Director Jiang has performed hundreds of circulatory interventional surgeries, and has seen even more surgeries. Some did it themselves; some wore lead suits and stood behind the teacher to watch; some sat in the operating room and watched the screen.
But this was the first time Director Jiang had seen this perspective while lying on the operating table.
On the upper left side of the field of view is a screen, and the image on the screen is still the image taken after thrombectomy for the previous casualty. He knew that there would soon be movement there, and what would appear was the condition of his coronary arteries.
Whether it is an anterior wall myocardial infarction or not can be known at a glance.
Not only that, he suddenly found that he could observe Zheng Ren's surgery from the patient's perspective.
Just when he thought of this, Director Jiang suddenly realized that Dr. Zheng would perform interventional surgery in the circulatory department
As this thought arose, the spirit that had just calmed down suddenly became tense, and there was a stabbing pain in the front of the heart.
"Expand the crown!" Zheng Ren said immediately when he saw that the ECG oscillogram displayed on the ECG monitor began to become disordered.
The nurse assigned to the table immediately began injecting drugs into Director Jiang.
"Old Jiang, can't you be more honest?" Su Yun was a little impatient.
Mainly because he was familiar with Director Jiang, Su Yun knew that the more casual he spoke on stage, the easier it would be to relieve his nervousness. After all, he had never seen Zheng Ren perform cardiac interventional surgery. If he looked like he was facing an enemy, the consequences would be serious.
Unexpectedly, I still had an acute myocardial infarction.
"I... I wasn't... thinking that Dr. Zheng would do it." After the injection of the drug was completed, Director Jiang felt that the pain in the precordial area was better.
"Just lie down, if he doesn't know it, no one will." Su Yun said disdainfully, "Nobel Prize judge, Dr. Mehar..."
"Don't talk about this. When he gets excited, his blood vessels will spasm, and it will be even more troublesome if he attacks again." Zheng Ren said calmly.
"Go ahead!" Su Yun glanced at Director Jiang and scolded.
In a few words, local anesthesia was applied to the radial artery in the wrist, the arterial sheath was placed, and the guidewire catheter was inserted.
Zheng Ren began to step on the line, and the contrast agent was injected into Director Jiang's coronary artery.
Director Jiang looked sideways at the screen and sighed, this speed is as fast as ever. Me too, what are you worried about
Brother Yun said about the Nobel Prize, maybe. Director Jiang stopped thinking about these messy things and looked at the screen to relax.
But before he could relax, his thoughts were immediately interrupted by the imaging on the screen.
Angiography revealed localized severe concentric stenosis in the proximal end of the left anterior descending coronary artery, with a stenosis of almost 100% and a length of approximately 10 to 15 mm.
There was no obvious abnormality in the circumflex branch. The second segment of the right coronary artery had moderate concentric stenosis of about 50%, and the length of the lesion was about 15 mm.
The judgment is correct. This level of diagnosis is really awesome! Director Jiang admired him in his heart.
The electrocardiogram can give some hints, but it is still difficult to judge so accurately.
"Boss, you said that it has been almost two hundred years since Bernard first inserted a catheter into the heart of an animal in 1844. I feel that there has been no breakthrough in cardiac interventional surgery." Su Yun looked at Director Jiang's angiography The image speaks completely different words.
"It shouldn't be calculated like this." Zheng Ren said while removing the contrast catheter: "If we start to calculate, I think it was in 1929 when the German doctor Forssmann first inserted a urinary catheter from his cubital vein through the superior vena cava. Only when it is sent into the right atrium can it be said that the cardiac interventional surgery begins.”
While he was talking, Zheng Ren had already sent the 7-guide catheter through the vascular sheath to the opening of the left coronary artery, and first sent the 0.014″ptca guidewire to the distal left anterior descending artery.
"Thrombus removal catheter." Zheng Ren said.
Wearing a lead coat, the instrument nurse who followed in handed over a catheter. Su Yun opened the outer package and said, "You said that within twenty years, robotic surgery can be carried out. Apart from not eating up the thread, there is no other progress. The chest, Using the Da Vinci robot to perform surgeries in general surgery is just like taking off your pants and farting."
"As long as the disease can be cured, if we really want to solve it fundamentally, we need to study chemistry and genetics." Zheng Ren sent the thrombectomy catheter near Director Jiang's anterior descending branch.
Director Jiang felt that this was the atmosphere in the operating room.
The surgeon and his assistant were chatting, it was simple and relaxed, instead of before everyone was busy doing the surgery, with countless wounded waiting for treatment, and the pressure was so great that people would collapse at any time.
Suddenly he felt as if his whole life was back on track.
It's just that now I am a patient lying on the operating table. Other than that, everything is normal.
Oh, and there’s another abnormality, that is Zheng Ren’s hand speed, it’s simply too fast!
After the thrombectomy catheter was inserted, he didn't think anything. Even Director Jiang didn't feel anything. The thrombectomy catheter on the screen began to move out with a dark thing.
Is this done
Director Jiang is so confused.
If he had to take this kind of fresh emboli by himself... His technical level was not up to par, and he could only receive thrombolytic tubes.
If it is possible to remove it, a filter should be added, and care should be taken to avoid crushing the fresh emboli and causing more unpredictable complications.
How could it be like Zheng Ren, who carelessly moved the thrombectomy catheter to the location, clamped the thrombus and walked out.
"Dr. Zheng, what method are you using here?" Director Jiang looked at the screen and asked blankly.
Fresh plugs are as tender as tofu, and it is extremely difficult to take them out completely.
So Director Jiang has this question.
Zheng Ren smiled and said: "Now is not the time for discussion. The earthquake relief is over. If you have time, you can come to the 912 Hospital to find me."
Director Jiang nodded. This was Dr. Zheng's promise to go to 912 for further training again.
Only this time, his mood changed.
Dr. Zheng, that’s real awesome, not just pretending or bragging.
Soon, the image of the embolus removal catheter disappeared, and Su Yun used a piece of sterile gauze to catch the fresh embolus.
On the white gauze, the purple-black plug about 1cm looked so ferocious.
It was it just now, blocking the coronary arteries and almost killing Director Jiang.
"Old Jiang, take a look." Su Yun turned the gauze piece sideways. Zheng Ren was afraid that the bolt would fall off at any time.
But Su Yun is usually very accurate, so he should be fine.
"You are such a bear, and you are still yelling for help. You are delaying things." Su Yun's temper was unbridled, and his way of speaking did not change.
Director Jiang rarely sees fresh blood clots. As for his own, this is really the first time.
He smiled. It turned out that it didn't hurt when removing the thrombectomy.
"Boss, you said that the anterior descending artery is 100% blocked, why didn't he respond?" Su Yun asked.
"I'm too nervous. There's too much lactic acid accumulated in my body, so I can't feel the pain clearly... Uh, it doesn't seem right." Zheng Ren said, but couldn't continue.
These are not reasons. Speaking of them, Zheng Ren himself feels that they are far-fetched.
In fact, what he was thinking was that what supported Director Jiang was his passion.