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The patient, a 65-year-old male, was admitted to the hospital last night with a day of weakness in his right limb and slurred speech for 4 hours.

Follow-up CT showed an increase in infarction foci and an increase in the extent of infarction.

Progression of cerebral ischemia is a headache in cerebral infarction.

The patient's condition is getting worse step by step, and there are few good ways to prevent this from happening with conservative treatment.

Even if it is a craniotomy, the effect is very bad.

Therefore, in the absence of interventional therapy, the treatment of progressive cerebral infarction has always been a considerable problem.

Fortunately, at present, Xihua Hospital has Yuntian and an interventional catheterization laboratory in the Department of Neurology.

There is an interventional approach.

It can only be said that there is still a glimmer of hope for the patient's survival.

"Doctor, why did my father's condition worsen with the medicine?" As soon as Yun Tian entered the ward, the patient's family asked anxiously.

For family members, this kind of question is obviously the most difficult for doctors to answer and the most afraid to hear.

The family member asked quite politely, and family members often asked, "My family is so-and-so, a good person, why is it not good to be hospitalized......"

How can a good person be sent to the hospital for hospitalization?

"Now I suspect that your father had a cerebral infarction, and I communicated with you yesterday about this situation. "Although Yuntian's skills are good, it is obvious that his communication skills with patients and their families are a little weaker, and Dr. Fan Yi is much more experienced in this regard.

Therefore, Dr. Fan Ying began to communicate with the family about the patient's condition, while Yun Tian began to check the patient's basic condition.

Compared with the CT film taken at the time of admission, the condition of cerebral infarction was significantly worse.

"Let's do a whole brain angiography first! The specific situation can only be decided based on the results of the angiogram. Yun Tian said after probably checking the patient's condition.

"Is my father's life in danger? Why did it suddenly get worse?" said the patient's family anxiously again.

Subconsciously, he said the most headache of Yuntian, but at this time, it was obviously unintentional.

"I'm not sure about your father's condition yet, I'll communicate with you further when I have a complete cerebral angiography!" Regarding the patient's family's worries, Yun Tian can only truthfully inform the patient of the current condition at this time, and he can't be sure of anything.

The patient's wife almost collapsed on the ground after hearing Yuntian's words, but fortunately she was helped by the patient's son.

"Lao Zhao's life won't be in danger, right? Lao Zhao, you can't leave me first!" the patient's wife muttered to herself, turned her head to the patient, and cried.

"The patient's condition has changed, and there are many cases that quickly become life-threatening under such conditions, and now we can only seize the time to immediately perform a whole cerebral angiography of the patient, and then carry out relevant interventional surgery according to the imaging results. If you agree to the patient's intervention, come with me and sign so that Dr. Lin can prepare your father for the surgery. Dr. Fan Yi patiently explained to the patient's family again.

Although rescuing patients is a matter of time.

However, communication with the patient's family is extremely important.

After all, if the family members don't sign, the doctor can't do anything.

Therefore, Dr. Fan Yi accelerated the communication with the patient's family, hoping that the patient's family could cooperate with the doctor to take treatment measures for the patient as soon as possible.

"Okay, okay, let's sign, we'll sign right away. Please hurry up and save my father. The patient's son agreed.

"We'll do a whole brain angiogram on the patient first, and after you sign it, we'll wait outside the catheterization room, and we'll talk to you as soon as we get the results. Yun Tian explained to the patient's family again, pushed the patient, and began to rush towards the 4th floor of the obstetric department.

When he arrived at the catheterization laboratory, Zhao Lei had already appeared in the catheterization laboratory and waited.

Yesterday afternoon, Yuntian was not there, and Zhao Lei and Leng Chengye had an afternoon and a night of surgery.

I didn't expect Zhao Lei to get up so early.

"Do you want to have a whole brain angiography?" Zhao Lei asked excitedly.

"Yes, I'll do the ordering, disinfection, and imaging. Yuntian did not spare anything to kill Zhao Lei's hope.

"It is a patient with progressive cerebral infarction. Seeing the disappointment on Zhao Lei's face, Yun Tian added.

"Patients with progressive cerebral infarction?" Zhao Lei exclaimed!

Obviously, Zhao Lei has some understanding of the prestige of progressive cerebral infarction.

Hearing that it was a patient with advanced cerebral infarction, Zhao Lei immediately lost the idea of trying to do a whole cerebral angiography.

Instead, start to spread the order and disinfect it as quickly as possible.

After He Yuntian finished explaining to Zhao Lei again, he had already entered the locker room to change his clothes.

Zhao Lei's bag disinfection work has obviously improved a lot.

Yuntian came out after brushing his hands, and Zhao Lei's preparations had been basically completed.

"I'm going to brush my hands. Zhao Lei said a word to Yun Tian, and then turned away to brush his hands.

Yuntian began to prepare for a whole brain angiography.

The femoral artery is a common approach for interventional surgery, and compared with the radial artery and carotid artery, the femoral artery is easier and faster.

Therefore, it is the first choice of interventional surgical approach.

Hit the nail on the head, the vascular sheath went in as soon as possible, and then the loach catheter entered.

Yun Tian let go of his hand and raised his speed to the extreme.

After all, for patients with progressive cerebral infarction, time is of the essence.

Although the clouds are fast, they are also very stable.

Step by step, the patient's condition gradually became clearer.

The M1 stenosis of the upper branch of the left middle cerebral artery is up to 99%!

The length of the lesion infarct is about 7mm!

Nearly 7 mm, up to 99% stenosis.

Both this length and the degree of infarction indicate that the patient's condition is critical.

Yuntian exited the pigtail catheter, stepped down from the stage, and printed the corresponding film condition at the fastest speed. Go out and communicate with the patient.

"The patient's condition requires immediate implantation of a stent to unblock the infarct and restore the blood supply to the brain. Yun Tian pointed to the condition of the film and the patient's home

It is an account.

"Will my father be able to fully recover by restoring blood to the brain?" the family asked.

"It depends on how well the brain cells recover after reperfusion. Brain cells will die after a period of ischemia and hypoxia, and it is difficult to determine the specific recovery status. "Yuntian is very cautious in introducing the patient's condition to the patient's family.

"Will my father have sequelae? He can't speak in the future, or is he hemiplegic or something?" Hearing that the patient could have surgery, the patient's family began to think about the possible sequelae of the patient.

"The patient has not yet undergone surgery, and there is a good chance that this stenosis will continue to develop, and the patient's life may be in danger at any time, so you need to decide whether to have a stent implant as soon as possible. For the patient's family to start thinking about the patient's recovery, Yuntian felt a little big.

The patient's life has not yet been operated on, which means that the patient's life has not been guaranteed, but the family is the first to worry about the recovery.

"We were thinking that if my father had serious sequelae, the family would probably not have such a good position to take care of him. The patient's son said as a matter of course.

"Is the patient going to go ahead with the surgery?