CPT® Code 35905

The procedure described by CPT® Code 35905 involves the excision of an infected vascular graft located in the thorax. This surgical intervention is necessary when a vascular graft, which is a synthetic or biological conduit used to restore blood flow, becomes infected. The presence of infection can compromise the integrity of the graft and the surrounding tissues, leading to potential complications if not addressed promptly. During the procedure, the surgeon must ensure that adequate blood flow to the affected organ or limb is maintained, which typically necessitates a separate re-vascularization procedure involving the placement of a new graft prior to the removal of the infected one. This careful approach is crucial to prevent ischemia, which is a condition characterized by insufficient blood supply to tissues. The surgical steps include exposing the infected graft, clamping the inflow and outflow arteries, excising the graft, debriding the arterial walls at the anastomosis sites, and repairing any defects in the arterial walls with sutures. This comprehensive process aims to eliminate the infection while preserving the vascular integrity of the thoracic region.