As soon as this sentence came out, Koji Kimura was stunned, Kojiro Miyamoto was stunned, and even Jia Yanguan was stunned!

Are you - swearing?

They never expected that Ruan Bin would shut up Koji Kimura. That's a bit serious.

No matter how you say that Koji Kimura is also a senior, the other party said those words to remind Ruan Bin, but Ruan Bin didn't appreciate it, and even let the pair shut up?

"You, what do you mean? I'm kind enough to help you, you're disrespecting me!" Koji Kimura's lungs almost exploded!

"Apologize!" said Kojiro Miyamoto angrily.

Originally, Ruan Bin didn't want to say this, but this old man in Kimura didn't finish his BB, and he didn't care about it at all, and he couldn't stand it!

Apologize?

Impossible!

"I didn't plan to use your surgical plan in the first place, although your surgical plan has a certain degree of acceptance, but in the face of this patient, your surgical plan will not work in the end. At the time of opening the coronary artery that completely occludes the calcified left anterior descending artery. Your cyst calibration technique and the forward and reverse dual approach method you use will not be able to pierce the 28mm thick completely occlusive calcified plaque at all!" Ruan Bin said in a deep voice.

"My surgery plan doesn't work, then you dare to operate!" Koji Kimura's nose was crooked. How dare this young man question his surgical plan?

How does he know that it won't work!

"Of course I do, because I'm going to use my own surgical plan. Ruan Bin pouted.

？？？

Jia Yanguan on the side was instantly stunned.

Big brother, why didn't you consult with me?

You're forcing a car!

What if the car rolls over?

"Is your surgical plan okay?" Koji Kimura asked rhetorically, stunned.

How many CTO interventional surgeries have you had?

It's as if he thinks that a primary school monk wants to forcibly take the college entrance examination!

Sounds so ridiculous!

"Let's not talk about mine first, let's talk about your surgical plan first, the whole section of the coronary vascular occlusion segment of the left anterior descending artery is not clear, and there is severe closed calcification, and the forward guide wire is very easy to enter the false cavity. Since the CTO is located at the junction of the first and second sections, it is difficult for the reverse guide wire to pass through the CTO! It is easy to pierce the blood vessel wall with the highest hardness guidewire and enter the false lumen, and it is impossible to pierce with a slightly less hardness!" Ruan Bin directly pointed out the shortcomings of Koji Kimura's surgical plan.

"You, how do you know if you can't do it if you don't give it a try?" Koji Kimura's face turned a little red, he also knew that his surgical plan had shortcomings, but he remembered the probability of success and the calcification was not as strong as he imagined!

What if it succeeds?

"You can try. Ruan Bin pouted.

“......”

Koji Kimura didn't believe in evil and tried it, but it really didn't work.

Completely calcified occlusional plaques up to 28 mm long that cannot be pierced at all.

It's so hard!

"And what can you do about it? Koji Kimura sneered.

"Hmph, learn a little. Ruan Bin smiled faintly and said directly to Jia Yanguan: "Director Jia, give me gaia3th guidewire!"

"Here!" Jia Yanguan knew that it was difficult to ride a tiger now, so he could only let Ruan Bin continue the operation. Looking at the other party's confident appearance, is there a feasible way?

"Hehe, although the gaia3th model guidewire has good handling when used in reverse, the strength and hardness are not enough. Koji Kimura sneered.

Ruan Bin didn't speak, and directly sent two gaia3th guidewires into at the same time!

？？？

"Want two guidewires to increase the piercing strength? impossible, it's too dangerous!" Koji Kimura frowned.

Generally speaking, one guidewire goes into a blood vessel, and now Ruan Bin has put two, is he trying to use two to solve the hardness problem?

This kind of attempt is a complete joke on the patient's blood vessels!

Can it be done?

Ruan Bin did not refute and continued to do what was at hand.

The next step is to send in two more gaia3th guidewires from the forward direction!

Forward and reverse, a total of four guidewires!

Before it was done, he punctured the external carotid artery and fed a pilot150 guidewire.

The guidewire is pushed directly from the external carotid artery to the common carotid artery, directly to the aortic arch, directly into the ascending aorta, and then into the right coronary artery to the posterior end of the left anterior descending artery......

"What kind of new way is this?" Koji Kimura and the three of them were dumbfounded.

And this operation?

"The femoral artery is opening in the opposite direction, what is the direction of the carotid artery?" Koji Kimura couldn't help but ask.

"Positive!" Ruan Bin said lightly.

"This ...... Even if there is one more positive direction, three positive directions, it may not be able to pierce the calcified plaque. Koji Kimura couldn't help but wonder.

"Entering from the neck creates a physical arch force in the ascending aorta region, which can create an arch bend force in the right coronary artery, and it penetrates well. Ruan Bin was in a good mood and explained.

"They've never heard of this ......!"

"Three ways, five guidewires!"

The operation continues.

I saw that when the Wire Surfing technology was used to crush the calcified plaque, it was very smooth, and the guidewire was smoothly pierced in little by little.

Although there was no help from contrast agents, Ruan Bin completed the process with his own superb skills.

It took ten minutes for Ruan Bin to penetrate the plaque that completely occluded the calcification of the left anterior descending artery and shattered part of the calcification.

A microcatheter is then used to pass through the ......

After opening the left anterior descending artery of the left coronary artery, the attack on the main artery of the right coronary artery began......

Half an hour later.

All pierced and cleaned up!

Until after the operation, Koji Kimura and others were still in shock.

"What is this?"

"What is this new CTO intervention technique?"

"New?"

"Improved?"

"New technique?"

But anyway, Koji Kimura's face was beaten!

It hurts, it hurts, and he feels that he should be cheeky and hug Ruan Bin's thighs.

"Ruan Sang, I apologize to you for all my previous misunderstandings and pride! You, your surgery has really benefited me a lot, and let me see the future of CTO interventional surgery! I think your operation is definitely of great epoch-making significance!"

He felt that this operation could not be done at all, that it could not be done at all.

However, the young Chinese doctor in front of him did it!

And so well done!

There was nothing dangerous during the operation!

？？？

Are the people of the island country so shameless, no, so cheeky?

No, be civilized, you should be ashamed to ask, and you want to steal the teacher with a dead face.

Shameless, these two words are only for sticks!

"Is there one?" Ruan Bin pouted.

"Ahem, of course, it's just that the level of surgery is too demanding, and it is estimated that this kind of surgery is difficult to promote!" said Koji Kimura.

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