So young?" Koji Kimura was slightly surprised when he saw Ruan Bin.

So young, is it reliable?

He really wanted to know how the other party would do this operation!

"Professor Kimura, this is Dr. Nguyen Bin Nguyen from our emergency department, this is Professor Koji Kimura, and this is his apprentice Kojiro Miyamoto. Jia Yanguan introduced to both parties.

"Hello Ruan Sang. Koji Kimura greeted him politely.

"Hello Professor Kimura. ”

After the politeness, cut to the topic.

"Ruan Sang, are you sure you can operate without imaging?" asked Koji Kimura with a hint of doubt.

Otherwise, I wouldn't have agreed to Director Jia coming for a consultation. Ruan Bin said.

This ambiguous answer made Koji Kimura frown deeply.

"I wonder how many zero-contrast surgeries Nguyen Sang has?" Koji Kimura continued.

"Not much, just 2!"

"It's only 2 units, don't you know the difficulty and complexity of this operation, I don't think you can handle it with this experience!" said Koji Kimura with a slightly gloomy face.

He felt that Jia Yanguan was messing around!

The other party only has 2 experiences, so it is better to let him come, he has more than 20 zero imaging surgery experience.

"You have to try it to know if you can do it. Ruan Bin said expressionlessly.

This professor of the island country is a little skeptical of his own skills!

"Professor Kimura, why don't you try it, you said last time that you had more than 20 zero-contrast surgeries!" Jia Yanguan looked at Koji Kimura.

“......”

"It's so hard that I refuse to do this surgery, and if you want to try it, I'm willing to offer a viable surgical option. Koji Kimura shook his head. He didn't want his reputation ruined on this operation.

The main thing is that you know that this surgery is not feasible, and you have to force it to go for it, which is an unwise decision.

Anyway, he Koji Kimura would not have had such a meaningless operation.

Although this surgery is rare!

It can be worth 'practicing your hands'!

"Then please ask Professor Kimura to tell Dr. Nguyen about the surgical plan that you thought was feasible. Jia Yanguan said regretfully. To be honest, if Professor Kimura dares to take risks, it is estimated that the probability will be greater than that of Ruan Bin?

"Yes, my surgical plan is with balloon anchoring in combination with a Guidezil catheter. The lateral branches of the spacer branch can be dilated with low pressure using a small balloon (1.0~1.25 mm @ 2~4 atm), and the Threader catheter can be used reasonably...... "Koji Kimura began to explain in detail.

Jia Yanguan listened carefully.

However, Ruan Bin's thoughts flew to the sky.

He was thinking about the best surgical options.

Didn't listen to Koji Kimura at all.

Ruan Bin's fugue made Koji Kimura frown, did the other party listen to his surgical plan?

"Ruan-san, are you listening carefully?" said Koji Kimura with a slightly unhappy face.

Kojiro Miyamoto next to him also felt that the young doctor in front of him, who was about the same age as himself, did not respect his master too much.

Famous doctors with such rich experience as their own masters, many doctors want to listen to the experience by their side and don't have the opportunity.

This guy is good, it doesn't seem to be a serious matter!

"Listen carefully. Ruan Bin came back to his senses and said plainly.

...... "You're clearly lying!"

But Koji Kimura didn't bother to pursue it.

Half an hour later.

Negotiate it.

"Ruan Bin, what do you think of this surgical plan? Can it be operated?" Jia Yanguan looked at Ruan Bin.

"It's okay, yes. Ruan Bin nodded.

Not bad?

This made Koji Kimura, who loves face, a little unhappy. This surgical plan is definitely a surgical plan that he has been thinking about for a long time, combined with his 30 years of clinical experience, and then according to the severe condition of the patient.

It can be said that there are not many people in the entire Huaxia who can reach his level.

But the young man in front of him was light and fluttering, he felt that the weight was too light!

Will you?

Do you have a better solution?

Hehe!

Okay, proud young man, I hope you don't turn to me for help when the operation is difficult!" Koji Kimura thought to himself.

"If you can, the surgery in an hour?" Ruan Bin didn't want to waste too much time here.

"Don't scrutinize it again?" Jia Yanguan was stunned, operating so soon?

This, this, this......

It's so decisive!

"No need!" Ruan Bin waved his hand.

"Okay. ”

When I had a preoperative conversation with my family again, the other party was definitely willing to give it a try.

Everything is ready to go.

An hour later.

Operating room.

Ruan Bin is the chief knife, and Jia Yanguan is the assistant.

Koji Kimura and Kojiro Miyamoto watched from the side.

Although they were not involved in the operation, this operation was of great significance, and they also wanted to see if Ruan Bin could succeed. Of course, the inner thoughts of the two of them are to see the joke!

This kid is so dragged, I'll see how you pretend to be!

Later, the difficulty of the surgery will make you slap yourself in the face!

Anaesthesia.

Anesthesia is effective.

Since angiography cannot be done, the approach can only be performed under ultrasound guidance.

Ruan Bin can only refer to the original imaging images for on-site reference surgery!

Under the guidance of ultrasound, the femoral artery was punctured, and it was successful at one time.

After success, the sheath is inserted, followed by the arterial guidewire, and the intravascular ultrasound is turned on.

Because Ruan Bin has an innovative level of CTO interventional surgery, coupled with the understanding and manipulation of blood vessels in pre-hospital REBOA, coupled with his nano-level operation level.

The road was smooth, although it was a blind exercise, without the guidance of the contrast image, and he quickly pushed the arterial guidewire to the proximal end of the coronary artery. Although it is not completely occluded, it is severely calcified and abnormally narrow!

This series of operations made Jia Yanguan feel a little relieved, and without imaging, the push was so smooth, and it was really good.

After seeing it, Koji Kimura and his apprentice looked at each other, and Koji Kimura secretly said in his heart: "This Ruan Sang's zero-imaging operation is indeed very strong! Even if it were him, he wouldn't be able to push it so quickly to the proximal end of the right coronary artery!"

With only 2 units of experience, how can you do it?

Nguyen then proceeded to clean up the calcified plaque at the proximal end of the right coronary artery.

Since it is not a completely occluded part, it is still very quickly cleaned up.

The next step is to move towards the first turn of the right coronary artery.

Here is a complete occlusion calcification, and the occlusion calcification length reaches 25mm!

After placing the arterial guidewire proximal, Ruan Bin sent the catheter to replace the Suoh 03 guide wire!

"Ruan Sang, the guide wire of your Suoh 03 model is not hard enough, and it can't penetrate the calcification area up to 25mm long!" Koji Kimura frowned, and he now found that the other party did not use his surgical plan at all!

"You didn't listen to my surgical plan before, did you? Ordinary reverse and forward intervention methods can't pierce this completely occlusive calcified plaque!" said Koji Kimura.

"Shut up!" Ruan Bin suddenly raised his head and glared at Koji Kimura. Mobile phone users please browse and read, and a better reading experience comes from Aiwang.