"The level of CTO intervention in our country is very poor?" asked Wei Haiyang.

"It's not bad, it's still at the international first-class level!"

"Mainly, chronic total occlusion (CTO) lesions are recognized as difficult points for coronary intervention (PCI) and were once contraindications to percutaneous coronary intervention (PCI). However, PCI physicians have been trying to become CTO for more than 30 years, and in the past 10 years, they have made milestones with their island counterparts as pioneers. CTO has become a global hotspot in the field of coronary intervention, and more and more countries, including China, have invested in or set foot in the field of CTO PCI. The development of island countries, China, Europe and the United States in this field has its own characteristics. But the island nation is still in a league of its own!" explained Director Qian.

"What about this club?" Ruan Bin was also curious.

"The island nation with the fastest progress in the field of CTOPCI established the CTO club very early with several pioneer physicians as the core. The purpose of the club is to gather experience, organize research, form consensus, and speak out. Similarly, the European CTO Club periodically publishes its own data and opinions. We at Huaxia set up our own club a few years ago, and now our main work is communication and training, and we have also organized some research. ”

"Two years ago, the Asia-Pacific CTO Club was established by doctors from island countries, mainly from island countries, Australia, and Huaxia, representing a broader and more in-depth exchange trend. Among the 9 bigwigs in the Asia-Pacific Club, we occupy 3 seats, so our technology is still at the international first-class level!"

"However, I am not optimistic about this CTO interventional treatment, because after 30 years of development, CTO interventional treatment has not completely solved the problem of chronic total occlusion (CTO) lesions so far!"

"The surgery is not a breakthrough?" Ruan Bin asked with a frown.

After 30 years of development, the surgery has not yet been able to achieve a high cure rate, one is to prove that the disease is indeed refractory, but from the other side, it can be seen that the technical upgrade of surgery in recent years is too full!

"Yes!"

"At the 2017 ACC meeting, Professor Seung-Jung Park presented data from the DECISION-CTO study, and the results of the three-year follow-up study showed that the optimal drug treatment was not inferior to the CTO-PCI treatment. In 2018, Heart published endpoint data from the EXPLORE study, and the 3.9-year follow-up results showed no significant difference in the incidence of major adverse cardiovascular events between the pharmacotherapy group and the CTO-PCI treatment group. ”

"The above two studies show that CTO intervention is not superior to drug therapy, although these two studies have some shortcomings and cannot represent the real world, but at least it can also be shown that some CTOs do not need to be intervened and only give optimized drug therapy. Director Qian said lightly.

"In other words, conservative treatment is no worse than your surgical treatment! You have been studying for 30 years, and it is useless. Wei Haiyang hit the nail on the head.

Most of the conditions that require surgery are basically treated with surgery after conservative medical treatment has failed.

Prove that surgery is more effective than your conservative treatment!

But the ...... above

"In other words, this CTO intervention is still in the exploratory stage!" Ruan Bin agreed.

If this surgical skill is divided into martial arts, it is divided into: entry, small success, great success, and consummation!

Then this CTO interventional treatment is now estimated to be a small stage, and if it does not reach the stage of large success and consummation, you can't have any advantage over conservative drug treatment at all!

You still have to take risks for surgical treatment, but I don't need to take risks for conservative medical treatment!

"That's right, it's the exploration stage, which is also the establishment of CTO clubs in various countries, or the establishment of joint clubs in many countries, just to communicate, learn, research, and strive to research more advanced, mature, and able to completely solve problems before these clubs are established. Director Qian nodded.

No wonder Director Qian is not optimistic, CTO interventional therapy (PCI) is a complex interventional technology, and great progress has been made over the years, but it has not yet reached the point where it can solve all problems. But after 30 years of growth, it is still like this, and it is estimated that it is also the reason why Director Qian is not optimistic about Mao.

Of course, none of these things have much to do with them, and they are all headaches in the interventional department.

They are emergency doctors, and it's okay to gossip after dinner.

After a while, I continued to work.

One day, like this, passed again.

But Ruan Bin is in a good mood today, because the hospital has paid his salary!

Hey, hey, hey, a total of 59,000!

Flattered!

The basic salary is 50,000, plus a commission of 9,000!

"It seems that I will strive to have more surgeries this month, and I hope to break through the 60,000 mark next month!"

Ruan Bin drove home from work today by himself, because Jiang Yurong was off today, so he didn't come to work.

When I was halfway back to the car, I suddenly received a call from Yang Wei!

Seeing that it was this guy, Ruan Bin couldn't help but think in his heart, this guy didn't know if he understood what he hinted at last time, did he break up!

"Hey, what's the matter with me?" Ruan Bin turned on Bluetooth.

"Hehe, old classmate, it's my birthday today, let's have a meal together?" Yang Wei said flatteringly.

After knowing that his cow was broken, his attitude changed 180°!

"This ...... I've bought all the dishes. Ruan Bin politely refused. For Yang Wei, he still doesn't really want to have a deep friendship with the other party.

"Oh, it's so troublesome to cook, you can come here, it's my birthday today, give me a face." I'm the only one in the magic capital!" Yang Wei said with a smile.

"This ......" Ruan Bin still hesitated, he still had to cook for Jiang Yurong tonight!

"Don't hesitate, Tianlong Hotel, Box 8 on the 6th floor, the nurses and girls from our department are here, there are several beautiful ones!Single~" Yang Wei continued.

"Okay, then I'll go over, I'm too lazy to cook. Ruan Bin readily agreed!

When he almost came to the hotel, suddenly his phone rang again, and he saw that it was Jiang Yurong calling.

"Ruan Bin, you haven't arrived home yet, what are you going to eat tonight?" Jiang Yurong's greedy voice came from the phone.

"Uh...... I'm attending a friend's birthday today, I guess I can't cook for you, make up for it next time?" Ruan Bin said with an embarrassed face.

"Friend's birthday?, male or female?" Jiang Yurong suddenly asked.

？？？

Does she care about me?

"Man, classmates are coming!" Ruan Bin hurriedly said.

"Oh...... Then go ahead, I'll take delivery by myself. ”

"Okay!"

Come to the hotel.

Sure enough, I saw seven or eight nurse girls.

There are still three or four good-looking drops.

"Come on, come on, three cups of self-punishment for being late!"

"Wow~ so handsome!" several nurse girls' eyes lit up.

After a few drinks, Ruan Bin leaned over to Yang Wei's side and asked, "Where's your girlfriend?"

"No, no points, I went on a trip abroad with my girlfriend a week ago!"

？？？

I still travel abroad with my girlfriend?

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