Femoral vein puncture hits the nail on the head!

Director Tang excitedly stood up through the leaded glass and stared at Yuntian's hands.

The guidewire was picked up and inserted, and the screen outside the body lit up, revealing the image of the guidewire swimming in the blood vessels.

The patient's blood pressure is normal, the femoral vein is normally full, relatively thick, and the guidewire travels quickly and smoothly.

But Director Tang seemed to be very nervous, his eyes were staring at the screen, his hands were clenched into fists tightly, and he seemed to be even more nervous than himself.

Director Shi glanced at Director Tang in surprise.

Sensing Director Shi's gaze, Director Tang turned his head and saw Director Shi looking at him with a puzzled expression, smiled a little awkwardly, and slightly loosened his clenched fist.

"This Xiaoyun is very good, the femoral vein puncture actually hit the nail on the head, this matter, in our hearts, is also unique. Director Tang said to Director Shi with a little emotion.

Director Shi smiled gently, but the corners of his eyes twitched imperceptibly.

Neither of them spoke again, continuing to look at the screen.

The microguidewire travels all the way up the femoral vein, gradually approaching the junction of the femoral vein and inferior vena cava.

Director Tang's hands were clenched tightly together, and his body involuntarily tilted forward slightly, as if he wanted to see the picture on the screen more clearly.

However, on the screen, the micro-guidewire did not pause at the intersection of the femoral vein and the inferior vena cava, and deftly and directly merged into the inferior vena cava, and continued to move forward!

There was no pause!

Without the slightest pause!

Director Tang was stunned, and subconsciously took a step forward, as if he wanted to see the picture just now more clearly.

But that moment flashed by just now, and at this moment, only the image of the microguidewire traveling rapidly in the inferior vena cava was left on the screen.

I read that right!

Absolutely no mistake!

Director Tang thought about it carefully!

Just now, when the micro-guidewire traveled to the intersection of the femoral vein and the inferior vena cava, the micro-guidewire did not pause at all, and directly turned back slightly, directly into the inferior vena cava!

Although both the femoral vein and the inferior vena cava are relatively large, the transition of such a large vein is relatively not difficult!

However, with a large amount of venous blood returning, the blood flow velocity at this intersection changes dramatically, and the transition of the microguidewire is not easy to control.

At this point, you should pause for a moment before choosing a careful transition!

However, Director Tang was still reminiscing about the moment just now.

Without the slightest pause or hesitation, the microguidewire accurately enters the inferior vena cava in an instant. The time, angle, and speed are all just right.

Rough is a little rough,

However, Director Tang also had to admit that at that moment just now, he was indeed very outstanding, and he was almost shown off!

It's like watching a high-tech flying car show, can you say that the speed of the flying car show is too fast, and you don't pay attention to safety?

Obviously, this kid is absolutely sure that he dares to move forward like this.

Moreover, just now, the guidewire turned slightly, and instantly slid through the intersection, cāo) made it perfect!

Although he has more experience, after all, he is older, his reaction speed is slower, and his hands are also

It's not as light and accurate as a young man.

In particular, since the establishment of the cardiac catheterization laboratory, it has been operating at a high load and is in a state of severe overdraft.

All stent surgeries are done by themselves, and they don't even have a suitable assistant.

Director Tang has already felt that the continuous high-intensity work has had a serious impact on his body!

Young man, although he owes a little calm, this technique is really good!

If......

Director Tang secretly glanced at Director Shi,

This matter must be carried out, but we have to think of a perfect way.

Director Tang's mind wandered, and the microguidewire had successfully passed through the right atrium and reached the right ventricle, and then stopped at the entrance of the pulmonary artery with the pumping of blood.

Then the catheter entered, connected to the pressurized injector, and Yun Tian's eyes were glued to the screen, waiting for the best time.

The ventricles pump blood, turn on the contrast agent, scan, and the action of the clouds is done in one go!

Director Tang's eyes shook slightly, and the timing was very good!

The most critical step of pulmonary angiography and the most likely step to lead to mistakes is this moment.

Contrast injection and scanning must be done at the moment of ventricular pumping, with accurate imaging and scanning in the pulmonary artery phase to ensure that the contrast is at its peak in the pulmonary arteries.

Whether it is early or late, a large number of pulmonary vein artifacts will appear, affecting the picture, leading to unrecognizable and failed examination.

It's easy to say, but cāo) is not easy to do.

At this point, the patient's heart rate is around 140 beats per minute.

The heart beats twice a second, and the ventricles pump blood for only a few tenths of a second!

It is very difficult to complete the injection and scanning of the contrast agent in these few tenths of a second.

But apparently, Yuntian did a great job.

When the dye is dispersed, a clear image of the pulmonary arteries flashes on the clear projection screen.

"Very good!" Director Tang subconsciously praised.

Director Shi glanced at Director Tang with a smile, and Director Tang smiled weakly. After taking a quick step, I came to the projection screen and began to call up the image of the pulmonary angiography that had just been made.

Yuntian scanned it, and the scanned image was clearer than the image on the screen, but it would not appear until after the operation was over. You can also see the projected picture at first.

"Perfect!" Director Tang looked at the images of pulmonary arteriography that came up on the screen and sighed again!

"Director Shi, you are a very powerful student, you see, these frames, the pulmonary artery is very clear, not disturbed by venous artifacts at all, and the timing is very accurate!

Director Shi nodded with a smile.

Director Tang smiled awkwardly again.

"Sure enough, it's a pulmonary embolism!" said Director Tang, who carefully recognized the picture on the screen

"Here, there are so many patches at the beginning of the right upper artery that there are no strengthening filling defects, and there are also multiple non-strengthening filling defects between the right lower pulmonary artery and the branches of the left pulmonary artery

The picture is so clear that you hardly have to look at the scan. There are multiple embolisms, and it seems that the patient does not have to send you back. Director Tang said a not-so-funny joke, trying to ease the slightly awkward atmosphere between him and Director Shi.

While the two were talking, Yun Tian had already finished pressing to stop the bleeding and walked out.

"The right upper pulmonary artery, the right lower pulmonary artery, and the left pulmonary artery are embolized in multiple places, and I have already called Xiao Chen from our department to come and receive the patient. All of them are flaky filling defects, and if they are diagnosed in time and treated aggressively, the prognosis should be good. When Director Tang saw Yuntian coming out, he hurriedly recounted the diagnosis results and prognosis judgment.

"Well, thank you, Director Tang. Yun Tian nodded and said politely.

"Doctor Xiaoyun, your intervention is already considered an entry, are you interested in coming to our department to advance? Director Tang smiled and invited Yuntian.

The atmosphere suddenly stopped!