[Verified Answer]: Case 5 Preoperative Diagnosis: End-stage…

Case 5 Preoperative Diagnosis: End-stage renal disease. Postoperative Diagnosis: Same. Operation: Left radial cephalic arteriovenous fistula Wound Classification: clean Operative Procedure: Under satisfactory monitored anesthesia care, the left arm was prepped with Betadine draped in a sterile fashion. 1% Xylocaine was used for local anesthesia. An incision was made halfway between the radial artery and the cephalic vein. The cephalic vein was mobilized. The vein was on the small side, but I still felt it was worth a try to use it for an AV fistula. The radial artery was in excellent condition. The patient was given Heparin, the radial artery was controlled, arteriotomy was made in the radial artery, and the end of the vein was sutured to the side of the artery with running 7-0 Prolene suture. After appropriate flushing, clamps were released, reestablishing flow through the fistula. Technically, the anastomosis appeared to be good. The patient was given Protamine; the wound was closed with running Vicryl in the subcutaneous tissue and 5-0 Monosoft in the skin. Dry sterile dressing was applied. Sponge and needle counts were correct. The patient was sent to the day surgery area in satisfactory condition. ICD-10-CM Code: CPT Code