Cardiology catheterization lab, separated by thick leaded glass.

Director Tang, Director Shi, and Director Lin lined up, staring intently at the interior.

A little later, Manager Huang also stared at the three directors with his eyes closed, staring closely at the cāo) of the cloudy sky indoors.

This is the first interventional catheter for carotid artery stenosis in Xihua Hospital.

It is the first operation that Manager Huang has participated in since changing careers.

The four people outside the office seemed to be more nervous than Yuntian, who was disinfecting in lead clothes.

cāo) for indoor cloudy days to disinfect the skin unhurriedly, local anesthesia.

Pick up the puncture needle, puncture the carotid artery directly, and hit the nail on the head!

cāo) in one go, flowing water.

"This kid looks handsome after surgery. "Director Lin's focus is a bit biased most of the time.

"Is there one?" Normally, only Director Shi would be on the same channel as her at this time.

Hearing Director Lin praise Yuntian for being handsome, Director Shi asked lightly and glanced at Director Lin. There was a threat in his eyes.

"Of course, no matter how handsome you are, you can't compare to my old stone. Director Lin changed his words from kindness.

Manager Huang was caught off guard, and a mouthful of dog food came to his face.

......

It's a very helpless thing to be able to eat dog food in a place like the operating room.

The movements of Director Shi and Director Yunlin could not attract Director Tang's attention in the slightest.

Director Tang's hand clenched into a fist again.

Another hit the nail on the head!

Seeing Yuntian, the child had two vascular punctures.

But both times it hit the nail on the head

Look at this child's cāo) work, immediately after the piercing, fixed without the slightest hesitation, that kind of indifferent self-confidence, as if he had already performed countless punctures and was already familiar with it, and it was impossible to fail.

This feeling can only be experienced by Director Tang, who has also been pierced many times.

However, even Director Tang himself has done countless coronary artery stent surgeries, and he is only about 70% sure that he can hit the nail on the head.

Then the screen lights up outside the cāo) function.

Contrast shows a missing piece of the initial carotid artery.

If the walls of blood vessels are compared to the trunk of a tree, then the carotid artery shown by the imaging is as if someone sawed off a whole piece.

It's more like the bite that was gnawed off on the trademark of a certain mobile phone.

Zhou Weihua's carotid artery blockage reached 75%, so the bite that was gnawed off under the contrast agent was also more serious.

There is only a small trace of the two ends in the front and back of the trunk, which makes it feel like it could break at any moment.

The micro-guidewire began to move in the blood vessels, and there was no over-selection problem in the carotid artery, but Yuntian had obviously carefully studied Zhou Weihua's carotid artery stenosis, and the micro-guidewire was the right size, and the micro-guidewire passed through the narrowed area smoothly.

This is followed by the placement of a protective umbrella with the help of a micro-guidewire.

The movement of the clouds is very gentle and protective, and the umbrella passes smoothly through the narrow area, expanding at its front end, like an open fishing net.

Protective, the main role of the umbrella is:

Capture tiny emboli that have fallen off during surgery.

Prevents microembolism from occurring.

The reason why carotid endarterectomy is becoming less and less accepted is mainly because of multiple microembolism caused by the detachment of tiny emboli during surgery, which leads to various complications such as facial paralysis, hemiplegia, and dementia.

So, to protect, the umbrella should be very careful when passing through narrow areas.

Yuntian's hand strength is very clever and flexible, protective, and the umbrella glides smoothly through the narrow area, which is very smooth and soft.

This should be the most challenging step in the whole operation.

"Okay!" Director Tang said in a low voice.

caused the other three to look sideways, but Director Tang stared at the screen tightly, unaware.

Place the guard, umbrella, and use a balloon to dilate the lower part of the stenosis.

Yuntian inserts the stent on the microguidewire, controls the stent to reach the narrow part, and opens the stent.

Although carotid artery stent intervention is not considered a difficult operation in the interventional department, the speed of Yuntian is very fast.

The movements are smooth and in one go.

Re-imaging showed that the bite on the trunk of the carotid artery that had been bitten off had been fully restored.

The trunk of the carotid artery is rejuvenated.

Confirm that the bracket is in a stable position, retract the protection, umbrella.

Stent intervention for carotid artery stenosis on one side has been completed.

"Xiaoyun, is this already done?" Director Lin, who had never been in contact with interventional catheter surgery, was very puzzled.

When I heard about heart stent surgery, I thought it was very tall.

Today, I got up early in the morning to see my student Cāo) have a stent operation.

Although carotid artery stents are of a lower grade than coronary stents.

But it's also stent surgery, and the quality is always the same.

What's more, in the entire cardiology department, only Director Tang can perform coronary artery stent surgery.

I am a Chinese medicine subject, but I am a student of my own students. The natural long face of being a teacher.

Looking at the entire Xihua Hospital, except for Director Tang, there is only one person left who can perform this kind of operation.

But what about the tall and tall that is good, and the long face that is good?

I only had time to praise Yuntian, and the operation was over?

Director Lin looked at her husband suspiciously.

"The stent was opened and re-imaging, and the carotid artery stenosis has been restored, and one side has been done, so far the operation is going well. ”

"Xiaoyun is going to do the other side. As he spoke, Yun Tian had already handed over the finished side to a doctor in his heart who helped Yun Tian to compress and stop the bleeding.

Re-open a piercing bag by yourself and prepare to proceed to the other side of the cāo) work.

Carotid artery puncture, microguidewire entry, placement of protection, umbrella. Balloon dilation. The bracket is put in. Turn on Re-Imaging. Looking at the recovery of the missing and narrow part, Director Lin felt that this hand was nothing more than that.

Recover the protection, umbrella, withdraw the microguidewire, and the carotid artery on the other side is also processed.

"Is it done on both sides so quickly?"

"Xiaoyun, did you put two brackets?" Director Lin asked curiously.

"Well, it's all done. Director Shi replied.

except

Except for Director Shi and Director Lin, who were too active, whether it was Director Tang or Manager Huang, they were all a little dumbfounded.

Manager Huang is a halfway monk and doesn't know much about interventional surgery.

But after I went back yesterday, I found the company to make up for the video related to carotid intervention for one night.

It seems that the video provided by the company is not as fast and smooth as Dr. Xiaoyun?

Didn't Dr. Xiaoyun say that it was the first time for him to have an interventional stent for carotid artery stenosis?

Manager Huang was very puzzled, did he remember the video he watched yesterday by mistake, and how did he feel that it took a lot more time than Dr. Xiaoyun?

Maybe the surgeon in the video explained while talking, which was delayed.

Manager Huang felt that there was no way to accept that an intern was better than what seemed to be done in the video.

Director Tang's feelings were even more shocking than Manager Huang's.

Originally, he was entrusted by Director Shi, and he was ready to come to the stage to help Yuntian at any time.

But at this time, after watching Yuntian's operation, and then looking at Director Lin and Director Shi, who were too active, Director Tang had an illusion at this time.

Director Shi is not looking for himself to press the stage at all, he is definitely here to show off!!