In general, there are two approaches to cardiac artery dissection, one is the carotid artery passage and the other is the femoral artery.

Zhao Yuan chose the femoral vein puncture technique, and the Swan-Ganz catheter is not easy to enter the pulmonary artery and needs to be entered under the guidance of a guidewire.

The observation room is full of top surgeons from all over the world, including many intervention experts, but when they see Zhao Yuan's operation, their eyes are full of disbelief.

"How does this look strange?"

"I really haven't seen it, and it looks more efficient than ordinary methods."

"With this kind of operation, two hands can play the value of three hands, but if you want to master it, you have to practice for a long time."

"With this method, the ticket I bought today is worth it."

Two hundred thousand euros is not a small amount.

And the patient's identity is special.

At this moment, the experts who were interested in intervention instantly felt as if it was not a loss.

They keenly smelled that this technique was advanced!

Not surprisingly, it will even become the most popular technology for interventional therapy in the future.

"I have studied his information, and not long ago, Mayo's Tang Jin mentioned at a second-level annual meeting in China that Zhao Yuan had a self-created technique called the chopsticks maneuver, which was used for the treatment of neurosurgical myeloma at that time."

"Neurosurgery? Isn't he an emergency doctor? ”

"This is a very well-rounded doctor, not only in thoracic and cardiac surgery, but also in sports medicine. He and Dr. Bardeck successfully repaired basketball star Brad's knee before Brad could return to the game. ”

“……”

Amir shared his investigation of Zhao Yuan without reservation.

As a defeated subordinate of Zhao Yuan, Amir once doubted his strength.

But at this moment, Amir was not so uncomfortable.

After all, the one who wins himself is a monster.

It seems to be a breezy operation, but in fact, Zhao Yuan is constantly improving his speed.

It is not difficult to enter the aorta, but it is also performed under visual conditions. ”

A high-pressure syringe injects a contrast agent into the aorta, which can clearly see the patient's thoracic aorta, abdominal aorta, and pulmonary arteries, and there are signs of tearing in some places.

Zhao Yuan took out the stent.

A stent independently developed by Salamander Medical.

Zhao Yuan was very familiar with this bracket, so he easily sent the first bracket in.

Seeing this scene, the sweat on the forehead of the Mayo expert instantly dripped down.

Fang Cai Zhao Yuan's series of operations, to be honest, seem to be very simple, and very smooth.

But can you learn it by watching it?

The answer is no.

Just like in martial arts, a clever swordsman picks up a broken bamboo stick and fights with an ordinary swordsman, it seems that every move of Gao Ming is very basic, but ordinary swordsmen just can't prevent it.

The Mayo Clinic claims to be the best in the world, but it actually has moisture.

The first operating room, the first ambulance, and many medical firsts did show up at the Mayo Clinic.

However, the medical research institution that invests the most research funds each year is not the Mayo Clinic, and the specialty of heart disease must be more specialized at Cleveland Clinic.

"Arrhythmia!"

Ichisuke, who had nothing to do, kept staring at the panel of the instrument.

Zhao Yuan did not panic and took out a temporary pacemaker.

Arrhythmias are the most common in this type of surgery, and patients are not at their worst, and patients with severe right heart dysfunction can even develop malignant arrhythmias.

In the case of atrial flutter and atrial fibrillation, electrical cardioversion is required to maintain blood pressure.

Zhao Yuan found that the old lady's heart was worse than expected, and installed a temporary pacemaker to escort the operation.

Under Zhao Yuan's control, his blood pressure quickly became normal, and his heartbeat became stable.

Although the intervention method is very harmful to the patient, the complications caused by the operation should not be underestimated.

There are some situations that you can't avoid with good skills, so when you encounter them, you should be cautious.

Subsequently, what Zhao Yuan was most worried about happened......

Acute pulmonary edema, signs of heart failure!

This is a very serious clinical consequence.

Various instruments continuously alarm.

There was an instant silence inside and outside the operating room.

At this moment, even the Mayo expert who cursed Zhao Yuan hoped that the patient would get through the difficulty.

Pulmonary hypertension is a key cause of dissection.

Arrhythmias cause high pressure to rise, causing the lungs to enlarge.

Zhao Yuan hurriedly withdrew the catheter, raised the patient's head to give oxygen inhalation, and gave furosemide and other drugs at the same time.

Zhao Yuan was ready for endotracheal intubation to assist breathing.

At this time, the level of an emergency doctor is displayed.

It only took a few moments for the patient's condition to stabilize.

The status and salary of emergency doctors in European and American countries are very high, and it requires strong professionalism, which not everyone can do.

Emergency medicine in China has only a history of more than 30 years, and the talent training and specialization are many years later than those abroad.

In the beautiful country, for example, the average annual salary of emergency doctors is about 360,000 US dollars.

Although it is lower than plastic surgeons and cardiac surgeons, it is a relatively high-paying profession in many industries in the country, so many people are willing to stay in the emergency room.

Zhao Yuan inserted the catheter into the artery for the second time and placed the second stent in the preset position.

The international experts in the observation room began to discuss on a small scale after the patient's condition stabilized.

Although I have not seen patients with pulmonary artery dissection, they are all top experts in the medical field, and they can roughly judge the trend of the operation through the images of the surgical process and Zhao Yuan's on-the-spot response.

"This Huaguo doctor is really amazing. No wonder he is known as the first person with pulmonary artery dissection disease. ”

"I've studied both of those literatures, and both of them are treated with open chest. This time, he used the intervention method. The difficulty has been increased by several notches, and the key is to minimize the damage to the patient. ”

"The operation is not over yet, and there are some things that should not be said too soon!"

"What do you mean? Do you want the surgery to fail? ”

"yes, you're not in the right mindset. Even if you have a conflict with him, you don't need to be so vicious, right? If the Cleveland team were to do a lung transplant, do you know how much damage it would do to the patient? ”

The Mayo expert only expressed his dissatisfaction with Zhao Yuan slightly.

I didn't expect to be attacked by others immediately.

No matter how stupid he was, he knew he had to adjust his mentality.

In the field of medicine, always respect the strong.

Although Zhao Yuan's operation has not yet ended, from his clear thinking and calm handling of various situations, it has been proved that he is a super strong man.

Mayo experts empathize, if they stand on the operating table, can they be so chic and free?

Of course not!

Otherwise, he would not have opted for a cowardly conservative treatment option.