"And what will happen to my father?" the patient's family finally asked with great difficulty.

"At the moment, we can only try to do intravenous thrombolysis for him, firstly, the effect of cardiac embolic thrombolysis is not good, and secondly, intravenous thrombolysis requires full application of anticoagulants, and the side effects are relatively greater. Yun Tian frowned, as if he was a little absent-minded.

So Li Lishan took the words of the patient's family and replied.

"Is there no other way?" After listening to Director Li Lishan's words, the patient's family was obviously unwilling to do intravenous thrombolytic therapy.

"Can't you go somewhere else?" asked the patient's family with the most basic thinking.

"Yes, it can be punctured from the carotid artery, so that you don't have to go through the aorta and can go directly to the middle cerebral artery to remove the thrombe. Yun Tian seemed to suddenly come back to his senses and said.

"Carotid artery approach?" Director Li Lishan was full of surprise!

When intracranial artery thrombectomy is performed, femoral artery puncture is often done.

That is, the puncture is performed at the patient's thigh, and Windows enters the inferior luminal artery from the tympanic artery and exits from the aorta.

There is also a part that enters from the radial artery, passes through the heart, and is blocked in the corresponding blood vessels.

Compared with the paleoarterial puncture approach, the radial artery puncture approach is more troublesome, more difficult, and more time-consuming and laborious.

Therefore, cloud stickers are generally used for the femoral artery.

In principle, the carotid arteries can go directly to the intracranial blood vessels without passing through the heart.

But this is almost unheard of!

That's why Director Li Lishan's face was full of surprise.

"Yes, through the carotid artery. Yun Tian nodded and replied.

Just when the clouds came out of the shining sky, it was time to enter the system space.

When Leng Chengye asked Yuntian if there was any other way.

Yuntian was wondering if he could bypass the aorta and let Windows reach the middle cerebral artery directly.

Among the commonly used pathways, neither the femoral artery access nor the radial artery access can bypass the aorta.

The only possibility is through the carotid artery.

Therefore, seeing the anxiety of the patient's family, Yuntian entered the system training space in an instant.

It took 120 hours in the system training space, and Yuntian repeatedly practiced carotid artery check-in.

The completion of the shoulder carotid artery into the middle cerebral artery thrombectomy has been trained to a stable level of more than 98%, and Yun Tiancai has returned to reality.

Director Li's explanation to the patient had just fallen.

After 120 hours of continuous surgical training, Yuntian felt very tired.

Therefore, before leaving the system training space, Yuntian poured another high-energy potion.

At this time, Yun Tian did not explain too much about Director Li Lishan's surprise. Just nodded in acknowledgement.

"Carotid approach!"

"Transcarotid approach..."

Director Li Lishan knew that in principle, it was completely possible to complete the operation through the carotid artery approach.

At least theoretically, it is completely true.

But!

So far, no one has heard of such a surgical method

up.

Haven't even heard of anyone doing it!

"Transcarotid approach, theoretically possible. Director Li Lishan listened to Yun Tian's words, nagged repeatedly, and circled around Yun Tian and the patient's family members in the corridor outside the interventional catheterization room.

"If you can do it, try it!" led to greater clarity for the patient's family.

Make decisions directly.

"Okay, you go with Director Li to sign the operation, know the consent form, and I'll go to make preoperative preparations. ”

"Director Li, please add these possible risk ...... to the surgical consent form," Yun Tian confirmed with the patient's family, and then pulled Director Li Lishan, who had been spinning in circles, to explain.

"Director Shi, there is an emergency patient here who has severe tortuosis and stenosis of the aorta, and needs to change the femoral artery approach to carotid artery access, and needs to do tracheal intubation and general anesthesia, and I need an anesthesiologist. After explaining the precautions for communicating with the patient's family with Director Li Lishan, Yuntian took out his mobile phone again and began to communicate with Director Shi.

"Carotid access?" Director Shi's voice was also full of surprise.

"Yes, only the carotid artery approach can bypass the aorta, which is tortuous and severe, and the patient's family has been communicated, and the patient's family agrees to the operation. Yun Tian roughly explained the situation in front of him.

"Okay, I'll be there soon!" Director Shi replied and immediately hung up the phone.

Then, I pulled out a phone number and dialed it.

"Lao Chen, I have a patient here who needs to be intubated and under general anesthesia, do you have time?" asked Director Shi into the phone.

"Okay, it's an emergency patient, I'll wait for you in the catheterization lab now, remember on the 4th floor of the maternity building. After Director Shi finished explaining, he hung up the phone directly and hurried towards the interventional catheterization laboratory.

"Lao Li, what's the situation?" When Director Shi arrived, he saw that Director Li Lishan was leading the patient's family to explain the situation that the patient's family might encounter during the operation on the side of the aisle.

Director Shi leaned over to Director Li Lishan and asked.

"Cardiac emboli, anterior circulation infarction, severe aortic stenosis was found during Xiaoyun's surgical imaging, Xiaoyun proposed to try the carotid artery approach, help me take a look, in addition to these points, what surgical risks may be. Although Yuntian carefully explained to Director Li Lishan the possible risks of carotid artery lull before.

But after all, it is a new surgical method, and Director Li Lishan is afraid that he will miss it.

Although now the patient's family understands it very well.

But in case something goes wrong with the surgery, any omission at this time could be a fatal blow to Yuntian.

This is something that Director Li Lishan absolutely does not want to see.

Therefore, Director Li Lishan read the surgical consent form that could be signed in ten minutes, and read it many times.

always felt a little uneasy, Director Li Lishan pulled Director Shi to check himself carefully again.

The relevant content on the surgical consultation consent form must be as perfect as possible, and the two directors naturally have a deep understanding of the key to this.

Director Shi also commanded Director Li Lishan to know a few of the letters of consent

The terms were revised to avoid possible ambiguity in the language, and the two directors carefully checked it several times to make sure that there were no omissions or inappropriate expressions before asking the patient's family to sign it.

The two directors who had killed each other for half their lives understood that it was impossible for either of them to give Yuntian too much guidance in terms of surgery.

However, using their own experience to help Yuntian avoid some possible risks in other aspects, the two directors spared no effort.

After signing, anesthesiologist Dr. Chen also arrived.

"I'm signing, come, endotracheal intubation consent form, general anesthesia consent form, let's sign it together." Dr. Chan said as he presented the two consent forms he had brought with him to the patient's family.

The patient's family looked at the pile of consent forms in front of them, took a deep breath, and their hands couldn't help but tremble.

This is a situation that most family members will have, and the three old doctors naturally don't care.

After signing, Dr. Chen hurriedly entered the interventional catheterization laboratory to prepare for endotracheal intubation and general anesthesia.

Depending on the patient's condition, if the blood vessels are unblocked one minute earlier, the patient's treatment effect may be two points better.

"Do you want to go through the carotid artery approach? This is something that no one has ever done, and although it is theoretically possible, I don't know what kind of situation I will encounter. "Although it was Leng Chengye who begged Yuntian to find a way before.

At this time, seeing that Yuntian was going to make a new technique that had not been done before, Leng Chengye was a little worried.