187 Accompanied by small vessels
Ji Xiang began to overshoot again.
Ling Tianmu sent the micro-guidewire up the artery, going higher and higher, and going farther and farther.
"Which artery are you going to overpick?" Ling Tian couldn't help but ask without doubt.
Although his first feeling was that Ji Xiang had gone astray, Ling Tian still had a bad feeling.
"Under the collarbone."
“!
! "Ling Tian felt that Ji Xiang was already crazy, subclavian artery! He actually wanted to overselect the subclavian artery!
The subclavian artery is a large arterial trunk at the base of the neck, and the blood supply is extremely extensive, from the top to the intracranial blood supply, down to the thoracic vertebral body, and the subclavian artery has branches.
The subclavian artery is separated from the liver by a thoracic cavity, and it has to divide a blood vessel, which travels thousands of miles through the thoracic cavity and diaphragm to the liver, and then crawls into the liver to feed the tumor blood vessels.
How is this possible!
No, it's still possible.
The subclavian artery, which has a branch of the internal mammary artery, walks in the thoracic cage and approaches the diaphragm. If the liver tumor is close to the diaphragm, there will be branches of the internal mammary artery supplying blood.
Ling Tian knew this, but this tumor was not close to the edge of the liver, it was far away from the diaphragm.
So he subconsciously ruled out the possibility of the internal mammary artery.
Ji Xiang must not have found any ideas, feeling that the three super-elections would inevitably fail, and he was ready to do an operation that no one else could complete, so as to save some face.
The turn from the thoracic aorta to the subclavian artery is extremely difficult and requires a great deal of skill.
amusing
It's ridiculous!
Ling Tian sneered angrily, "Under the collarbone? You ......"
He forcibly endured the countless ridicule in his heart, after all, it was on the operating table, and the patient was in a state of local anesthesia.
The most basic ethics Ling Tian still has.
In addition, Ji Xiang is just a trainee, a surgeon who is in charge of surgery because of chance, and in the end, no matter what troubles he has, he will be his own.
So he endured it.
Wait for the super-election to fail, see what he has to say!
Ling Tian thought viciously in his heart.
The guide wire was meandering, and Ji Xiang's right hand gently twisted the guide wire, walking not fast, but extremely firm.
All the technical difficulties along the way were overcome by unknown means, as if the road was smooth.
Especially at the turn from the thoracic aorta to the subclavian artery, this extremely difficult turn would require at least a few attempts even if Ling Tian did it himself, under the premise of full concentration.
However, Ji Xiang's wrist twisted, and the guidewire obediently and meekly walked into the right subclavian artery, without the slightest difficulty.
Ling Tian looked at Ji Xiang's surgery and his eyes were a little red.
Such a good technique, at such a young age, it would be great if he didn't do much.
It is extremely difficult to cultivate talents in the interventional department, and it is more difficult to do level 4 vascular superselection than most people imagine.
After so many years, the boss has not formed an echelon.
There are other reasons for this, such as word of mouth within doctors.
But the main reason is that surgery can be skilled, and interventional surgery wants to reach the highest level, and it is absolutely talented.
The talent is not enough, even if the mutation of eating the line cannot reach the first-line level.
But Ji Xiang ...... It's a pity, how much Ling Tian regrets it, how much he hates it.
The arrogant and domineering Ji Xiang not only delayed his own future, but also delayed the boss's ideas and blueprints, and even delayed his future design of the hospital's interventional discipline.
Damn it!
"Spray." Ji Xiang finished the selection, and said softly after the catheter was sent into the right subclavian artery.
This should be the last time Ji Xiang stood on the operating table in the Demon Capital to speak, Ling Tian did not question it, but touched the panel with a sterile membrane and operated the high-pressure syringe to administer medicine.
"Brush~"
A black image of the contrast agent appears in the subclavian artery.
Ling Tian wasn't particularly nervous this time, he thought to himself that it was absolutely impossible for the subclavian artery to feed the tumor.
The tumor factor is also very well-behaved, and if you don't use so many blood vessels, how can you go all the way to summon the subclavian artery to divide into one.
He had just begun to imagine how he would end up if he was Ji Xiang, when suddenly a black line appeared in his field of vision.
It comes from top to bottom, as if the water of the Yellow River comes up from the sky, surging downward, passing through the pleura, thoracic cavity, diaphragm, and entering the liver.
That's impossible!
When pigs fly!
Ling Tian's bilateral orifices shrunk, and the reflection of light disappeared, unequal in size and not in circles.
Is it really the right subclavian artery branch offering?
Although the facts appeared in front of him, Ling Tian still couldn't believe it. It was the internal mammary artery, he thought to himself.
But Ling Tian was immediately dumbfounded.
The branches of the internal mammary artery are visualized, and a thin shadow accompanies the artery and penetrates the diaphragm.
He tried to keep the hole open and not round as it was, and the hole was shrunk like a pinpoint.
The blood vessel and the internal mammary artery almost overlapped, and there was ghosting, which would not have been clear if you hadn't looked closely. But even if you look closely...... It's hard to tell.
Fortunately, the concept of sterility had already been engraved in his DNA, and Ling Tian did not do such a shameful thing as raising his hand to wipe his eyes, but lowered his head and rubbed it on Ji Xiang's shoulder.
The stiff orbicularis oculi muscle was soothed with a rub, and Ling Tian's vision returned to normal.
He stared.
Sure enough, what I just saw was not a vision, and the subclavian artery really had a branch that went down to supply blood to the tumor in the liver.
After a few seconds of delay, as the surgical field moved downward, half of the tumor in the liver that had been showing a dark area was "lit up".
!
!
!
!
!
!
Countless exclamation points floated above Ling Tian's head.
There was no such thing in his consciousness.
The subclavian artery branch supplies blood to liver tumors, and no matter how you look at it, it is not medical.
But the facts are right in front of you.
No matter how incredible it is, it's still true.
Ling Tian was stunned, he looked at the screen of the DSA machine in disbelief, and there was a noise in his ears.
That's the sound of blood hitting the blood vessels in the pinna when blood pressure rises.
The noise of brushing made Ling Tian extremely irritable.
Whether it is their own boss or themselves, what they think is impossible is completed by a little guy in a very short time and three over-selections!
If it was his own junior disciple standing next to him, a closed disciple of the boss, Ling Tian was afraid that he would already applaud loudly.
But!
Nothing can be recovered.
Ji Xiang is very strong, stronger than he expected, so strong that he doesn't even know how he found out that the subclavian artery actually has abnormal branches.
"Smack~"
The hemostatic forceps struck on the radial styloid process of Ling Tian's left wrist.
"Teacher Ling, flick the yellow circle." Ji Xiang said softly.
Ling Tian was beaten without any change in mood, this patient's situation was beyond his cognition.
Instead of a branch of the internal mammary artery, an accompaniment of an enlarged arteriole is responsible for supplying blood. If you want to find this kind of blood vessel, it is difficult to climb to the sky!
Ling Tian was at a loss, his muscle memory turned him into a puppet assistant, and he played the yellow circle and handed it to Ji Xiang.