284 is as steady as an old dog

During the period when Yuntian went to the imperial capital, Leng Chengye's surgical level was greatly improved.

But Zhao Lei did not contact interventional surgery again.

Originally, Yuntian thought that Zhao Lei would come over and he would inevitably re-instruct, but he didn't expect that after Zhao Lei took over the preparations, he directly asked Yuntian to prepare, saying that he could complete the preoperative preparations independently.

"Hurry up and go brush your hands, I'm fine here. Seeing that Yuntian didn't move, Zhao Lei urged again.

Yun Tian nodded, and decided to let Zhao Lei complete the preoperative preparations independently, transferred into the locker room by himself, and began to brush his hands!

Although he was still a little worried about Zhao Lei's situation, Yuntian still chose to believe it.

It's just preoperative preparation, and I am growing, and my friends also need to grow.

When the clouds are finished brushing their hands and enter the cāo) work room.

Zhao Lei has completed the rest of the preparations.

Although it is not as professional as Leng Chengye.

But it's already very good.

Yuntian gave Zhao Lei a thumbs up and gave him a thumbs up.

Zhao Lei proudly raised his little chin with a smug expression.

Preparing to go to the stage for surgery, Yun Tian subconsciously glanced at the glass window of the disposal room,

Director Shi and Director Lin were looking at Yuntian with concern.

Feeling Yun Tian's gaze, Director Lin made a cheering gesture towards Yun Tian.

Yuntian nodded.

Take a deep breath.

Surgery begins

Director Zhan of the respiratory department on the side came over curiously, and Director Zhang had not seen the interventional operation yet.

Put on a lead suit.

Enter the interventional operating room.

Get a close-up look at the interventional procedure.

This is a completely new experience for Director Zhang.

Yun Tian started with local anesthesia first.

"cāo) is very stable, Xiaoyun's hand is numb, and it is not worse than that of a surgeon. "There are not many opportunities for internists to perform various surgeries, so surgeries such as local anesthesia are much worse than surgeons.

Yuntian's local anesthesia, that's like a textbook standard.

Director Zhan is obviously also knowledgeable.

Took a look.

Praise was offered.

This is followed by puncture.

Hit the nail on the head.

Similarly, although he has never seen interventional surgery, Director Zhan is also knowledgeable about vascular puncture.

blood in the femoral artery at one time,

But it's a new compliment.

Yun Tian twisted his neck, Director Zhan was a little excited, and continued to praise like this.

Today's surgery is afraid that it will not be quiet.

The microwire enters and then travels rapidly through the femoral artery.

This time, I didn't hear Director Zhan's praise.

Yun Tian glanced back strangely.

I saw Director Zhan with his mouth wide open, his face full of shock. Apparently too surprised to speak.

So surprised?

There is a difference in the clouds.

However, the ability to keep quiet when making micro-guide wires is what Yuntian likes.

The microguidewire quickly reached the branch of the internal carotid artery and stopped.

Then there was the gasp of Director Zhan.

"Doctor Xiaoyun, you are all involved doctors

Aren't you afraid of bursting your blood vessels? This speed is too fast, right?" Director Zhan came back to his senses and turned into a question baby, with 10,000 questions to ask.

"The microwires travel slightly faster in the large vessels, which is more effective for surgery. Yun Tian replied simply.

"Now, only Dr. Yun can achieve this speed, and not all doctors can do this, Dr. Yun is quick and accurate, and this speed can be completely controlled. Yuntian didn't have the heart to brag.

Zhao Lei went over and helped Yuntian blow up.

Director Zhan sighed.

"It seems that Dr. Xiaoyun's interventional surgery is of a very high level. If every interventionist of you did this, I would be suspicious. ”

Director Zhan shrugged his shoulders and wiped the sweat from his forehead and said.

To be cautious.

Yuntian chose to perform the imaging at the branch of the internal carotid artery.

Without Yuntian's instructions, Zhao Lei took the initiative to open the pressure repressor injector.

Contrast agent enters.

The condition of the internal carotid artery and its branches, all information is clearly displayed on the screen.

There is a blockage of the blood vessels at the junction of the M1 and M2 segments of the middle cerebral artery.

The subsequent blood flow signal is lost.

No other significant abnormalities were observed.

Determine the patient's condition.

Yuntian began to carefully cāo) to make a microguidewire little by little into the middle cerebral artery.

Middle cerebral artery vascular circuit.

This cāo) is more difficult.

When the microwire enters the M1 segment.

The blood vessels are already very thin.

Yun Tian paused slightly, exhaled, and then continued forward.

"This micro guidewire looks about the same thickness as the blood vessels, and for interventional surgery, it really requires a steady hand, and Dr. Xiaoyun's hand is indeed stable. It is no wonder that interventional thrombectomy can be done in what is said to be the most difficult part. Director Zhan said with emotion after the clouds.

At this time, not only Director Zhan sighed, but also the two directors Shi and Lin, who were watching the operation outside the disposal room, did not gasp when they saw the situation on the screen!

The middle cerebral artery M1 is the most difficult to perform with distal interventional surgery.

In such a situation, not to mention the hand trembling, if you don't pay attention to the microguidewire, there is a risk of rubbing against the blood vessel wall.

The cerebral blood vessels are no better than other parts, as long as you dare to rub them, it can make you fail the operation.

Severe cerebral vasospasm is the most common complication of intracranial vascular intervention, and once cerebral vasospasm is triggered, it is sufficient to cause surgical failure.

Judging from the current situation, the difficulty of the operation is so great that it is almost impossible to do it!

People are not machines, how can they be so precise?

Almost everyone present subconsciously held their breath and clenched their fists, as if the person who performed the operation was themselves.

Microwires travel slowly through the blood vessels.

Although it has not yet touched the wall of the blood vessels, it gives people the feeling that they will touch it at any time.

What's more, the middle cerebral artery M1 is distal to the vascular itself, and it rotates in a circuitous way.

To control the micro-guidewire in such a small blood vessel, it is necessary to make a variety of difficult actions.

or rotate,

Or spiraling up,

Or spin down.

Everyone felt their palms sweaty.

Yun Tian seemed to be the most relaxed among all people at this time.

cāo) is slow, but it has been very steady, as steady as an old dog!

From the beginning of entering the middle artery, Yuntian has maintained a uniform speed, pushing the microguidewire to travel slowly.

At this time, Yun Tian's breathing seemed to become slow, and it seemed that a slightly larger breath could make the movements of his hands fall short.

Everyone was even more atmospheric, and they didn't dare to make a sound.

Micro guidewires may seem thrilling. But it has always been firmly located in the middle of the blood vessel.

a little

a little

Slowly approach the embolization site one by one.

The farther you get to the M1 segment, the thinner the blood vessels become.

But it seems that everyone watching has a delusion.

The M1 section is not much of a problem for Yuntian.

Cloudy sky though cautious. But the whole process is very stable.

The microguidewire approaches the occlusion smoothly.