"Papaverine." Zheng Ren said while looking at the image while operating.
As soon as he finished speaking, the medicine was already injected. Su Yun watched the operation with all his concentration and cooperated very well.
"Boss, is the success rate here high?" Su Yun asked seriously.
"The success rate is still very high if the doctor doesn't cause trouble after the anesthesia is over." Zheng Ren said: "It's just a stent removal surgery. It is definitely difficult, but not great."
What an outrageous answer, Su Yun sighed inwardly.
The highest level of pretentiousness is when others can't do it, but you can do it yourself, and then Feng Qingyun calmly says that the difficulty is just that.
I often use this method. For example, when I rescued Zhao Yunlong, I finally said this.
But when Zheng Ren said this to himself, his feelings were completely different.
Su Yun's experience was quite bad.
Director Zhang Lin stood behind Zheng Ren and watched the operation carefully. She had completely lost her thoughts.
Coronary stent removal, this procedure has long been "eliminated".
It's not because of the surgical technique, but because no one can complete it smoothly.
During the process of adhesion, dissociation, and decomposition between the stent and the vascular intima, there is a high probability of myocardial ischemia. There may even be a coronary artery tear, leading to cardiac tamponade and death of the patient.
According to Director Zhang Lin, this is an inevitable complication.
But the inevitable thing did not happen under Boss Zheng's operation. She didn't even understand Boss Zheng's operation before the stent was taken out.
The extractor with the filter was taken out and placed directly on the instrument table by Zheng Ren.
Director Zhang Lin looked at it carefully several times, but she had no idea how this thing was taken out. She also didn’t know why Dr. Mehar’s anterior descending limb looked like it was made of reinforced concrete and there was no spasm.
Could it be that I saw it wrong? Curious, she asked for a pair of sterile gloves and put them on, then motioned for the nurse to hand the stent to her.
The inner layer of the stent was covered with thrombus, and the diameter of the lumen had narrowed to half of its original size. Director Zhang Lin remembered the description in the medical record. In less than half a year, Dr. Mehar's coronary stent was so clogged.
This was despite Dr. Mehar's oral anticoagulant medication.
Director Zhang Lin tried to find another way to treat Dr. Mehar's disease, but the stent in her hand silently told her that there was only one way.
Whether it is a drug-loaded stent or an absorbable stent, it will definitely become useless in the hypercoagulable state of Dr. Mehar's blood.
It seems that performing contraindicated coronary stent removal is the only way. Perhaps this is why Dr. Mehar is willing to try. He is a leading figure in cardiology and must know that he has no way out.
Director Zhang Lin was in a trance, looking away from the inside of the stent and carefully observing the outside of the stent.
The blood vessel intima proliferates, forming some climbing marks on the outer membrane of the stent. I just don’t know what method Boss Zheng used to avoid coronary artery spasm and loosen the intimal hyperplasia of the blood vessels before removing the stent.
What a miraculous skill, Director Zhang Lin thought.
Boss Zheng dared to do this kind of contraindication in the textbook, and Dr. Mehar also dared to ask Boss Zheng to do it. These two people were really brave.
Just as he was thinking about it, Zheng Ren had already put in the brand new covered stent on the operating table, but without angiography, he directly started to do another coronary vessel.
Is the anterior descending artery stent removal and stent implantation so successful? ! Not even imaging confirmation
Director Zhang Lin was speechless. Boss Zheng was probably too confident.
Although he knew that he wanted to complete the operation before waking up from basic anesthesia, there were still two arterial stents waiting to be removed and new ones waiting to be installed.
Is there enough time
Thinking about it, Director Zhang Lin glanced at the clock hanging on the lintel.
Only 3 minutes have passed since the basic anesthetic drug was injected.
Not only was it possible, the surgery was also done very quickly. But looking at the operation process, why didn’t I feel it
Director Zhang Lin sighed, this is the difference in surgical level. The other young doctors probably thought the same thing when they saw me performing surgeries.
There is no difficulty in doing this surgery.
The remaining two coronary arteries are operated exactly the same.
If you can take out one stent, you can also take out the remaining two, with zero difficulty... As long as there are no unexpected situations, Director Zhang Lin thought.
Boss Zheng’s level of cardiac interventional surgery is so high!
Director Zhang Lin stared blankly at Zheng Ren as he continued to operate, feeling at a loss in his heart.
Compared with Boss Zheng, my level is more than an order of magnitude behind. This kind of restricted area level operation is not difficult at all under his hands.
Before the operation, Director Zhang Lin repeatedly thought about what kind of rescue he might perform during the operation. Some very rare complications are taken into consideration.
But now, looking at Dr. Mehar sleeping soundly, and looking at the steady ECG monitoring that seemed to have never changed, she knew that her homework was in vain.
A contraindicated surgery did not cause any complications. It seemed to be simpler than doing a coronary angiogram on your own.
…
In the operation room, Dr. Mehar's accompanying medical team stood in the operation room, staring with big eyes. They were not allowed to enter.
Dean Yan and Vice Dean Yuan were sitting in front of the operating table, while the technician who was supposed to be sitting in front of the operating table could only hide behind him in aggrieved manner. However, Boss Zheng seems to have no need for technicians at all. All operations are done inside using the control panel. He could do nothing until the operation was over.
If all doctors did this, would I be unemployed? The technician thought anxiously.
At the beginning of the operation, the conversation between Zheng Ren and Dr. Mehar continued to be heard from the loudspeaker, and translators were interpreting simultaneously behind the deans.
Neither dean knew how to describe this matter.
Dr. Mehar was like a child, full of curiosity about Zheng Ren's surgical techniques.
Even heart surgery, which is extremely dangerous, still requires one or two operations.
"Director Kong, what do you think?" Dean Yan suddenly said.
"Dean, the surgery is difficult, but I believe Boss Zheng can complete it successfully." Director Kong said without hesitation.
"Will there be no vasospasm?" Dean Yan asked.
Just as he was talking, he saw through the leaded glass that Lao He began to inject Dr. Mehar with anesthetic drugs and perform basic anesthesia.
It turned out that Boss Zheng really knew what he was doing. Dean Yan changed his posture and sat comfortably in the chair, letting his legs relax as much as possible.
Originally having a meeting out of town, he gave up a lot of reception work and rushed back against all odds. Running all the way is a bit tiring.
But Boss Zheng did a good job in the surgery, so it was quite worry-free, Dean Yan thought to himself.
At the same time, in the operating room, a signal receiver transmitted the information.