CPT® Code 35045

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery

The procedure described by CPT® Code 35045 involves the surgical intervention for the repair of a radial or ulnar artery aneurysm or pseudoaneurysm, which may also be associated with occlusive disease. An aneurysm is characterized by an abnormal enlargement or dilation of an artery, often resulting from conditions such as arteriosclerosis, mechanical obstruction, or malposition of the artery. Less frequently, aneurysms can arise from infections like syphilis or tuberculosis, or from structural abnormalities of the vessel wall, such as fibromuscular dysplasia. In contrast, a pseudoaneurysm is a hematoma that forms in communication with the artery but does not involve all three layers of the arterial wall, typically resulting from trauma or complications from medical procedures, such as catheterization. The surgical approach for this procedure includes direct repair or excision of the affected artery, with the option of graft insertion, which may involve the use of a patch graft. The operation is performed through an incision in the arm, allowing access to the affected artery for repair. The procedure aims to restore normal blood flow and address any associated occlusive disease, ensuring the integrity and functionality of the radial or ulnar artery.