Guo Deyong looked at the operation selected by Ruan Bin, although this operation seems to have a very smooth approach, and there are no too tortuous and circuitous blood vessels, compared with many aneurysm surgeries, this one is relatively easy to do.

But he felt that he would definitely not be able to complete it in 19 minutes! Even if he was experienced in a hundred battles, had thousands of surgical experience, and was a skilled horse, he would need 30 minutes to face this operation!

It will definitely take an hour to change to another general doctor!

You're 19 minutes?

Is it bragging?

Even Luo Youhong frowned: "Ruan Bin, are you sure you can do it in 19 minutes?"

Even he needed about half an hour.

"To be honest, I have done more than 1,000 intracranial aneurysm interventional surgeries, and needless to say, my proficiency in this one takes me about 30~40 minutes. Mo Xuyan said in a deep voice.

Everyone present is a master of cerebral aneurysm intervention, and although there is a small gap in everyone's level, the gap will not be very large.

Everyone thinks that 19 minutes is impossible to complete, unless you are extremely accurate, and you can do it all in one go, without the slightest mistake, and at a very fast speed.

Otherwise, there will simply not be enough time.

But here's the problem, the faster you go, the more likely you are to make mistakes.

Because when operating the arterial guidewire, the faster you are, the more likely you are to make mistakes, and at the same time, you need time to judge the internal vascular structure and route!

Seeing the doubts of the experts, Ruan Bin spread his hands helplessly: "I can really solve it in 20 minutes, if I don't believe it, I'll show it to you?"

Arrogant!

I don't know how thick the sky is!

Young people just love to pretend!

All the bigwigs looked at Luo Youhong in unison, their meaning was obvious, you found the person, what do you do with you.

Luo Youhong thought for a while and said, "Say a thousand things and ten thousand, then try it." But you can't be reckless during the surgery later, you have to stop if something goes wrong, you know?

"Understood. Ruan Bin nodded.

Without a little certainty, would he have said this?

Now that it's all here, I'll see you in the operating room.

All the preoperative examinations of the patient were completed.

In fact, I was also preparing for surgery in the afternoon, and now I can count it as an early operation for Ruan Bin.

While walking to the operating room, Ruan Bin turned on the system.

[System points]: 129,400

[Intracranial aneurysm embolization]: expert level+

This is the last time he did a few of these surgeries, in order to prove that he has done a few surgeries when he came here, so he had already made a wave of krypton gold in the magic capital before coming to participate in this research. At the same time, he also performed several intracranial aneurysm surgeries on Jia Yanguan's side.

"Level up!"

"Ding-dong...... Deduct 18,000, [Intracranial Aneurysm Embolization]: World-class +!"

[System points]: 111,400

"It's world-class, and it can definitely be done in 20 minutes. Ruan Bin said secretly in his heart.

Plus the nanoscale means of operation that he already possessed.

There's no need to upgrade to Innovation.

In fact, the treatment of intracranial aneurysm is to fill the weak aneurysm sac cavity through femoral artery puncture, so that the blood flow is interrupted and the purpose of treating the aneurysm is achieved. This means that it is enough to block the rupture of the aneurysm.

Come to the operating room.

According to the results of CT, MRI or MRA, and cerebral angiography, Ruan Bin began to select the most suitable soft-tip guide catheter, guidewire guide, microcatheter, microguide wire matched with the microcatheter, controllable release coil and release system, liquid embolic material and embolization system, etc.

Connoisseurs will know if there is one as soon as they make a move.

At this time, Luo Youhong and the others saw these surgical tools selected by Ruan Bin, and they all knew that there was no problem with the selection, and even some details surprised them.

The anesthesiologist has given the patient a general anesthetic.

In addition to Ruan Bin in the operating room, there were four or five people including Luo Youhong watching at the scene.

After all, it is not advisable for too many people to be inside, and the remaining experts are watching the live broadcast of the operation outside.

Ruan Bin was in charge, and Luo Youhong personally supervised as an assistant, just for fear that Ruan Bin would make some mistakes.

Anesthesia works!

It was seen that Ruan Bin used the Seldinger method to routinely puncture and cannulate the femoral artery, inserted the 6F catheter sheath and the 6F catheter in turn, and sent the catheter to the internal carotid artery on the affected side under television surveillance, reaching the level of the second cervical vertebra.

The end of the catheter is connected to the Y-shaped valve joint, and its side arm is connected to the three-way soft connecting tube, and then connected to the arterial pressurized infusion, and the pressurized infusion bag is opened and slowly dripped into normal saline, and the patient is subjected to systemic heparinization.

The whole process is done in one go and is extremely fast!

The arterial guidewire goes directly from the femoral artery to the abdominal aorta and then to the internal carotid artery without the slightest obstruction, as fast as a train!

This speed made Luo Youhong and others collectively look stupid!

This is more precise and faster than a robot!

At this time, Ruan Bin has begun to select the appropriate Excel-14 or Excelsior-1018 microcatheter and GDC platinum microcoil according to the shape and size of the aneurysm. The Y-shaped valve at the end of the introducer is inserted into the Excel-14 with an arm, and the microcatheter is introduced into the aneurysm cavity with a controllable platinum guidewire under the guidance of television surveillance and road-mapping.

Make the tip in the middle of the aneurysm cavity, withdraw the platinum guide wire, aspirate the low-concentration contrast medium with a 1ml syringe, and gently inject a small amount (<0, 5ml) through the microcatheter to understand the position of the catheter in the aneurysm cavity.

It's still lightning fast!

Then, the Y-shaped valve at the end of the microcatheter is inserted into the conveying GDC platinum microspring coil guide wire with the guide sheath, so that the front end of the guide sheath is tightly connected with the end of the micro catheter, and the Y-shaped valve is tightened to fix the guide sheath.

"Luo Lao, help me. Ruan Bin said to Luo Youhong beside him.

"Oh, oh......" Luo Youhong, who was still a little stunned, reacted, he is really an assistant now, so he quickly pushed the GDC platinum microspring coil into the Excel-14 or Excelsior-1018 microcatheter, released the Y-shaped valve, and slowly pulled out the guide sheath......

Ruan Bin saw that the microcoil had been freed, removed the red electrode at the end of the guiding wire, and slowly pulled the guiding wire out of the microcatheter. Turn off the DC electrolysis unit until the aneurysm is tightly packed.

That's it!

Mo Xuyan and the others looked at their watches in astonishment and exclaimed, "19 minutes and 37 seconds......"

"It's done! ”

"Dr. Nguyen's determination of the location of the tumor is as if he could predict it, and the operation is very precise and there is no hindrance. ”

"Zero mistakes! The key speed is so fast or zero mistakes......"

"It's as if he can see through, the blood vessels inside are so complex, he can be so fast!"

The crowd was still shocked.

Ruan Bin's doubts were broken!