The M1 segment of the middle cerebral artery is made by distal thrombectomy cāo), and there is no way to place a protective umbrella.

The so-called protection, umbrella, is a kind of consumable that can be opened like an umbrella.

When performing vascular intervention, open the umbrella at the distal end of the cāo).

It can help filter out the very fine patches that fall during cāo).

Prevents these tiny plaques from clogging small blood vessels, causing microstroke syndrome.

Microstroke syndrome is a condition in which a very small embolus in a blood vessel embolizes the small blood vessel and causes abnormal brain function.

Therefore, it is also very important for the M1 segment of the middle cerebral artery to be stabilized by distal thrombectomy, except that the blood vessels are too small to be cāo), and it is also very important to avoid micro-stroke as much as possible in the process.

Yuntian cāo) as a microguidewire gradually approached the stenosis, and the patient's vascular filling was very poor due to severe anemia and low blood pressure due to infectious shock.

Whether it was the two directors outside the leaded glass, or Director Zhan who was on the edge of the cloudy sky indoors, they were all very nervous at this time.

Now is the most critical and difficult step in the whole thrombectomy surgery.

A stent is used to hold the clot and then remove it.

It is also necessary to avoid the clot from breaking and falling off.

The position of the microguide wire and the stent needs to be very clever.

It is necessary to be in a very suitable position to be able to grasp the thrombus completely.

The calculation was successful.

But the blood vessels are so small that it's hard to get through.

I also wanted to choose the angle of the release bracket in such a narrow environment, and there was almost no room for cāo) to do it.

Therefore, for thrombectomy at a distance from the M1 segment of the middle cerebral artery, more often than not, the surgeon can only rely on feeling and luck.

This is the main reason why the risk of thrombectomy is so high, and the chance of re-embolization after thrombectomy is so high.

But after entering the bracket, Wei Lotian cāo) made the bracket in place, which is very dexterous.

It is almost impossible to see the part that is almost impassable.

Tomorrow there will always be a way, horizontal, vertical, sideways, or obliquely to pass smoothly.

After the stent reached the position, the angle was adjusted dexterously without touching the blood vessel wall at all.

Even Director Zhan, who doesn't know how to do interventional thrombectomy at all, hissed and gasped!

Where is this embolectomy?

Clearly is the limit cāo) made!

Finally, tomorrow I found the position I was most satisfied with.

He stopped and calmed his breath slightly.

stent release,

The stent release is in a clever position!

Even Director Zhang can feel that there are steps when the stent is released tomorrow.

But Director Zhan didn't know anything about interventional vascular cāo) at all, but he had such a feeling in his heart, and he didn't know how to comment.

In a flash, tomorrow has begun to recover the scaffold.

The stent was brought out, along with a dark red clot of blood.

The dark red blood clot was cast-shaped, and it was apparently that the embolus was tethered to the middle cerebral artery, causing the infarction.

And the bolt is so tight, from the take out into the tubular type

The embolus was able to see that the embolus had really thrusted the middle cerebral artery so tightly that there was no blood circulation in the posterior part of the embolization.

The thrombus was removed smoothly!

Right the first time!

Director Zhan was very surprised!

"Take it out all at once?" Director Zhan asked in surprise.

The thrombus in the M1 segment of the middle cerebral artery is not good, Director Zhan has heard of it, and it is common for some to repeat it three or four times without taking it out.

However, like Yuntian, there are only a few who succeed in removing the thrombectomy at one time.

"Let's take a look at it first. Yun Tian said very conservatively.

Although judging from the shape of the tube removed, there should be no problems such as emboli rupture.

But Yun Tian still answered very conservatively.

In medicine, it's better to be conservative.

Without Yuntian's instructions, Zhao Lei opened the pressurized injector,

Contrast is injected and an image of the internal carotid artery appears on the image.

The missing middle cerebral artery M1 appears on the screen as a distant image.

Evidence that the blood vessels have been re-opened and blood vessels have been restored.

The surgery was successful!

"Awesome!" Director Zhan gave Yun Tian a thumbs up and praised him sincerely.

Yun Tian smiled, handed over the work of sweeping and stopping bleeding to Zhao Lei, and began to pack up the utensils.

"This is the position far from the M1 section of the middle cerebral artery, which is said to be the extreme position in cerebral artery interventional thrombectomy, but I didn't expect Dr. Xiaoyun to succeed in the operation so easily. It's a complete pleasure to see Dr. Xiaoyun do the surgery!" Director Zhan didn't care when he saw that Yuntian didn't answer.

While sighing, he closely watched the patient's data on the monitoring device.

After cerebrovascular recanalization, the ischemic brain tissue of the patient is re-supplied with blood and oxygen, and after reperfusion, it is likely to cause respiratory failure and cardiac arrest.

However, for now, the patient's condition is still tending to be stable.

Yun Tian was cleaning up his things and paying attention to the patient's condition.

Seeing that the patient's condition is relatively stable, after packing up tomorrow, he will enter the locker room and prepare to take a shower and change clothes.

"If the host is detected to have completed an emergency cerebral artery intervention thrombectomy, 8,000 points of experience will be rewarded, and an intermediate skill book will be rewarded. ”

A decent reward, Yun Tian didn't take it to heart.

In the past, if you heard that 8000 XP points would make you excited tomorrow.

But now, for Yun Tian, whose experience value has reached the million mark, 8,000 experience points, there is no wave in his heart.

"The accumulated accumulated experience of the array exceeded 1 million points, and the mall fruit was open for sale. As soon as the mechanical sound of the system fell, another mechanical sound sounded in my ears.

What is the fruit for sale?

Pull open the system panel tomorrow.

In the original system mall, only the primary energy potion, the advanced energy potion, and the skill fruit, the three items were colored.

And now, in addition to the original three colored items.

There are also 4 more purple fruits with different shapes.

Tomorrow click on the fruit, respectively, display hand speed +1, stability +1, distinguish

+1 Force, +1 Fine.

It's actually the addition of 4 different cāo) as a genus!

However, each fruit is not cheap, and the price is 100,000 experience points.

It's no wonder that you have to wait until you have accumulated 1 million XP points to activate such a feature.

Tomorrow I thought about it and decided to find a quiet place and carefully study this so-called genus fruit.

If you have 1 million experience points, you can exchange them for up to 10 genus fruits, but for the sake of safety, you must keep at least 100,000 experience points to avoid encountering special diseases and have no way to deal with them.

How to make the most reasonable use of these 9 fruits, tomorrow I feel that I need to organize my thoughts.

Because the 4th floor of the obstetrics department is large enough, there is a single water shower room in the dressing room, Meimei took a shower, changed her clothes, and when she walked out of the dressing room, Director Shi was waiting for Yuntian with a smile.

"Xiaoyun is good, after the M1 section of the middle cerebral artery is removed, the emergency embolectomy seems to be fully carried out. Director Shi said with a smile.

"Well, there's also an intracranial stent as well. Yun Tian replied.