627 Thrilling surgery

Zheng Ren seemed to hear the professor's prayer, and the guide wire on the screen advanced slowly, but firmly, without hesitation or pause, and walked through.

Robin's eyes were open like eggs, but he didn't notice. Although his research direction is epidemiology, his professionalism is higher than that of 95% of the world's interventional cardiologists.

How difficult it is to operate at this level, Robin knows in his heart.

Even if it is not clear, the final opinion of experts from major European medical centers and the Carolinsian Institute of Medical Surgery in Stockholm is there.

A disease that simply cannot be treated!

This is a disease that simply cannot be treated!

Rudolf Wagner, who was stupid like a bull in heat, went so far as to let two young men go and operate on the doctor.

This is simply ridiculous.

And what is even more ridiculous is that their first step turned out to be successful.

Watching the guidewire penetrate the "wall of sighs", Robin was stunned.

He knew that with the opening of the completely occluded right coronary artery, Dr. Mehal's heart would receive a fresh supply of blood.

Until then, the power that kept his heart beating came from a network of capillaries. How can that little arterial blood satisfy the heart's beat?

If it weren't for the extracorporeal membrane lungs, Professor Mehal would have seen God long ago.

The process of opening blocked blood vessels is the most difficult and dangerous.

The fragile heart would stop beating at any moment, and on the operating table, the assistant next to the surgeon did nothing, posing there to defibrillate Dr. Mehal as soon as possible.

But until a passage was opened, he didn't move.

The surgeon's operation is so gentle that even the slightest exertion of the heart will collapse without feeling it.

This can't be!" Robin stared at the screen in amazement, his whole body stiffening.

It's okay, it's okay, it's just the beginning. Robin comforted himself that he had a good understanding of Dr. Mehal's condition and the surgery.

In this case, no one can solve the mountain of blood clots and calcified lesions in the doctor's coronary artery with rotational atherectomy.

Absolutely nothing!

Otherwise, the opinions of many experts throughout Europe and even the United States after consultation would not be so pessimistic.

None of them recommended interventional surgery.

Because

No one can do it.

The guidewire is gently withdrawn, and the rotary grinding probe is fed in.

The air in the entire operating room froze, and everyone felt like a big rock was pressing down on their chests, making breathing a luxury.

The first step was successfully completed, which exceeded the expectations of all the experts present. And the next step, who knows.

Professor Rudolf Wagner said that the young man had hands that had been kissed by God.

Now, it is.

The action of the right coronary artery has just been opened, and every subtle link is impeccable and perfect to the extreme.

But this is a routine operation, opening the thrombosis, many doctors have done it, but they have not done it as heavy as Dr. Mehal.

Next, it's time to start coronary atherectomy.

There are several surgical contraindications to rotational atherectomy, all of which Dr. Mehal possesses.

In the acute phase of thrombotic coronary artery disease or coronary artery disease, rotational atherectomy can aggravate the formation of thrombosis in the acute phase.

And Dr. Mayhar's coronary angulation has exceeded 90°, which is an absolute contraindication.

The large angle means that there is little space for rotational atherectomy during surgery, and coronary rotational abrasion may leak at any time, resulting in coronary hemorrhage and cardiac tamponade.

Even if it does not leak, it only breaks the intima of the blood vessels, which will cause arterial dissection.

The people present, including the little doctors who recorded the values, were the elite of the elite of their peers. Everyone knows how difficult the surgery is, and all eyes are on the screen.

The rotary grinding head was sent into the right coronary artery, and without attempt, the surgeon was extremely confident and directly put it in place and began the rotational abrasion.

Countless debris could be seen faintly, just faintly, because it was too fast for anyone to see clearly.

Debris is trapped by a strainer behind the rotary grinding probe, and larger debris is prevented from entering the coronary capillaries.

The tiny debris is harmless to the human body and will not cause embolism and necrosis.

Piece by piece, the blood clot is cut, whirled off, and turned into debris. Like drilling a mountain to open a road, the rotary grinding probe goes all the way forward, and the rotary grinding creates a channel of life.

The whole process is divided into two steps, the first step is what the surgeon is doing, first simple polishing, rotary grinding to create a pathway.

This step is so difficult that countless high-level professors dare not do it.

However, this is not the hardest.

The most difficult step is the second step, which is to rotate and grind off the thromboembolus and calcification foci near the intima of the right coronary artery.

The staff at the Carolinska Institute of Medical Surgery in Stockholm held their breath and watched the rotary atherement probe move forward step by step, and in a few minutes, the access to the right coronary artery was basically opened.

Professor Rudolf Wagner did not relax, but became more nervous.

The operation has been done so far, which has been beyond his expectations.

However, the most difficult step is to abrasion close to the lining of the blood vessels. It can be said that here, as long as there is an error of less than 1mm in Zheng Ren's hand, the operation can be declared a failure and Dr. Mehal can be declared clinically dead.

His palms were full of sweat, and the professor stared intently at the screen, watching the rotary athereal probe begin to touch the part close to the intima.

He subconsciously wiped his hands on the spotless white clothes, wiping the sweat from his palms, but he couldn't wipe away the tension and anxiety in his heart.

Professor Rudolf Wagner's heart was pounding, pounding, as if there was a man beating a drum in his body. I was engrossed in watching the screen, but my body trembled slightly with the strong heart beat.

Robin, like Professor Rudolf Wagner, stared nervously at the screen. Because he was breathing with his mouth open for a long time, he felt a little dry in his mouth, and he swallowed hard, but he felt a little pain.

Because I was so nervous, the mouth glands had not produced saliva for a long time.

The dehydrated mucous membranes rub together, causing injury and causing capillaries to rupture. For a moment, Robin felt the smell of blood in his mouth.

But he didn't care about the changes in his body, but looked at the screen intently, his hands were wrapped around his ten fingers, his nails were pressed tightly against the back of his hands, and the nail bed was pale.

The operation of the rotary abrasion probe is fine to the millimeter level, and the thrombus and calcified plaque adhered to the intima of the blood vessel are finely removed by the rotational grinding, and the right coronary artery gradually takes on the shape that a blood vessel should have.

Half an hour passed, and Dr. Mehal, who was lying in the operating room, was in no problem at all, and the expected fatal complications such as ventricular fibrillation did not appear.

And with the opening of the right coronary artery, the blood supply to the myocardium has improved, and the situation has improved little by little.

It took half an hour for Zheng Ren to open the entire right coronary artery.

The moment he withdrew the rotary grinding probe, Su Yun let out a long breath.

"Boss, it scared the hell out of me. ”

。 m.