CPT® Code 34707

Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection, all nonselective catheterization(s), all associated radiological supervision and interpretation, and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation, and treatment zone angioplasty/stenting, when performed, unilateral; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation)

The procedure described by CPT® Code 34707 involves the endovascular repair of the iliac artery utilizing an ilio-iliac tube endograft. This procedure is specifically indicated for conditions such as aneurysms, pseudoaneurysms, dissections, or arteriovenous malformations, and is performed to prevent the risk of rupture. The endovascular approach allows for a minimally invasive intervention, which is advantageous compared to traditional open surgical methods. During the procedure, a guidewire is introduced into the common iliac artery, typically via the femoral artery, facilitating the placement of the endograft. The endograft itself is constructed from a non-permeable polyester material and is supported by a self-expanding flexible metal frame, which provides structural integrity and adaptability to the vascular anatomy. The deployment of the endograft is carefully monitored using fluoroscopic guidance to ensure accurate positioning above and below the vascular defect. This technique not only aims to seal the damaged vessel but also to reduce pressure on the vessel wall, thereby decreasing the likelihood of further dilation and potential rupture. The procedure may also include angioplasty or stenting of the treatment zone, enhancing the effectiveness of the repair. Overall, this endovascular repair technique represents a critical intervention for managing iliac artery conditions while minimizing patient recovery time and complications associated with more invasive surgical options.