Exploration (not followed by surgical repair), with or without lysis of artery; femoral artery
CPT4 code
Name of the Procedure:
Exploration (not followed by surgical repair), with or without lysis of artery; femoral artery
Summary
An exploration of the femoral artery involves examining the artery to diagnose or assess an issue. The procedure may include lysis (breaking down) of any blockages but does not involve surgical repair.
Purpose
The exploration is done to diagnose or assess arterial blockages, aneurysms, or other abnormalities. The goal is to identify the issue for further treatment planning or to alleviate minor blockages.
Indications
- Persistent leg pain or claudication
- Pulsating mass in the thigh or groin area indicating possible aneurysm
- Diagnostic follow-up for abnormal imaging or tests
- Unresolved symptoms after other non-invasive treatments
Preparation
- Fast for 6-8 hours prior to the procedure
- Adjust or stop specific medications as advised (e.g., blood thinners)
- Complete pre-operative blood tests and imaging studies
Procedure Description
- The patient is positioned on a surgical table and given local or general anesthesia.
- A small incision is made in the groin to access the femoral artery.
- The surgeon examines the artery, potentially using imaging guidance.
- If required, lysis of any blockage may be performed using specialized instruments.
- The incision is closed and dressed.
Duration
Typically, the procedure takes 1 to 2 hours.
Setting
Performed in a hospital operating room or surgical center.
Personnel
- Vascular surgeons
- Surgical nurses
- Anesthesiologists
Risks and Complications
- Bleeding or hematoma
- Infection at the incision site
- Blood clots
- Artery damage
- Reactions to anesthesia
Benefits
- Provides accurate diagnosis of arterial issues
- May partially alleviate symptoms by breaking down minor blockages
- Informs further treatment options and plans
Recovery
- Monitoring in a recovery area for several hours post-procedure
- Prescription of pain management medications if necessary
- Instructions for incision care and physical activity limitations
- Follow-up appointments for further management and assessment
Alternatives
- Non-invasive imaging tests like MRI or CT angiography
- Endovascular procedures
- Medication management for recurrent symptoms
- Lifestyle modifications
Patient Experience
- Discomfort at the incision site; managed with pain medication
- Temporary restrictions on movement and physical activities
- Gradual return to normal activities as advised by the healthcare team