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The procedure described by CPT® Code 34900 involves the endovascular repair of the iliac artery, which may be necessary due to various conditions such as an aneurysm, pseudoaneurysm, arteriovenous malformation, or trauma. An endovascular graft placement is a minimally invasive technique that allows for the repair of the iliac artery without the need for open surgery. This approach is particularly beneficial as it typically results in reduced recovery time and less postoperative pain compared to traditional surgical methods. The procedure begins with the exposure and incision of the ipsilateral femoral artery, which serves as the access point for the endovascular intervention. A guide wire is then introduced and carefully advanced to the area just above the iliac artery defect, allowing for precise placement of the introducer sheath that contains the endovascular graft. Under fluoroscopic guidance, the correct positioning of the graft is confirmed before deployment. This meticulous process ensures that the graft effectively addresses the defect in the iliac artery, thereby restoring proper blood flow and reducing the risk of complications associated with the aforementioned conditions.
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