Inside, Yuntian successfully indwelled the 8F arterial sheath, and then inserted a single-bent catheter for angiography to identify the responsible blood vessels.

The patient's occlusion is located at the vertebrobasilar artery interface and is occlusion to a degree of 99 or greater, although a certain amount of blood flow can still be seen distally.

But the tiny blood is almost negligible!

"With such a serious blockage, it seems that the blood supply to the lateral branches is not bad, otherwise, the patient's vital signs would not have been so stable. Leng Chengye couldn't help but gasp when he saw the strict occlusion.

Vertebrobasilar artery supply is important.

The main supply is the blood supply to the brainstem and cerebellum.

In particular, the brain stem mainly controls the basic life activities of the human body, including breathing.

Once the brain stem is avascular necrosis and the patient's vital signs are abnormal, it is an irreversible death.

The patient's condition is relatively lucky, it should be that after the main blood supply vessel is occluded, the collateral circulation is more powerful, although the symptoms of brainstem cerebellar ischemia have appeared, but there is still no necrosis, and the vital signs are basically stable.

Imaging is just the most basic.

After the imaging is completed, the actual surgery begins.

YUNTIAN SKILLFULLY GUIDED THE 6F LONG SHEATH TO INSERT INTO THE VERTEBRAL ARTERY WITH A V18 GUIDEWIRE UNDER THE ROUTE MAP, AND CAREFULLY EXTENDED THE 5F CATHETER TO THE LESION WITH THE COOPERATION OF SYNCHRO AND REBER-18 MICROCATHETER UNDER THE ROAD MAP.

At the vertebrobasilar artery site, the support of brain tissue is not good, at this time, due to vascular occlusion, brain tissue ischemia and hypoxia, and the support force is further reduced.

In order to control the 5F microcatheter to accurately reach the lesion, it is necessary to have a very high working ability.

The most common cause of surgical failure is spasm or injury of blood vessels during the delivery of microcatheters.

However, such a requirement is not too difficult for Yuntian after all the genera have been promoted.

Yuntian's ability to do things is outrageous!

In Yun Tian's hands, the micro guide wire was like a living creature with eyes, dexterously and gently passing through the blood vessels.

It doesn't take much effort to reach the lesion easily.

"Is the SwIm surgery so easy? Isn't it only 50% complete in two years?How can Xiaoyun be so skilled? And it looks easy......

Director Li Lishan was very surprised by Yuntian's work.

Before looking at Yun Tianzuo, Li Lishan's understanding of the SwIm operation only came from various sources.

Because of posterior circulation occlusion, the effect of various thrombolysis methods is 10 points poor.

When the SwIm surgery was first proposed, it caused quite a stir.

If the posterior circulation can be as smooth as the anterior circulation, the survival rate of the patient will be greatly improved.

However, the subsequent doubts also continued.

The operation is too difficult, and the support ability of the old tissue in the posterior circulation is not good.

In the case of ischemia and hypoxia, the brain tissue is softened.

Originally, the brain tissue, which was still like tofu and had some supportive power, was softened like a tender tofu brain, and it almost completely lost its ability to support it.

When the brain tissue is supported, the position of the lumen is almost fixed, and the difficulty is much easier.

When the support of brain tissue is insufficient, various changes such as deformation occur as the lumen of the number is made.

It greatly increases the difficulty of the work.

However, the difficulty of the work, which is described in various materials as if it is like a devil, can hardly be completed, but at this time, it seems extremely easy under the work of Yuntian.

"Have you noticed Xiaoyun's hand? His way of holding the micro guide wire is different, this is also Xiaoyun's work, and I am afraid that there is no way to do it so smoothly if someone else does. "Director Shi's recent efforts in neurointervention are naturally much greater than Director Li Lishan's.

Therefore, Director Shi's understanding of SwIm surgery is much higher than that of Director Li Lishan.

Immediately, I could see the difference between Yun Tianzuo.

Yun Tian's technique of holding the micro guide wire at this time is slightly different from usual.

The hand control is more precise for the strength of the instructor, plus the reflexes and stability, which is why it looks so light.

"SwIm, such a difficult operation, Yuntian can do it to such an extent, the growth rate can be seen! We two old guys, we have to work hard!" Li Lishan sighed.

"Yes, Xiaoyun's growth rate is too fast, we must concentrate more resources and advantages to help him grow, so that this kid can go further and more steadily!" Director Shi also nodded in agreement.

The two cannons of Xihua Hospital can be regarded as shaking hands and reconciling at this time.

Because of an intern, the two directors snatched it with their tentacles, and the whole hospital was in an uproar.

After that, Yuntian had to leave the Chinese medicine department!

This matter has finally come to a successful conclusion.

The two directors shook hands and made peace, and the genius finally emerged, and the outcome of this matter, I am afraid that even the two directors would not dare to imagine it a few months ago.

The cloud control micro-guidewire carefully passes through the occlusion segment. The catheter is placed in a normal vessel distal to the posterior cerebral artery.

Then the imaging was done to confirm that the ductal tumor was lodged in the true lumen of the blood vessel!

and confirm distal vascular patency.

It is then inserted into the stent and released at the occlusion.

There is a stent release ghost, and the cloud sky stent release technique is still accurate.

And then there's the recovery bracket...

The first time I dragged out a blood clot!

In re-angiography, in addition to the thrombosis, there is also a vascular stenosis in the occlusion.

Yuntian dilated through the globulus, implanted a stent again, dilated the narrowed blood vessels, and re-imangiated, the blood vessels were completely inflated, and the distal blood circulation was good.

The surgery was successful!

The SwIm operation, which was so difficult, was successfully completed in the easy work of the clouds.

Director Li Lishan and Director Shi were not outside the disposal room and applauded.

Manager Huang in the disposal room was also heartbroken, and immediately called his boss, Chairman Sha.

"Chairman, Dr. Yun has just completed a SwIm operation, and the operation was successful!" Manager Huang's voice was extremely excited.

"SwIm surgery? you mean, that

There are only two successful and one failed SwIm surgeries in the world?" Chairman Sha was a little puzzled at first, but immediately connected Yuntian's surgery with swIm surgery.

"Yes, that's the technique, the taste of this application, the mind catheter and the scaffold are all our prestige consumables! I recorded the whole process, do I need to transmit the image to you?" Manager Huang nodded again and again to confirm.

SwIm surgery is the first in China.

The first swIm surgery was all used in Weixin consumables, which is of great significance to Weixin consumables company.

Coupled with the various surgical images completed by Yuntian that Manager Huang continued to pass on to the mayor of Shandong some time ago, it can be said that Yuntian has established a demonstration surgical video library for Weixin consumables with the strength of one person!