Interventional surgery only requires 2 doctors, but this operation has 3 people standing, and Director Li Mingli of the First Affiliated Hospital has become the background, standing on the stage to hand instruments to Lin Jiuze and Ji Xiang.

Lin Jiu began the operation, and his technique was extremely skilled, puncture, inserting the vascular sheath, and starting to over-select.

Near the popliteal artery, angiography showed a thrombus about 4 cm long.

The headache is that the popliteal artery is densely covered with arteriosclerotic plaques of various sizes, which exist on the walls of blood vessels like reefs, which has become one of the contraindications of thrombectomy.

Lin Jiuze's hand was very steady, and once the operation was decided, he did not hesitate at all, and the thrombectomy catheter successfully penetrated the embolus that had just formed for a few hours and came to the bottom of the thrombus.

Open the plug removal umbrella, the lower section expands open, and Lin Jiu pulls it out slightly.

He didn't exert himself, but stared at the screen without blinking.

On the screen, the embolectomy umbrella opens and hits the wall of the blood vessel, and less than a millimeter down is a plaque of arteriosclerosis plaque.

Surgery cannot be forced, once brute force is used, there is a high probability that there will be problems, which is the most basic common sense.

The operation, which had been smooth, began to pause here, and Lin Jiu hesitated.

"The next step is catheterization." Ling Tian said with certainty, "Boss, what is Lin Jiu thinking?" ”

"I don't know." Qin Chu said softly, he couldn't take his eyes off the screen to see what Lin Jiu was going to do.

Although the photographer is not a professional doctor, and the angle given is a little problematic, it can't stand Qin Chu and Ling Tian's professional skills.

Such a large piece of arteriosclerosis plaque is under the thrombectomy umbrella, Lin Jiuze's operation is extremely professional, and the thrombectomy umbrella is only a few tenths of a millimeter away from the plaque, which can be said to be quite good.

But so what!

Does he dare to pull out the bolt umbrella?

As soon as he moves, the embolectomy umbrella pulls the plaque and walks together, and the plaque pulls the arterial wall.

Either no force, the thrombus cannot be removed; Either exert force, and after a few seconds, the popliteal artery will tear and require surgery to save the table.

Isn't he dizzy!

Qin Chu's face became more and more ugly, it was originally an extremely simple trivial matter, Lin Jiu just scolded Ji Xiang in the ward, he had to do a lot of things.

It's good now, it's hard to ride a tiger.

"Strange." Ling Tian groaned.

No matter how they thought about it, Qin Chu and Ling Tian couldn't figure out why Lin Jiu had to do this operation.

He had clearly refused the operation.

On the screen, Ji Xiang bowed his head slightly and communicated with Lin Jiu.

This scene has been seen in previous episodes, but at that time, the object of Ji Xiang's communication is now standing aside as an instrument nurse.

In front of the operating table, Lin Jiuze and Ji Xiang's figures were motionless, and there was no sound in the show, not even a comment in the commentary room.

Quietly, not like a variety show at all.

At this moment, it is more like an academic conference showing a video of the operation, and the doctors in front of the screen are holding their breath and imagining what to do next.

Boston Scientific's thrombectomy catheter was only approved by the FDA in 21 years, and no one in China has done similar surgery yet.

But the principle of thrombectomy surgery is very simple and can be understood at a glance.

The problem is in the plaques of hardening of the arteries.

Ji Xiang and Lin Jiu communicated for more than ten seconds, and Lin Jiu seemed to be hesitating, but time waited for no one. Every minute of delay can lead to a change in the outcome of the operation.

"What are they talking about?" Director Liu asked suspiciously.

In fact, he already had the answer in his heart - copy the conversation between Ji Xiang and Director Li Ming Li before, and then Ji Xiang came to complete the operation.

But this time the situation is very different.

Since the advent of the thrombectomy catheter, it has been tempered by surgeons from many world-renowned hospitals, including Massachusetts General Hospital, to find out the problems and improve them to achieve what it is today.

And among these sorcerers is Lin Jiuze.

As for Ji Xiang, Director Liu even suspected that Ji Xiang had seen a thrombectomy catheter for the first time.

What can he suggest?

"Lao Bai, I don't understand." Director Liu said in a deep voice.

"I don't understand either." Director Bai said.

"......" Boss Ding Xiangding was stunned, "Two, haven't you always been optimistic about Ji Xiang?" Now it is obvious that there is a problem, and Ji Xiang wants to solve it, what is there that he can't understand. ”

Director Liu smiled bitterly.

Ding Xiang is a layman, so he thinks it's okay.

But any doctor or surgeon, as long as he drinks more than two taels of peanuts, he will not be able to say this.

"Drink and drink." Ding Xiang raised his glass, "The two of you are too worried, didn't Director Liu call Ji Xiang just now, there is nothing wrong with that, rest assured." ”

"The point is that the operation is unlikely to be successful."

Director Bai didn't move, and Director Liu raised his glass and touched Boss Ding.

"What if Dr. Ji Xiang knows magic."

"Oh?" Director Liu took a sip of wine and looked at Ding Xiang with a smile, "Men before the age of forty can only have one kind of fire-based magic. ”

"Ahh Ding Xiang was stunned for a moment, and he subconsciously showed a yearning look.

"Prostatitis." Director Liu said with a smile, "How about it, inflammatory magic is also fire attributed." ”

"Cut." Ding Xiang said disdainfully, "I'm fine, I'm bald when I rub my staff." ”

made a few jokes, and Ji Xiang and Lin Jiu moved slightly in the picture.

Lin Jiu moved up half a step, and half of the area operated by the surgeon was given to Ji Xiang.

Sure enough, I guessed it right!

Sure enough, Ji Xiang wants to get started!

And Ji Xiang obtained Lin Jiuze's consent, and there seemed to be no contradiction between the two.

How did he convince Lin Jiuze?!

This question appeared in the minds of Director Liu and Director Bai.

There was no time to complain that the program team omitted the most critical steps, or that this group of "waste" was not recorded at all, Director Bai and Director Liu watched the operation intently.

Ji Xiang asked Director Li for two micro guide wires, which went under the sheath of the blood vessels.

"Doesn't the guidewire get knotted in the veins?" Director Liu was dumbfounded.

"I don't know."

The operation has reached this point, and even Director Bai doesn't know what to do next. Ji Xiang's level and concept have exceeded Director Bai's cognition, and even Director Bai guessed that Ji Xiang's cognition of surgery and disease has surpassed this era.

The camera was focused on the screen opposite the surgeon, and Ji Xiang kept stepping on the line, and the two micro guide wires were slowly moving forward in the blood vessels.

The speed of the micro guidewire is a little slow, not as fast as when Lin Jiuze got off the guidewire before, and every step of Ji Xiang is very difficult.

When the microwires came to the thrombus, the two microwires did not seem to go well after penetrating the thrombus, as if they were knotted.

"......" Director Liu's palms were sweaty.

If the knot is tied, it will be troublesome, and it is better to directly surgically cut the blood vessel for thrombectomy.

This is not the key, the main thing is that with Director Liu's clinical level, he didn't understand what Ji Xiang wanted to do when he saw an operation now.

"Tie the knot......"

"No, there isn't."

(End of chapter)