When the operation begins, the airtight door automatically closes.
People standing in the operating room looked at the two young people inside through the leaded glass, feeling as if they were watching a Danish fairy tale.
The world's top surgical institute, which selects the Nobel Prize in Medicine, is helpless about Dr. Mehar's condition, but actually chooses to let two young people perform the surgery
The key is that they are not doctors engaged in interventional cardiology.
This feels like a dream.
Professor Rudolf Wagner clenched his hands and looked at Dr. Mehar with his head facing the side of the C-arm, his right arm abducted at a 45° angle, and placed on the support board. Su Yun was disinfecting, and Zheng Ren was familiarizing himself with various instrument.
He was also in a daze, asking a doctor who specializes in organ intervention to perform heart surgery? Have you put too much confidence in your boss
Where do these confidences come from
The radial artery is punctured, the guidewire and catheter are inserted, and the cocktail is injected along the catheter.
The so-called cocktail is a name for a mixed solution of nitroglycerin and heparin sodium, which can effectively control the patient's blood pressure and reduce the possibility of intraoperative accidents.
In the institute, this most basic cocktail has long been no longer used for normal coronary angiography, but Zheng Ren still insisted.
Simplicity has the benefit of simplicity, which is hard to describe.
At this moment, the professor vaguely felt some vaguely hostile eyes looking at him.
Zheng Ren crossed his left and right hands to insert the guide wire and catheter, while Su Yun concentrated on using the electronic buttons to shake the bed and change Dr. Mehar's position.
In coronary angiography, changing body position is also a very important operation. The assistant's main task is to hold the guide wire and change the bed position.
It's just that Zheng Ren's level is too high, and he can cross-operate with his left and right hands by himself, so Su Yun seems a little... idle.
The bed is tilted, which is the right coronary position familiar to everyone watching the surgery.
After the contrast agent is injected, what appears on the image is a completely occluded image.
After seeing the imaging, Professor Rudolf Wagner's hands trembled involuntarily.
Originally, in the silhouette of the last surgery I just saw, there was still a slight gap in the right crown, which was slightly thicker than the capillaries of the prostate, but not much thicker.
The professor’s confidence also comes from this.
Others cannot pass through the narrow passage and cannot operate. But Zheng Ren can do it. Blood vessels as thin as the capillary network of the prostate can be penetrated, and it is done by operating a Changfeng minimally invasive guidewire.
Now that I have replaced it with Terumo's special guide wire, there must be no problem.
However, Dr. Mehar's condition took a turn for the worse. During the period when extracorporeal membrane lung was used to reduce the load on the heart, the right coronary artery was completely blocked by thrombus.
It's over... Professor Rudolf Wagner's palms were filled with sweat, and stars were twinkling in front of his eyes. In an instant, the world was spinning and everything was moving away from him.
"Rudolf, the situation is really bad." A person whispered in the professor's ear, and there was a hint of schadenfreude in his words.
The professor knew that this person was his competitor, Robin Olson of the Royal Swedish Academy of Medicine, without even looking.
He studies infectious diseases. In this Nobel Prize application, he applied for a new method of rapid diagnosis and treatment of schistosomiasis in Africa.
Professor Rudolf Wagner even suspected that Dr. Mehar's myocardial infarction was caused by his own surgery, which was said by Robin Olson.
But he has been living in the imperial capital recently, and when Zheng Ren comes back, the professor doesn't know much about the situation here.
There is no time to understand.
Faced with provocation, the professor wanted to say something. But his violent temper had long since turned into sadness and despair in front of the blocked right coronary artery.
In the operating room, the line is being stepped on, and every step of the operation can be seen clearly.
A special Terumo guidewire was passed in and placed against the blocked area where even the blood flow could not pass.
The guide wire was inserted bit by bit, very gently, and the professor felt like he was standing on the operating table in a trance. As Zheng Ren's assistant, he could see the subtle movements of Zheng Ren's wrist.
Every movement was gentle, but extremely firm, with no hesitation.
After testing several angles, the guide wire finally found the most appropriate position and inserted it directly with force.
"Oh my God, Rudolf, your little friend doesn't want to use a guide wire to directly pass through the blocked thromboembolism." Robin pretended to be surprised, his voice was very low, only he and the professor could hear it, but there was something in his voice. Full of winner's disdain.
"It will definitely work." Professor Rudolf Wagner said firmly, not knowing whether he was encouraging himself or Zheng Ren.
"Luxenberg from Lyon saw the film and said it was absolutely impossible." Robin said, "Because you are my opponent, I have recently learned about interventional surgery. The doctor's right coronary was full of blood clots. Old thrombus cannot be penetrated at all, so we have to find fresh thrombus for operation."
As he spoke, he shrugged with a joking look on his face.
"Dear Rudolf, do you think it is possible to distinguish fresh blood clots from old blood clots on this kind of image? You are expecting a miracle." Robin faked a sigh and patted the professor on the shoulder.
If you didn’t know better, you would have thought that he was comforting Professor Rudolf Wagner.
"It's impossible. Once you apply force to the old embolus, it will pull the doctor's fragile right coronary vessel wall, causing complications such as ventricular fibrillation. Maybe in the next second, these guys will rush in to rescue the doctor."
The professor slapped Robin's hand on his shoulder and said solemnly: "Look carefully at the surgery, my boss will definitely be able to do it."
"That's the wall of sighs. You want to penetrate it with a guide wire? This kind of imagination is really amazing.
Rudolph, your stubbornness is really like that of the little boy next door to me. You know, he yesterday..." As he spoke, Robin's eyes glanced at the screen inadvertently, and the thin guidewire on the screen began to move slowly, entering into a pile of clogged blood clots.
It's like using a wire... to penetrate the wall of sighs.
I don't know what method the magician used, but he found the only weakness of the sighing wall after several trials.
Moreover, it did not trigger any side effects in Dr. Mehar's heart, leading to ventricular fibrillation.
The fragile heart is still beating feebly, but no one knows when the beating will stop.
Robin's voice suddenly stopped as if someone had strangled his neck.
The professor's hands clenched into fists worked harder, as if he were operating a guide wire. The veins bulged high on the back of his hands, like a winding river.
Boss, be careful, don't use too much force, otherwise your heart will stop beating... Professor Rudolf Wagner was praying in his heart.
Now, I can only pray that the boss really has a pair of hands kissed by God.
…
…
The Wall of Sighs is a wall in Greek mythology that separates the Pure Land of Paradise and the Underworld. It is also called the Wall of Sighs. It is said to be composed of three sighs from Persephone, Queen of the Underworld. Meaning: The soul in the underworld sees the Pure Land of Ultimate Bliss approaching but is blocked in front of it, and sighs while looking at it. The first time I knew it was when I was watching "Saint Seiya" when I was a child. The forgotten memory should be broken by Zilong.