"System!"

[System points]: 70,400

[Subclavian artery stent implantation]: Not started+

"Upgrade!" Ruan Bin wanted to determine whether this operation could be done, so he could only upgrade this operation first and then gain experience. When the time comes, we will judge how to do this operation and whether it can be done!

Fourth-level surgery! It's going to cost a lot of money.

"Ding-dong...... Deduct 6000 points, [Subclavian Artery Stent Implantation] - Beginner+!"

"Ding-dong...... Deduct 9000 points, [Subclavian Artery Stent Implantation] - Proficiency Level +!"

"Ding-dong...... Deduct 12,000 points, [Subclavian Artery Stent Implantation] - Director +!"

"Ding-dong...... Deduct 15,000 points, [Subclavian Artery Stent Implantation] - Expert +!"

"Ding-dong...... Deduct 18,000 points, [Subclavian Artery Stent Implantation] - world-class +!"

[System points]: 10,400.

After upgrading this surgical skill to the world-class, Ruan Bin had all the technical experience about this operation in his mind, as well as the tens of thousands of surgical experience and materials.

There are dozens of them that are similar to such tricky ones!

"World-class, should be able to figure out the access question for this surgery!"

Seeing Ruan Bin say think about it, then it proves that Ruan Bin may be able to come up with a way, so Director Qian and Zhou Tianlei both looked at Ruan Bin together.

Ruan Bin picked up Uncle Zhou Tianlei's thick pile of inspection materials and read them carefully. In fact, the main problem of this surgery is to re-unblock the subclavian artery blocked and calcified blood vessels!

"Due to the occlusion segment of the subclavian artery on the left side of about 3 cm. If you follow the conventional approach, even if you try to open a variety of catheters and guidewires, it will definitely be easy to stray into the dissection. Another risk is that if you continue to try, you may be able to open it, but you may lose the left vertebral art......ery," Ruan Bin began to analyze in his mind.

The main thing is that the 3 cm calcification blockage completely blocks the blood vessels, and it is really dangerous to treat one badly.

In fact, there are three treatments for left subclavian artery vascular occlusion, the first conservative treatment is to use drugs to melt the calcified blockage, but this is a mild symptom that is acceptable. The blockage is so severe that the blockage must be surgically unblocked.

In addition to minimally invasive surgery to dredge the calcified site, interventional vascular implantation of stents, there is also traditional bypass surgery!

However, traditional bypass surgery is not very popular at present, mainly with the development of minimally invasive interventional surgery becoming more and more mature, interventional stent implantation is basically considered!

Of course, there are also some cases where multiple blood vessels are blocked and cannot be dredged by interventional surgery. However, this kind of bypass surgery is more dangerous!

"How is it, do you have a clue?" Director Qian asked when he saw Ruan Bin watching for more than ten minutes.

"I analyze and analyze, and I study. ”

At this time, Ruan Bin's phone rang.

It's takeaway.

"Lao Zhou, help go out and get some takeaway. ”

"Good. ”

Soon, takeout came in.

Everyone was eating and discussing together.

"There is!" Suddenly, Ruan Bin thought of a solution from the experience in his mind and tens of thousands of surgical cases, combined with the current situation of Zhou Tianlei and his uncle!

"Tell me about it. "Director Qian and Zhou Tianlei are both in good spirits.

"My idea is that the traditional single-intervention approach is definitely not going to work, and I want to take a dual-approach approach in the ward, and also do puncture and catheterization through the left radial artery. It is to open another path from the left radial artery!" Ruan Bin began.

As soon as this sentence came out, Director Qian's eyes suddenly lit up, and he patted his thigh and said: "If you follow your train of thought, it is to open a road at the occlusion of the subclavian artery after the successful catheter is placed in the left radial artery." The guidewire enters from the radial artery and exits through the femoral artery. This is the perfect bridge for subsequent balloon dilation and stent implantation!"

"Yes!" Ruan Bin nodded!

"Okay, you Ruan Bin, isn't your IQ 250? high, really high!" Director Qian couldn't help but admire.

"Director, are you scolding me or praising me?" Ruan Bin was speechless.

"Don't worry about this detail, I'm complimenting you on being a genius!"

“......”

"So my uncle's surgery is very sure?" Although Zhou Tianlei seemed to understand it, looking at the expressions of these two people, it should be that the success rate of the operation is very high?

"If I follow the plan I thought of before, it would only be about 50%. If I follow Ruan Bin's plan, I can completely avoid the problem of arterial guidewire accidentally entering the dissection and losing the left vertebral artery! Now I am at least eighty percent sure of this operation according to Ruan Bin's plan!" Director Qian said confidently.

Eighty percent, it can be done!

"Well, it should be possible to do it according to this plan, but due to the severe blockage of the blood vessels, the left radial artery pulse is very weak, and the puncture is extremely difficult. The other is that when the guidewire enters from the radial artery and then threads through the femoral artery, it requires very precise operation!" Ruan Bin said the difficulty of this plan.

"Well, Ruan Bin is right. However, I am still very confident in my operation. Rest assured, I can still handle this difficulty. Director Qian patted Zhou Tianlei on the shoulder and said he shouldn't worry too much.

"Director, I believe you!" Zhou Tianlei nodded, and then said to Ruan Bin: "Ruan Bin, you really helped me a lot, thank you!"

"Hey, they're all friends, what are you talking about. Ruan Bin smiled.

"Wait a minute, Ruan Bin, are you going to do this subclavian artery stent implantation? You can even come up with this 'chic' plan!" After Director Qian calmed down, he suddenly thought that he couldn't come up with a more feasible surgical plan after racking his brains, how could this kid come up with it?

Could it be that this kid will also do this fourth-level interventional surgery?

"Ahem...... I have never had this surgery, but I have seen a lot of surgery videos in this area, and I have also read a lot of related books and surgical materials, maybe I have strong theoretical knowledge, and I am also relatively genius, so I came up with this plan. Ruan Bin said modestly.

Director Qian: ......

In fact, why didn't Ruan Bin say that he could also do this operation this time, even I am Ruan Jiucheng.

He felt that he couldn't be so rebellious every time!

Otherwise, he will really become a demon in the eyes of others.

So this time it's just a matter of giving an idea.

"Okay, since the plan is feasible, then let's go for this operation in the afternoon, and do it as soon as possible, otherwise I don't know if there will be a cerebral infarction at any time." However, this operation needs to be done by the interventional department and borrowed from the other party's operating room. I'm going to talk to them right now!"

Soon, when Director Qian said that he wanted to do this operation on this patient, the people over there were stunned, you dare to do this operation?