From the beginning of the entry of the micro guidewire, Leng Chengye's attention has been highly focused on Yun Tian's hands.

Therefore, the movement of the cloudy sky and the micro-guidewire can be seen very clearly.

It's just that Leng Chengye almost couldn't believe his eyes at this time.

Although I have not seen much of the arteriovenous thrombosis and fistula surgery.

But during this time, the time to leave the imperial capital to attend the annual meeting of neurologists is getting closer and closer.

I also planned to take this opportunity to stay in the imperial capital to study neurological interventional surgery, so during this time, in addition to studying the treatment plan of lacunar cerebral infarction.

Almost all of my rest time is spent studying and watching videos related to interventional surgery in neurology.

I don't know how much I have watched the learning video of interventional surgery in neurology.

I still have points in my heart about how the micro guide wire travels in the blood vessels and how fast it is.

But Yuntian's super-selection speed completely subverted his common sense!

Although the blood vessels are relatively large from the femoral vein to the external jugular vein, it is relatively less difficult to do.

But no matter how fast it is, it can't be this fast!

Almost without any thought, each blood vessel can be accurately over-selected in place.

The microwires drill into the target blood vessels as if they had eyes.

"Turn on the pressurized injector. Yuntian reminded in a whisper.

"Oh, okay, okay. Leng Chengye woke up from the shock and quickly replied again and again.

However, Zhao Lei had already opened the pressurized injector one step ahead of himself.

Let Leng Chengye, who occupies a position as soon as he enters the door, be a little embarrassed.

As the contrast agent enters, a cloud of smoke appears in the middle of the middle middle meningeal artery.

The lesion is located in the middle of the meningeal artery, and what is now done is to embolize the arterial vessels that supply blood.

The arteries that supply blood to the arteriovenous fistula are found on angiography, and smaller arteries are selected for embolization as much as possible, but the embolization effect is ensured.

This is the most difficult part of the arteriovenous fistula embolization surgery right now.

This requires a high level of overselection and judgment of the surgeon.

Yun Tian stared at the image on the screen and studied it for about 5 minutes.

The vascular selection scheme appeared completely in Yuntian's mind.

So I started to move the microwires slowly.

The microguide wire material of domestic Weixin filament is hard, and it is relatively more difficult to superselect thinner blood vessels in the skull.

So at this time, tomorrow is very cautious about the overselection of arterial vessels.

Leng Chengye did not breathe a sigh of relief.

Previously, Yun Tian's speed of over-selecting blood vessels was completely beyond his cognition.

He even wondered if the video he used to learn the reference was fake!

But at this time, when I saw that Yuntian slowed down and overselected the small blood vessels under the branches of the middle meningeal artery, the speed had slowed down significantly, and I felt that such a speed was the normal superselection speed of my own cognition.

I must have felt wrong before.

Leng Chengye comforted himself.

"Sponge glue. Leng Chengye was distracted and missed the opportunity to be Yuntian's assistant again.

Tomorrow there will be a loud reminder

, waiting for Leng Chengye to react. The sponge glue has been handed to Yuntian by Zhao Lei.

Yuntian uses ONYX sponge glue.

This is a liquid-injected sponge glue with good see-through, good tree shape, and good embolization effect.

Sponge glue is injected and embolization is completed.

Reconstructed, the previous misty image is gone.

Embolization successful!

No, this is completely different from the interventional surgery I know!

Looking at the image of the successful embolization, Leng Chengye couldn't accept it!

It's too fast!

It's so fast that it makes me feel like something is wrong with my time perception.

Although I have seen interventional surgery videos recently, there are more first-level interventional neurointerventional surgeries such as whole brain angiography.

But how can arteriovenous fistula embolization surgery, which is a tertiary surgery, be so easy?

How long has it been?

Only about an hour and a half passed for the operation.

Normally, even a whole brain angiogram may take longer than that.

And it was so smooth, every time the over-selected blood vessels were smoothly in place.

Even in the final stage, the overselection of the branch vessels of the middle meningeal artery in the skull is smooth and outrageous.

What about the most likely intracranial arteries to spasm?

It is said that the intracranial blood vessels are small, and there are multiple hardening in the blood vessels, and the difficulty of overselection is extremely high?

In order to study, Leng Chengye not only found a lot of learning demonstration videos, but also watched a lot of various error videos about the failure of intracranial vascular superselection.

Many failure videos more or less mention that domestic consumables are difficult to use.

Leng Chengye entered the operating room today and saw that all the consumables were made of domestic WeChat, and he sweated for Yuntian.

But the whole operation went so smoothly that Leng Chengye wondered if he was hallucinating.

"Compression to stop bleeding for 15 minutes. "Speak again tomorrow.

Because, Leng Chengye occupies the best position of Yizhu, so this time the pressure stops the bleeding, and Zhao Lei did not do it for him.

Leng Chengye fell into his own contemplation and did not hear Yun Tian's words.

After Yun Tian finished speaking, he waited for a while, but he didn't see anyone who wanted to come up instead of him to stop the bleeding.

He reminded again.

"Compression to stop bleeding for 15 minutes"

"Oh, okay!" Yun Tian raised his voice, a little abrupt in the silent cāo) studio.

Wake Leng Chengye from his contemplation.

Leng Chengye quickly took over the work of pressing the blood vessels in Yun Tian's hand.

Yun Tian tore off his hand and walked into the locker room to brush his hands again.

Last night's migraine patient immediately had his second surgery.

Migraine sufferers are much younger after all.

The condition of intracranial blood vessels is better than that of the previous patient, I don't know how many times.

So the embolization of the 2nd round was done faster.

Leng Chengye looked at Yuntian in horror.

"Do you usually overselect blood vessels for interventional surgery so fast?" Leng Chengye couldn't hold back the words in his heart and asked Yun Tiandao.

"Hmm. Over-select larger blood

The tube will move slightly faster, but it is still necessary to slow down as much as possible and be more cautious when overselecting intracranial blood vessels. Yun Tian replied.

I naturally know that the overselection of intracranial blood vessels should be slowed down as much as possible, and the speed should be more cautious!

Leng Chengye sighed without a trace!

I have to admit that Yuntian's level of intervention is indeed very high.

"We're going to the Imperial Capital in a few days, and with your level, you should have to compete with the surgical dogs under the major professors in the Imperial Capital, and with your level, you may be able to make a name for yourself." Leng Chengye said with some emotion.

Compete?

Something to make a name for yourself?

"I'm just a doctor, treating diseases and saving people, what do you want those things for?" Yun Tian really couldn't understand Leng Chengye's thoughts.

Even if he gets the title of the first person in the imperial capital neurointervention, will there be any other help for him to treat diseases and save people?

Yun Tian tilted his head and thought seriously for half a minute......

Not interested at all!