"Give up, don't you try?" Jia Yanguan was disappointed after hearing this.

Seeing Jia Yanguan's expression, Koji Kimura, who loves face, immediately explained: "Although the difficulty of zero-contrast surgery is very high, I have done more than 20 units for me, and all of them have been successful!"

"But there are three completely occlusive calcifications in front of the patient, and each of them is long and scary. Generally speaking, if the occlusion degree of the calcified part of the patient is only 60~80%, there is no complete occlusion. Even if only one of the three places is completely occluded, and the other two are severely calcified stenosis, you can try the zero-contrast CTO interventional surgery. But in all three places, there is no need to risk surgery! Because that kind of blind operation is impossible to achieve! Even under the guidance of ultrasound, it is too difficult to achieve. ”

"Because I've read the relevant literature on surgery, there have been two academicians who tried to do a similar challenge, a total of five surgeries, but all of them ended in failure. In this case, it is better to take the risk of having an open surgery and heart bypass surgery!But the calcification is so severe, heart bypass surgery cannot be done!" Koji Kimura shook his head.

"Okay!" Jia Yanguan also sighed slightly after hearing this.

It can only be said that the patient's condition is too serious, and there was still a chance to give it a try, but there was an allergy to contrast media, which was really worse. I don't even have the chance to take a chance!

There's nothing they can do about it!

"I'll go and explain it to the family. Jia Yanguan hurriedly walked out of the consultation room.

He had a consultation with the cardiothoracic surgeon before, and they said that if they did an open heart bypass, because the patient's condition was more complex and serious, and the probability was abnormally low, they did not dare to take the risk.

In other words, the patient will either wait to die or try their luck at another hospital!

Outside the ward.

Jia Yanguan communicated with the patient's child.

"Both, your father's situation is more complicated, the cardiothoracic surgeon said that it is impossible to do a heart bypass, we are considering CTO interventional surgery, there was a chance to operate, because your father is allergic to contrast media, resulting in no operation! For example, I would like to try a few top hospitals in the capital. Jia Yanguan explained.

"If you can't do surgery, why can't you do it?" Li Kongjing was stunned.

"yes, why can't we do it? We went to the hospital in the capital some time ago, and they said let's go to other hospitals...... Now, now it's said here......" Li Lanlan said as tears fell.

So, watching your dad wait for death?

"Have you been to the hospital in the capital?" Jia Yanguan was stunned, the hospital over there was helpless, it seems that the other party's interventional treatment is also difficult!

Thinking of this, this Koji Kimura actually has a feasible surgical plan, it seems that this Koji Kimura is really a fork, and has completed more than 20 zero-contrast surgeries, but unfortunately, the patient is allergic to contrast media, and the most fatal thing is that there are three complete occlusions!

As a result, Koji Kimura has no choice!

"I've been, I'm sorry Director Jia, we just arrived yesterday, and we didn't have time to explain to you in a hurry. ”

"Okay. Jia Yanguan carefully explained the problem of contrast agent allergy.

Both of them were stunned when they heard this.

"Director Jia, isn't my dad waiting to die?" Li Kongjing's voice trembled.

Although Jia Yanguan couldn't speak, it was indeed no different from waiting for death, "Try your best, try to treat conservatively, and see how long it can last." ”

"Poof!"

"Director Jia, please, save my dad! Save my dad, my family was very miserable when I was a child, sending our brother and sister to college, picking up garbage, moving bricks to send us to study, my mother died early. I've finally succeeded in my career over the years, and I've only taken my dad over to the magic capital to enjoy happiness for less than a few years, so I can't just leave like this! Doctor, please, save my dad! I'm willing to take the risk of surgery!" Li Kongjing made up his mind.

Instead of waiting for death in pain, it is better to fight!

"Brother, this ......" Li Lanlan was a little unbearable.

"The doctor said that Dad will be gone at any time, so it's better to give it a go!" Li Kongjing said resolutely.

"This ......" Jia Yanguan suddenly became embarrassed.

Even if you take the risk of surgery, but this kind of surgery will not be able to get off the table 95% of the time, there is no point in surgery, it is just a waste of money!

It's not worth it!

But seeing the begging appearance of the brother and sister, he couldn't give up!

"In this case, let's think of a way!" Jia Yanguan agreed.

"Thank you, Director Jia!"

Back in the consultation room, Jia Yanguan planned to have a good chat with Koji Kimura and try zero contrast surgery!

However, it was found that the other party was not there.

"Professor Kimura, where did they go?" Jia Yanguan asked as he called a doctor.

"Go for surgery, they have 3 surgeries lined up today!"

"Okay. Jia Yanguan nodded, then let's talk about it after the other party's operation.

"The coronary artery is completely calcified and occluded, and it is very difficult to completely open up the calcified blood vessels, and there are many fatal problems of allergy to contrast agents, if only I had invincible blind exercises!" Jia Yanguan suddenly longed that he had better be like those doctors, and he could have a perspective eye!

"Blind exercises, blind exercises, wait a minute! Doesn't this guy Ruan Bin know how to do blind exercises? Ask him?" Jia Yanguan suddenly remembered Ruan Bin.

This is known as the 'nano-basic surgical foundation'. He had also had zero contrast surgery in their department before!

However, Koji Kimura also has zero contrast surgery, and has done more than 20 of them, each of which has been successful, and he said that the calcification occlusion is too serious, and it is not just a problem of zero imaging. I guess there is no way to go to Ruan Bin, right? And he shouldn't have done a completely occlusive calcified CTO interventional operation......" Jia Yanguan suddenly became deflated again.

Looking for Ruan Bin, it is estimated that there is also a slim chance.

But when I thought of the desperate eyes of the family, "Forget it, go and ask, just be lazy." ”

Soon, Jia Yanguan came to the emergency department and found Ruan Bin!

"Coronary heart disease, chronic complete occlusion of coronary arteries, up to three places, the longest occlusion area up to 28mm, and allergy to contrast media?" Ruan Bin's face changed after hearing this.

This condition is serious enough.

To be honest, it is already a lot of luck to be able to hold on until now!

The occlusion calcification is so severe, or is it completely occluded, and the guidewire cannot pass through it at all, how to reopen the lesion?

It's the rhythm of waiting for death!

"Ruan Bin, can you do zero contrast operation? That Professor Kimura has a surgical plan, but the zero contrast operation can't be achieved at all!" Jia Yanguan looked at Ruan Bin expectantly and asked.

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