After the microguidewire was in place, Yuntian then selected a controllable tutor and a coaxial microcatheter, and slowly headed towards the middle cerebral artery under the road map.

Similarly, from the carotid artery to the middle cerebral artery, Yuntian does not need to consider and consider it at all.

It seems that he has already done the same passage dozens or hundreds of times.

"Xiaoyun, is this the first time to do carotid artery access?" At this time, even Director Li Lishan didn't open his mouth to ask.

"There is no way to explain some people's comprehension, isn't it?" Director Shi didn't quarrel with Director Li Lishan, but also replied pointedly.

Whether it was Director Shi or Director Li Lishan, they were all proud of the sky back then.

has been here for so many years, and the genius of Tianzhong has naturally seen a lot.

Both of them have a deep enough understanding of medical talent.

Yun Tian was just a little more talented than any of the Heavenly Wizards they had ever seen.

"Speaking of Xiaoyun's talent, even I'm a little jealous!" Director Li Lishan agreed with Director Shi's words, nodded and sighed.

"If it had been ten years earlier, I would have wanted to compete with him. Director Shi also smiled and sighed.

"We can't compare to Xiaoyun's talent, even if we don't have half of it, if we had half of his talent back then, we wouldn't be trapped in Xihua Hospital for the rest of our lives. Regarding Director Shi's words, Director Li, who has been competitive all his life, shook his head and admitted it very thoroughly.

Back then, Li Lishan and Director Shi went to Xihua Hospital together, and the two were naturally wonderful.

The two have been fighting for a lifetime, but they have to admit that they can't even compare to half of Yuntian's talent.

"We are not talented enough, what we can't do, don't we still have students now?" Director Shi did not argue with Director Li Lishan for the first time, the question of whose student Yuntian was.

In fact, Director Shi knew in his heart that if Li Lishan hadn't gone to the neurology department that day to dignitaries, he probably wouldn't have discovered Yuntian's talent so quickly.

If it weren't for the mistake of robbing people with Li Lishan,

In the neurology department with a large number of people and complex relationships, Yuntian must not be able to put all his mind on professional skills like now, and naturally he will not achieve such results in such a short period of time.

Therefore, there was a hint of loosening in Director Shi's words, and he did not repeatedly emphasize that Yuntian was his own student, but ambiguously used the general term of students.

"Hmm. While the two directors were talking, Yuntian had already made a microguidewire and a microcatheter to reach the M1 segment of the middle cerebral artery.

So Director Li Lishan just hummed, stared at the screen nervously, and stopped talking.

Although Yuntian has completed more than a dozen cases of middle cerebral artery M1 thrombectomy, the two directors are still very nervous.

Now, Yuntian wants to control the copper shaft's micro-guidewire and micro-catheter through the occlusion area.

The greatest risk of thrombectomy of intracranial vessels is embolus detachment, and partial or total detachment of the three sub-infarcts may cause re-infarction, which can cause serious adverse consequences regardless of the size of the infarction.

whereas

Moreover, there is no way to place a protective umbrella for thrombectomy of intracranial blood vessels, which increases the possibility of such adverse reactions.

But this is not too much of a problem for Yuntian.

Yuntian controls the coaxial controllable micro-guidewire to slowly move towards the occlusion.

Yun Tian's hand is very stable, which is very difficult for others, but in Yun Tian's opinion, it is not worth mentioning at all.

In the blink of an eye, Yuntian had broken through the occlusion and reached the distal end of the occlusion.

The two directors who watched at the disposal gasped.

The same gasps rang out in the operating room at the same time.

After seeing the works of the clouds, you can truly understand what is fast!

Permit!

Vicious!

Yuntian was very fast, and when he came back to his senses, Yuntian had already withdrawn from the micro-guidewire and re-imaging.

Confirm that the microcatheter is in the true lumen of the vessel at this point, and confirm the condition of the distal vessel.

"Bracket. Yun Tian stretched out his hand and whispered.

Leng Chengye reacted well at this time, and handed the bracket to Yuntian as quickly as possible.

into the stent and delivered to the thrombus site.

The stent releases the ghosting and appears.

Yun Tian relied on his feelings to find the most suitable position as quickly as possible.

Release the bracket.

Maintain the stent release state for about 5 minutes, and withdraw the microcatheter and stent at the same time.

re-imaging,

Blood flow distal to the M1 segment of the middle cerebral artery is fully restored.

After 15 minutes of continuous observation, there was no recurrence of middle cerebral artery occlusion, and the distal blood supply was good.

Yuntian chose a vascular closure device for vascular closure this time, and pressed for 5 minutes to stop bleeding, this time Yuntian did not let Leng Chengye do it, and the entire 5-minute process of pressing to stop bleeding was done by Yuntian himself.

"The operation was successful!"

"The operation was successful!"

Director Shi and Director Li Lishan glanced at each other, and both of them felt relieved.

Although the two of them have absolute trust in Yuntian, they are still under a lot of pressure.

After all, Yuntian is only an intern who has been in contact with interventional surgery for less than 4 months.

If there is a problem with the operation and the family insists on making trouble, Yuntian's share is enough to become a point of attack for others.

This is not only not good for the department and the hospital, but the most important thing is to hurt and blow Yun Tianben.

At this time, Yuntian was already shouldering the hopes of many people.

For this student, the two directors are determined to protect it to the end.

"Remember to ask Xiaoyun to write a retrospective research paper, and it is definitely no problem to go to a domestic first-class journal for a new method. "The profession of doctor, compared with other professional skill occupations, has more indicators of scientific research.

And the doctrine paper is the most important of them.

A paper in a first-class journal is the fastest way to increase one's value for an intern like Yuntian.

"Well, okay. Director Shi nodded, and it was rare that he did not refute Director Li Lishan's words.

"Xiaoyun, are you tired!" Seeing Yuntian come out, the two directors stepped forward at the same time and asked with concern at the same time.

Cloudy world consciousness

took a step back.

The combat effectiveness of the two directors has been seen by Yuntian.

On the second day of coming to the hospital, the two directors made a deep impression on themselves.

Nearly two directors stepped forward at the same time and spoke at the same time, and the cold hairs in the cloud sky stood upside down.

These two guys, are you going to do it again?

"Two teachers, I typed a few pictures and took them to communicate with the patient's family about the operation. Yun Tian pointed to the big screen in the disposal room and the printer under the screen slightly defensively, and said weakly.

Seeing Yuntian's defensive look, the two reacted instantly.

Suddenly, the three of them seemed to get along with each other, and the two directors burst into laughter at the same time.