CPT® Code 34111

Embolectomy or thrombectomy is a surgical procedure aimed at removing an obstruction from a blood vessel, specifically targeting the radial or ulnar artery through an incision made in the arm. This obstruction can be in the form of an embolus, which is a substance that has traveled through the bloodstream and lodged itself in a smaller vessel, or a thrombus, which is a blood clot that forms in situ within a narrowed or stenotic area of the artery. The procedure is critical in restoring normal blood flow to the affected area, which can be compromised due to these obstructions. The emboli often originate from the heart, particularly in patients with a history of myocardial infarction or rheumatic heart disease, while thrombi may develop due to arterial stenosis or as a complication following procedures such as aortography. During the embolectomy or thrombectomy, the surgeon makes an incision in the arm to access the affected artery, allowing for direct intervention. The procedure can be performed with or without the assistance of a catheter, depending on the specific circumstances and the surgeon's preference. The ultimate goal of this intervention is to clear the obstruction, restore blood flow, and prevent further complications associated with ischemia in the affected limb.