CPT® Code 35526

An aorto-subclavian, aorto-innominate, or aorto-carotid bypass graft using a vein is a surgical procedure designed to create a new pathway for blood flow around a diseased or obstructed segment of the subclavian, innominate, or carotid artery. This procedure is essential for restoring adequate blood circulation to areas that may be compromised due to arterial blockages. The surgery involves the use of a vein graft, which is typically harvested from the patient's own body, often from the saphenous vein in the leg. The operation begins with an incision made in the neck for access to the common carotid artery or a supraclavicular incision for the subclavian or innominate arteries. During the procedure, careful dissection of soft tissues is performed to expose the affected artery, and vascular clamps are applied to control blood flow. The vein graft is then meticulously sutured to both the affected artery and the aorta, ensuring that blood can bypass the obstructed area effectively. This surgical intervention is critical for patients experiencing significant arterial disease, as it helps to alleviate symptoms and prevent complications associated with reduced blood flow.