Ruan Bin listened to Director Yu's words, and then smiled and said, "Director Yu, have you ever watched the car drift competition?"

"I've seen it, what's wrong?" Director Yu was confused, what is this!

Sidestep the question!

"When racing, in the same 90-degree corner, the same model of the car, with the same gasoline. Why are some racers able to turn corners at 200 mph and others can't?" asked Ruan Bin with a smile.

"The same corner, the same type of car, the racer who can pass the corner at 200 mph must be better than the other racer!" said Director Yu subconsciously.

"That's right, with my technique, I should be able to solve this problem of distal curvature of the aortic arch, and I can smoothly let the catheter enter the aortic valve!"

“......”

Director Yu's face turned red after hearing this, what you said was almost a comparison of him to that poor level racing driver, and you are the racing driver with good skills......

In the end, Jiang Yurong pulled Lin Yatong's family to discuss it, and chose to let Ruan Bin have surgery!

They believe in Nguyen Bin unconditionally!

Soon, the medical department also approved that Ruan Bin could be operated on!

The surgery is scheduled to begin on the third day!

Ruan Bin is in charge, and Jia Yanguan, the director of the interventional department, also came as an assistant, and the other assistant is Director Yu!

The best anesthesiologists and instrument nurses in the hospital are ...... and so on all shouted to the scene.

After all, it is a transcatheter aortic valve replacement for a 103-year-old man, and if successful, it will set a new world record. At present, the oldest person in the world to perform this operation is a 99-year-old man, which is the record of Jianxi Hospital.

is now 103 years old, although there is not much difference between 99 and 103 years old, in fact, the technical level is estimated to be about the same. But if the operation is successful, there will be a title to boast about when the time comes! A new record will attract attention.

It can also prove to the industry that the TAVI surgery level of the First Affiliated Hospital of Modu is directly catching up with Jianxi Hospital!

To be honest, Jia Yanguan from the interventional department was also shocked when he heard that Ruan Bin was going to have this operation!

Is it so omnipotent?

In the operating room.

The operation began.

Ruan Bin is the main knife.

Now the first step is to perform CTO surgery on the iliac artery and descending aorta to remove the calcification.

I saw the anesthesiologist inject anesthesia at the puncture site, and the anesthesia was effective, Ruan Bin placed a sheath tube after the puncture site was punctured, and then punctured through the femoral artery!

Hit the nail on the head!

The guide wire is passed through the sheath into the guide wire, which travels along the artery to the heart, and then along the guidewire into the catheter, both of which go all the way deep into the heart and then to the aortic valve → the left ventricle!

It is then accessed through a femoral arteriography catheter...... Everything is so fluid.

It took about fifteen minutes for Ruan Bin to clean up the calcified area!

This speed made Director Yu stunned, but Jia Yanguan, the director of the intervention department, was used to it, and he knew that this was Ruan Bin's basic exercise!

After all, people have invented a new CTO operation, and they can also do zero-contrast coronary artery stent implantation!

So this speed, this quality, this effect, belongs to the normal play!

"The next surgery is the key!" Although he was shocked by Ruan Bin's operation, he knew that the next valve replacement for the patient was the most critical place!

At this time, Ruan Bin did not remove the arterial guidewire and catheter, and directly sent a self-inflatable 26mm stent from the right femoral artery!

Descending aorta directly and smoothly from the transfemoral artery → iliac artery → the anterior end of the aortic arch →!

At this point, Ruan Bin slowly moved the equipment in his hand while observing the TV screen.

Because the patient's aortic arch is severely distorted, the stent will certainly be obstructed from advancing in the distal plane of the aortic arch later. If the stent chooses to continue traveling, the catheter is folded at the first bend of the descending aorta, which increases the degree of distortion of the descending aorta, and is prone to vascular rupture.

So, if it goes well, it's a puzzle!

At this time, Director Yu and Jia Yanguan also looked at Ruan Bin with blank eyes, not knowing how to deal with him!

moved, Ruan Bin moved.

Under his operation, the stand slowly moved forward.

It's slow!

It was the first time Jia Yanguan had seen Ruan Bin's such a slow interventional operation!

At this time, Ruan Bin completely relied on the experience of his hands to judge, sensory induction, and his eyes to judge the information on the TV display screen and feed it back to his brain.

Every step of the way, he relies on experience and subtle micro-operations to move forward!

After all, he has an innovative TAVR technique, and he has encountered many patients like this, and he also has a way to deal with this tricky situation in his mind, that is, he can only rely on your delicate, precise, and god-level operations to overcome the difficulties of this high wall!

Ten minutes later, the stent passed through the aortic arch smoothly!

I saw that Director Yu and the others were dumbfounded!

"How to look at it and look at it......"

Ruan Bin smiled and didn't speak, but began to push the stent to the position of the valve, and then stretched the stent!

When he saw that the prosthetic valve model had reached the valve position, Ruan Bin started to take an imaging and quickly marked it on the TV monitor at the pre-placed position of the valve!

At this time, Director Yu next to him saw that Ruan Bin had made an imaging, and began to directly place the artificial valve on the position of the heart valve, and he couldn't help asking: "Do you place the artificial valve on it once? What if it is not accurate enough?

In general, in TAVR, repeated fluoroscopy and angiography are required to assist in instrument positioning and valve release. After all, if the prosthetic valve is not well placed, the position is not perfect enough will cause the situation of side leakage, and then there will not only be complications, but also make the operation equal to doing it in vain! Because your placement is not accurate enough, the prosthetic valve does not play a role in completely cutting off the flow, isn't it equal to doing it in vain?

"I'll do it all at once!" Ruan Bin smiled. Maybe you need four or five images to judge and be accurate, but he, one time is enough!

The first is that he is highly skilled, and he can determine the precise placement of the imaging in one shot. Second, because TAVR patients are elderly patients, the operation is poorly tolerated, and there are often various comorbidities such as renal insufficiency, so reducing the intraoperative time, reducing the amount of intraoperative contrast agent and radiation dose during surgery has greatly improved the accuracy and success rate of clinical surgery!

Soon, the prosthetic valve was successfully placed!

Slowly withdraw the catheter......

"Hey, the effect is remarkable! It seems that the placement is perfect!" Jia Yanguan exclaimed.