Four cases of intracranial vascular stenting a day is already the limit of many doctors in 913 Shen.

Yun Tian had not attempted sustained combat before.

So, Yuntian doesn't know

But today, there is the X-ray transformation ability of absolute radiation, and after four surgeries in a day, Yun Tian does not feel too much, and his energy is still very abundant.

Therefore, in response to Director Yan's reminder, Yun Tian just brushed his hands and replied lightly:

"Oh, I know, it's okay, let's get ready for surgery. ”

Yun Tian's tone was very flat, so flat that it seemed to say, let's go to the cafeteria to eat.

But the calmness and calmness in his tone made Director Yan stunned.

"Did you do four brackets today?" the locker room door was opened from the outside.

It was Director Shao and Director Shi, who had been in a meeting all day, who walked in together.

The two directors hurriedly finished talking about what they were going to talk about tonight during their lunch break, so as soon as the meeting was dismissed, the two hurried back.

As soon as the two directors arrived at the hospital, they were also a little shocked when they heard that Yuntian had completed four intracranial stents today.

After all, this is basically the amount of surgery that some particularly powerful doctors in 913 can do in a day, and Yuntian's interventional surgery ability is indeed very strong.

But when they arrived at the locker room, the two listened to Yun Tian's calm answer, and actually let them continue to prepare for surgery!

"Xiaoyun, I actually did four surgeries in one day today, and your surgical volume is top-notch in our department, so let's stop here today, and continue to do it tomorrow. Let's go to dinner first, today, Director Yan specially asked you, Teacher Shi and Teacher Lin, what you eat, and you will eat everything you prepare for the evening. As soon as Director Shao entered the door, he said to Yuntian with a smile.

"It's okay, let's get ready for surgery, and it's too late to eat after it's done. Yuntian's brushing action did not change, and he continued to speak softly.

"Xiaoyun, this stage of your surgery is the time to do the operation, we all understand, but the interventional doctor, the time of the line is required, it will be over today, and it will be done again tomorrow, go to dinner. "Yuntian's idea of having surgery made Director Shao very satisfied.

It's good that young people are motivated.

But as a teacher himself, Director Shao naturally knows that in such a situation, as a teacher leader, he should give reasonable suggestions to juniors.

So Director Shao politely stopped the operation again.

"It's okay, this is the last one of the day. Yuntian continued to insist.

"This ......," Director Shao still hesitated.

"The fifth patient was a patient with right-angle stenosis and vascular branches under the plaque. In a very short sentence, Director Yan promptly introduced the difficulty of the fifth patient.

Director Shao didn't know the condition of the fifth patient, but simply from the doctor's energy, he didn't recommend Yuntian to do the fifth case, and when he heard the condition of the fifth patient, he didn't agree with Yuntian to continue to complete the fifth case.

Patients with right-angle stenosis alone need to place two stents, which is also related to the problem of stent stacking.

This problem can be regarded as the most difficult in the tertiary surgery.

What's more, there are also small vascular branches under the plaque, which is more complicated than the case of two stenosis with right angles and vascular branches in the previous two days.

Therefore, after listening to Director Yan's words, Director Shao made a decision in an instant.

Such a difficult operation must be performed in the morning when the first or second operation is performed when the surgeon is in the best condition.

"Xiaoyun, the patient's operation is more difficult, you have a good rest tonight, and wait for tomorrow morning, when you have more energy to perform the operation, which is also responsible for the patient. Director Shao added a bit of seriousness.

"I'm not having any problem with my energy now, trust me, I'll have dinner after this and then go to rest. I'm sure. "The effect of the absolute anti-radiation clothing is really good, although four surgeries have been done this morning, but Yun Tian is not tired at all at this time, so there is no problem at all to do another operation.

While several people were talking, the door to the locker room suddenly opened.

"The patient who was removed from the stage for surgery suddenly developed syncope and has now been sent to an MRI for emergency radiographs. The round-faced little nurse who asked Yuntian to brush her hands in the morning appeared outside the door of the locker room, panting and saying to everyone in the locker room.

"Sudden fainting?" several people in the locker room looked at each other.

Among the several people, Yun Tian, Leng Chengye, and Director Yan, who were most familiar with the patient's condition, listened to it, and their hearts sank.

The patient has had recurrent episodes of cerebral acute ischemia for many years, but has never experienced syncope.

Because of the special condition of the stenosis, there is no way to make a stent, but the condition has been relatively stable, how can there be sudden fainting!

The difficulty has been infarcted!

Intracranial blood vessels are already small, and after stenosis, it is indeed very easy to cause infarction, which is also the most common complication of intracranial vascular stenosis.

The patient develops syncope at this time, and a sudden worsening of acute cerebral ischemia is unlikely, most likely due to infarction of the stenosis.

The patient is stenotic in the middle of the basilar artery, and if an infarction occurs, it can have serious consequences.

Moreover, the difficulty of treating patients has increased by several levels in an instant!

Therefore, the three of them glanced at each other, and Yun Tian didn't even have time to change his clothes, so the group hurried to the imaging department.

"Mid-basilar artery stenosis. "The person in charge of filming in the imaging department is a middle-aged doctor in his forties, who obviously has a very good relationship with Director Yan and others.

Seeing that everyone was coming in a hurry, he directly reported the results, and quickly called up the relevant images, and presented the embolic images in front of everyone.

The patient's stenosis at the right angle had previously reached about 70%, but by this time, the embolization had been completely completed, and the blood flow signal behind the middle of the basilar artery had almost completely disappeared.

The crowd watched the patient's brain image and fell silent.

Originally, the patient's condition was one of the most difficult tertiary surgeries.

After all, it is not easy to place two stents at the same time, and there are vascular branches under the plaque, so when placing stents, you should not only pay attention to the stacking of the two stents, but also pay attention at all times

The blood supply to the vascular branches under the plaque must not be obstructed.

Add embolism at this point!

If the patient has an acute embolism, the embolus that is blocking the blood vessel can be removed by interventional surgery.

It's just that the condition of the patient in front of me is too complicated.

Intracranial emergency thrombectomy alone is already one of the most difficult fourth-level neurointerventional surgeries.

However, at this time, the patient also had two special conditions: vascular branches under the plaque and right-angle stenosis, which caused the difficulty of the patient's operation to rise almost in a straight line!

Everyone couldn't help but look at the clouds!

The current patient's condition may only be able to be done by this young man.

After all, there is a stent placement of vascular branches under the plaque, and at the moment, only Yuntian is the most familiar.

But can this young man, who has only been in contact with neurointerventional surgery for three months, really be able to complete such a difficult fourth-level surgery?