293 Director Li Lishan felt the refreshment
Hearing Zhao Lei's question, Dr. Huan raised his head and was about to say hello to Zhao Lei, and it was not strange to see Zhao Lei's eyes full of hostility.
Hostile to yourself?
What's going on?
Don't......
A man-to-man appearance, a scene of earth-shattering ghosts and gods, automatically appeared in Dr. Huan's mind!
I didn't expect Dr. Yun's taste to be so unique.
"Oh, I'm a doctor in the Department of Medicine, and I've come up to see Dr. Yun for surgery. Doctor Huan felt that it was not easy for Dr. Yun and this unknown doctor to get together.
After all, the world's eyes can be described as this.
These two must have gone through a lot of hardships.
I don't dare to make trouble for these two people anymore.
Therefore, I hurriedly explained to prove that I have no special relationship with Dr. Yun.
Dr. Kehua's words had another meaning in Zhao Lei's ears.
Radiologist?
I'm actually interested in surgery!
Are you ready to change careers?
Although there are not many doctors who are transferred from the department to interventional doctors, there is still a history of related transfers.
This radiologist is really motivated.
Isn't it good to be a simple radiologist obediently?
Thinking of this, Zhao Lei glared at Dr. Huan fiercely, and then followed Yuntian to push the patient into the operating room and began to make preoperative preparations.
Patients with mid-basilar artery stenosis combined with infarction and subplaque vascular branches, Yuntian has done several cases.
So he changed his clothes and brushed his hands directly, and Yuntian calmly came to the operating room.
Zhao Lei's preoperative preparation level is getting higher and higher.
Yuntian came out after brushing his hands, and Zhao Lei's preoperative preparations were basically completed.
Director Li Lishan came up quickly this time.
When Yuntian entered the operating room, Director Li Lishan also arrived at the disposal room.
"The patient's family has signed off and can proceed with the operation. Li Lishan looked at Yun Tianyang's hand and said to Yun Tian by turning on the walkie-talkie.
Yun Tian nodded at Director Li Lishan, turned his head and began the operation.
Director Li Lishan only found out that there was still Dr. Huan in the disposal room.
"Dr. Huan is also interested in interventional surgery?" asked Director Li Lishan curiously.
If the radiologist changes his career to intervention, he still has a great advantage.
At present, the emerging development of interventional surgery, whether it is the catheterization laboratory in the heart or the catheterization laboratory that has just been prepared in the heart, can be said to be a shortage of talents.
Seeing that Dr. Huan was interested in interventional surgery, Director Li Lishan didn't say much.
"Oh, I'm just curious how Dr. Yun deals with patients with vascular branches under the plaque. After all, this was previously a contraindication to intracranial stenting. "Dr. Huan still has a lot of respect for Director Li Lishan.
So seriously explained.
"Xiaoyun went to the imperial capital this time to attend the annual meeting of their neurology department, and worked with the 913 neurology department to study this topic. Li Lishan is still very concerned about the situation of Yuntian.
It's not that Li Lishan takes the initiative to pay attention, it's mainly Director Shi's guy who is scared, so Director Li Lishan can't care about it.
“913
Neurology?" Dr. Huan's eyes widened!
913 Neurology is one of the well-known neurology departments in China!
The imperial capital is a famous tertiary hospital.
Although it is also a tertiary hospital, Xihua Hospital is only in Kunnan Province and has a good influence.
and the tertiary hospital in the imperial capital, 913 Hospital has nothing to compare with at all!
Yun Tian is just an intern, and there are certain statements in Xihua Hospital, and Dr. Huan can still understand.
After all, Dr. Huan has seen the imaging diagnosis level of Yuntian.
However, an intern actually conducted a joint research project with a nationally renowned neurology department and a tertiary hospital in the imperial capital?
Is the threshold of the tertiary hospitals in the imperial capital so low now?
Thinking back then, it was very difficult for me to stay in a place like the Imperial Capital Demon Capital.
Direct collaborative research project?
This kind of communication is much more difficult than simply staying in the hospital and simply asking for help.
What does a tertiary hospital in the imperial capital and a well-known neurology department in the country have that I don't have? I need the assistance of an intern from a provincial tertiary hospital in a backward province in the southwest corner.
Dr. Huan felt that Director Li Lishan must have made a mistake!
But this big-mouthed cannon, although he likes to spray people, he seems to have never been a man of his word, and bragging about these things has nothing to do with him.
But this fact made Dr. Huan too difficult to digest.
On the operating table, when Dr. Yuntian was surprised, he had already completed local anesthesia, puncture, and micro-guidewire traveling in the blood vessels.
Dr. Huan's expression was complicated, looking at Yun Tian, who was undergoing surgery, and his heart couldn't calm down for a long time.
And the clouds have cāo) as a microguidewire, reaching the vertebral artery position.
Angiography.
The basilar artery water flow is clearly visible on the image.
The mid-basilar artery is blocked, and distal blood flow is lost.
However, a little before the blockage, a small branch of blood vessel can be clearly seen diverting from the middle of the body's artery.
Because of the blockage of the middle of the basilar artery, blood flow to the small blood vessels is abundant.
At the site of the blockage, plaque formation can be faintly seen, and blood flow is partially missing.
"Sure enough, there are small blood vessel branches under the plaque!" Dr. Huan muttered.
Yuntian began to become proficient in road stents and began to remove the thrombe.
There is scaffold dilation and ghosting.
Yun Tian quickly found the most suitable position to open the bracket by feeling.
Release bracket,
Start dragging back,
When passing through the blockage, the deformation of the stent is clearly visible.
This is obviously the cause of plaque within the blood vessels.
Continue to drag back the bracket,
The first thrombectomy was the removal of 2 thrombus, which were not small.
re-imaging,
Blood flow in the distal basilar artery has been restored.
However, the blood flow was not ideal, and there was a clear stenosis in the area of the previous blockage.
The degree of stenosis is more than 90%.
At this point, it is clear that small branches of blood vessels are coming out of the plaque.
As distal blood flow is restored, the pressure at the site of the blockage decreases, and the overfilling of small blood vessels improves.
"Branching blood
The tube is extremely thin, in such a situation, once the plaque is fixed, the blood flow of the branch blood vessels will inevitably be affected, how can this be a stent? I didn't expect the patient's stenosis to be so serious, it seems that the possibility of another blockage is very large!"
Although Dr. Huan heard from Director Li Lishan, Yuntian is very experienced in stent placement with vascular branches under the plaque.
It's even a joint research project with 913.
But Dr. Huan couldn't figure it out. In such a situation, how can the nails be put on?
In Dr. Huan's opinion, this is impossible to do.
"Doctor Yun has a way, I've seen his cāo) work before, you can understand it if you look closely. Next time, your diagnosis may have to be changed!" Director Li Lishan looked proud, although Yuntian was not his student, he could not call himself a teacher.
No wonder the guy who was limited in time liked Dese so much, and Director Li Lishan also felt Dese's refreshment for the first time.