3-0 Vicryl suture and the skin with a 5-0 Monocryl subcuticular suture. The left groin was closed with a Star close closure system. The left wrist catheter was withdrawn with a TR band compression hemostasis. The patient tolerated the procedure with no intraprocedural complications. Sponge and needle counts were correct x3
At this time the graft was brought into the field. The graft was flushed. We then passed the Lunderquist wire through the endhole of the graft. We then passed the 0.035 Glidewire through subclavian port. The device was then passed over the double wire system advancing into the arch of the aorta. There was a single wrap which was addressed on advancing the system. We advanced the device into the arch of the aorta positioning the subclavian port and markers at the i most inferior wall of the takeoff of the subclavian artery. The graft being in good position was then deployed. After completion of deployment we then turned attention to the subclavian limb. We passed the 12 mm x 6 cm device into the thoracic aorta. We passed a long 5 French sheath from the left wrist advancing to the plastic aorta. We then advanced the limb through the subclavian port into the subclavian artery. The limb was positioned appropriately and the subclavian limb was deployed under fluoroscopic guidance. After completion of deployment we then profiled the subclavian graft extension first the inferior portion at the entry off the aorta followed by the superior portion of the limb in the subclavian artery followed by the curved area in the port of the graft with an MO B balloon.. After completion of deployment a final completion arteriogram was done that showed wide patency of the ascending aorta. The patient has a bovine origin arch. There is patency of the innominate artery with the takeoff of the left common and of the right common and subclavian arteries with patency of the graft segment in the arch and into the descending thoracic aorta. There is wide patency of the subclavian limb. At this time sheath catheters and wires were withdrawn from the left groin. The left groin arterial puncture was closed with interrupted 5-0 Prolene suture. The was closed in 3 layers with 3-0 Vicryl suture and the skin with a 5-0 Monocryl subcuticular suture. The left groin was closed with a Star close closure system. The left wrist catheter was withdrawn with a TR band compression hemostasis. The patient tolerated the procedure with no intraprocedural complications. Sponge and needle counts were correct x3