"Director Shen, this is the deputy director of the Princeton Interventional Medical Center, Teacher Fan Dongkaifan." Luo Hao first introduced, "Teacher Fan, this is the director of our interventional treatment ward, Director Shen Zizai. ”

"Director Shen, what kind of patient consultation?" Luo Hao immediately returned his focus to the source.

"The femoral artery is occluded and cannot be penetrated." Shen Zizai explained, "Director Wang of the vascular department came to us to take a look, and if we really couldn't get by, we would have bypass surgery." ”

After speaking, Shen Zizi added, "But the patient's vascular condition is not good, and the risk of bypass is not small." ”

"Teacher Fan, can you help me take a look?" Luo Hao smiled and invited Fan Dongkai.

Fan Dongkai was a little surprised.

If it were to be your own, you would not be able to let the other party touch this patient.

If you can't do it in your own hospital, you can build a bridge.

The opponent came over with the nature of kicking the gym anyway, and the other party took it down if he couldn't take it down for surgery, and the embarrassment was especially thrown into the Pacific Ocean.

But Luo Hao didn't care, and invited himself directly, as if he was not afraid that he would be able to take the operation down.

Is it kneeling too fast or is there a conspiracy?

Fan Dongkai had some doubts in his heart.

But then he had his own judgment - it must have been forced by the prestige of the Princeton Interventional Treatment Center, and the other party knelt directly.

Although there are many routines in medical institutions and fierce academic battles, there are few ...... Rarely ...... There are very few people who use patients as bargaining chips.

Thinking of this, Fan Dongkai's eyebrows became "√", "Then I'll give it a try reluctantly." ”

Shen Zizai was called a diaphragm in his heart, but Luo Hao spoke, and Shen Zizai didn't want to refute his face.

"Director Shen, I'll report to Director Feng about the surgical procedures, can you think it?" Luo Hao asked.

"......" Shen Zizi did not hide it, and sighed directly.

He raised his head slightly, looked at Luo Hao, and didn't know what Luo Hao was thinking.

Although this is the most beneficial plan for patients, it is not the case for Luo Hao and his own interventional department.

can think of what Yuan Xiaoli will be arrogant in the future if Yuan Xiaoli's senior brother takes down the operation that everyone can't do.

But Luo Hao said it, then forget it, Shen Zizi didn't speak, just nodded lightly.

"Teacher Fan, hard work." Luo Hao bowed slightly, took out his mobile phone and reported the matter to Feng Zixuan for the record.

Soon, Luo Hao hung up the phone, learned about the patient's situation with Fan Dongkai, and brushed his hands for surgery.

The patient's condition is very serious, but it is not complicated, that is, the left femoral artery is occluded, the plaque is very thick and hard, the guidewire cannot be penetrated, and there is no chance to even try the stent.

It is said that vascular surgery should be directly operated and bypass surgery should be performed.

However, the patient's venous vascular condition is not good, and even if surgery is done, it is a big problem after surgery.

Therefore, Director Wang of the Department of Vascular Surgery lowered his face and asked all departments that can do interventional surgery to "consult".

This is no longer the scope of consultation, but belongs to the rescue station.

It really doesn't work, there is only one way left.

At that time, it depends on the fate of whether it will succeed or not.

"The occlusion of blood vessels is not long, and there should be relatively soft new thrombis that can pass, and the probability is not low, at least 50%." Fan Dongkai said to Luo Hao when he went to brush his hands after watching the film.

"I think so too, I work hard for Mr. Fan to help me give it a try, and it's best if I can go under the knife."

Looking at the two of them brushing their hands, Director Wang of the Department of Vascular Surgery asked, "Old Shen, who is that?" ”

"Our senior brother Director Yuan is from the Princeton Interventional Center." Shen Zizai said angrily, very unhappy.

"Come? Do? Director Wang of the Department of Vascular Surgery is also a human being, and he heard something strange from Shen Zizai's speech and demeanor.

"What else can I do? Dit! Shen Zizi scolded in a low voice.

"I don't have any culture at all, my mind is yellow." Chen Yong added on the side.

"Huh?"

Chen Yong immediately told the story of the dragon and phoenix Chengxiang, and did not give up any opportunity to attack the opponent.

"Hahaha." Director Wang of the Department of Vascular Surgery smiled distressedly.

It's ridiculous, but the patient is his, and he is really awkward, and he is not happy, as if he has pressed a big stone in his heart.

"I can really pretend, and I can pay back 50%, this is to make excuses for myself." Shen Zizi said disdainfully.

"That's right! If you have the ability to say 100%, it's not that you don't have the ability, so you can leave a way back for yourself. Chen Yong found an alliance and began to attack Fan Dongkai.

He doesn't care about saying bad things behind others' backs, this is called true temperament, which is different from a hypocrite like Luo Hao.

Technician No. 66 listened to Chen Yong's scolding of Fan Dongkai, and gradually fell into a trance.

Chen Yong is really a bit of a good thing, quoting scriptures, and he is very awesome.

After Luo Hao finished brushing his hands, he stood on the operating table first and began to do some preliminary work.

The patient has finished detoxifying, laid out the list, and has tried it by the bulls of various departments, and there are very few pre-steps.

But Luo Hao still changed a clean sterile sheet, cleaned up the operating table, and familiarly ordered several guidewires that Fan Dongkai might use.

Fan Dongkai stood in the position of the surgeon in a lead coat, everything was normal, and Luo Hao did not make any small means.

He's funny!

Fan Dongkai began the operation, operating a microguidewire into the femoral artery and coming to the occluded segment.

The guidewire is soft and thin, but in Fan Dongkai's hand, it has changed its shape.

The technique is gentle, and there is no collateral damage.

As soon as the connoisseur stretched out his hand, he knew if there was one.

When Fan Dongkai's microguidewire at point 18 came to the occlusion position, Director Wang, Shen Zizai and other professors of the Department of Vascular Surgery could see that this person's level was much higher than himself and Director Yuan Xiaoli Yuan.

"It's really good, amazing."

"He is worthy of being the deputy director of the Princeton Interventional Treatment Center, and this level is three streets away from Director Yuan."

"High level? How I didn't see it. Chen Yong said disdainfully, "It's just an embroidered pillow, it looks good, but it's useless." ”

Shen Zizai admired Chen Yong extremely and had a good impression.

There are not many young doctors who are willing to be gunmen, and now the young people in their 90s and 00s are more and more slippery than the other, and they know to hide when they encounter something.

Chen Yongren is as his name, looking at what he means, he can't wait to go up and smoke Fan Dongkai and the others.

If it weren't for Luo Hao to stop him, Shen Zizai thought that Chen Yong really dared, and he couldn't wait.

However, Fan Dongkai's surgery is really good, even if it has not reached the critical step, it can be seen that Fan Dongkai's level is extremely high.

You can't just smoke someone because they did a good job.

Thinking about it, suddenly the guidewire in the screen shook, and the soft guidewire of the eight points pierced straight through the thrombus in the occlusion section like an arrow.

Holy!

Shen Zizi scolded involuntarily in his heart.

How soft the guidewire of the dot 18 is, anyone who has used it knows it.

However, under Fan Dongkai's operation, the micro guidewire of Dianyiba seemed to suddenly harden and hit the thrombus headlong.

"Smack~"

There was no sound, but the invisible voice shook the sky like Hong Zhong Da Lu, and it sounded in the hearts of all the doctors who watched the operation.

Although the microwires of the dot 18 did not penetrate the thrombus and failed on the first attempt, everyone had to admit that Fan Dongkai's level was excellent.

Even Chen Yong, who had always been disdainful, closed his mouth, Danfeng's eyes narrowed, and he couldn't say a word of nonsense.

Fan Dongkai's level is really high!

Chen Yong also admitted that at least he had never seen Luo Hao shake the guide wire into a silver gun.

No wonder Luo Hao knelt directly, it turned out that his skills were really inferior.

Rain on someone's parade!

Chen Yong sighed and wanted to turn around and leave.

What are you doing if you don't go? Wait for Fan Dongkai to ridicule himself after the successful operation?

"Xiao Chen, after reading it, let's go, such a high-level operation, whether it is successful or not, is worth watching." Shen Zizai stopped Chen Yong.

He knew very well what Chen Yong was thinking.

Chen Yong sighed, listless, even the mask began to loosen, as if it was about to fall off.

Look.

Who made Luo Hao not angry, he couldn't even compare to a cat and a dog, it was embarrassing and defeated, Chen Yong thought in his heart.

Sooner or later, one day, Lao Tzu will get the field back by himself!

Soon, Fan Dongkai began to make a second attempt.

Fail.

The third time.

Fail.

Fourth, success!

Fan Dongkai only tried 4 times before finding the location of the fresh blood clot.

The diameter there is only about a millimeter, and the guidewire goes through smoothly.

"Holy, awe! He is a world-class sorcerer!! ”

Witnessing the blind selection of the guidewire of Point 18 to find the location of the fresh thrombus, Director Wang of the Department of Vascular Surgery was emotional and surprised.

If you don't accept it, you can't.

The world's top doctors' techniques are high, no wonder Yuan Xiaoli admires him every time he talks about his senior brother.

There is a grade difference in the level.

As far as Fan Dongkai showed this hand, no one in the first hospital of the Medical University could catch up.

Shen Zizi was silent, looking at the screen intently.

Chen Yong lowered his head, a little wilted, but he also squinted at the screen, and his hands kept moving.

It's not a technique, it's a gesture during surgery.

But Chen Yong immediately stopped moving, knowing very well that this was not what he could do now.

Fan Dongkai's dog thing is really a bit capable.

The main thing is Luo Hao, as the leader of the medical team, who is so slapping in the face, and it is very embarrassing and boring.

Chen Yong raised his head and stared at Luo Hao viciously through the leaded glass, unconvinced and angry, and pushed all the responsibility to Luo Hao.

The guidewire of point 18 enters the fresh thrombus and begins to move forward slowly.

Sometimes soft, sometimes hard as a spear, he found a way between the impossible.

Although the road is narrow, as long as it is opened, there is still a way left.

Before you know it, the doctors in the operating room are clenching their hands into fists.

Is it going to be done?

Hope it happens!

The wishes are wonderful.

But the reality is cruel.

The micro-guidewire of point 18 did not pass through the blood clot and opened the blood vessel.

At the halfway point, the micro-guidewire of point 18 can no longer advance a single inch.

Fan Dongkai tried repeatedly, and various techniques came one after another, making everyone in the operation room stunned.

You can drive on this broken road, Fan Dongkai's driving skills are so good!

Awesome!

It's a pity that Fan Dongkai came a little late, and the thrombus in the second half has gradually hardened with time, so that the guidewire of Dianyiba can't pass at all.

Half an hour later, Fan Dongkai gave up trying, turned to leave the operating table, and kicked open the airtight lead door.

"It's late, the blood clot in the back can't get through, let's prepare to build a bridge." Fan Dongkai said it naturally.

He didn't blame anyone, just stated a fact, and his voice was flat and soft.

But Director Wang's face of the vascular surgery department was "brushed" and suddenly turned red like a monkey's buttocks.

He stooped down and apologized.

It's not with Fan Dongkai, it's not with the patients, maybe it's just with my own persistence and professionalism.

Fan Dongkai's surgery has been done to the extreme, and under the existing consumables, no one will do it better than Fan Dongkai.

Director Wang of the Department of Vascular Surgery knew in his heart that if Fan Dongkai was the first person to undergo surgery, the probability of success of the operation would be at least 90%.

At least!

My level is not enough, although it can't be said to be a medical accident, but I always feel guilty.

Fan Dongkai turned his back to the leaded glass, his eyebrows turned into "eight", and he looked at Director Wang of the Department of Vascular Surgery and said lightly, "If you encounter similar patients in the future, you must ...... first."

Director Wang of the Department of Vascular Surgery looked through Fan Dongkai, and his pupils gradually narrowed.

Fan Dongkai didn't know anything, and he told Director Wang how to deal with similar patients.

are all from their hometown, and Fan Dongkai is not ready to hide his secrets.

In other words, they are all a family, and they were invited to eat a leek box in the morning, and Fan Dongkai subconsciously wanted to improve the medical level of his family.

If it's all that low, it's not going to work.

Although Fan Dongkai knows that his level is not comparable to ordinary tertiary hospitals, or even tertiary hospitals in provincial cities, they may not be able to understand what they are talking about.

But I still have to say that this is one of the contributions I can make to my hometown.

Director Wang's expression was a little messy, and Fan Dongkai was very dissatisfied.

However, he still patiently explained to Director Wang of the Department of Vascular Surgery what needs to be paid attention to when encountering similar patients in the future.

Fan ...... Fan ......"

"Fan, what Fan." Fan Dongkai reprimanded unhappily, "Tell you, you just listen well, it doesn't matter if you don't succeed this time, next time you can ...... it as soon as possible."

"Teacher Fan, look." Director Wang of the Department of Vascular Surgery had pinpoint-like pupils, as if he was bleeding in the brain stem, and even his voice was sharp, looking at the screen and screaming.

"Huh?" Fan Dongkai was puzzled and turned around.

“！！！”

In the next second, Fan Dongkai, who saw the screen, almost went out of his soul.

A bolt of lightning struck above his head, and every eyebrow split, and he flew straight into the cyber.

The airtight lead door that was kicked open by Fan Dongkai didn't know when it would be closed, and in the operating room, Luo Hao continued the operation by himself.

In the screen, the micro guidewire of Dianyiba did not penetrate the thrombus according to Fan Dongkai's surgical method, but ...... But...... It punctures the lining of the blood vessels and is moving forward along the adventitia of the intima.

Isn't this a mezzanine? Is that possible?

Fan Dongkai was stunned for a moment.

Of course, the most basic medical literacy tells Fan Dongkai that it is feasible.

The only thing that is not feasible is that Fan Dongkai's surgical level is completely inadequate.

The adventitia of the femoral artery is 1.5mm thick, and the median is generally thinner than 1.5mm.

Just now, Fan Dongkai showed the ability of micro guidewires to be soft and hard in the femoral artery, which was already against the sky in Shen Zizai's opinion.

But Luo Hao's guidewire of operation point 18 walks between the intima and the medial of the blood vessels, which is soft and silky, and the whole surgical process is meticulous and meticulous, which is beyond everyone's cognitive level.

Shen Zizai was lying in front of the computer screen and watching the operation, drunk and infatuated.

Suddenly, a hand was placed on Shen Zizi's arm, "Get out of the way." ”

Fan Dongkai was unceremonious, and directly dragged Shen Zizi away.

"You ......," Shen Zizai's heart was filled with anger.

Chen Yong was watching the excitement on the side, and he was almost holding a handful of melon seeds in his hand.

The muscles on Shen Zizai's face were twisted together, and Chen Yong really wanted to help him...... No, it's a push.

Chen Yongcai is not as brave as Shen Zizai thinks, his courage is different.

It's a pity that Shen Zizi immediately calmed down and put on a smiling face.

"Teacher Fan, Professor Luo's surgery is awesome." Shen Zizi said lightly, as if he had done the operation.

"Huh?" Fan Dongkai was stunned for a moment.

"Your Princeton Interventional Center should not have such a high-level surgeon." Shen Zizi calmly expounded a fact.

Chen Yong's eyes lit up!

Shen Zizai, Director Shen is a special mouth substitute! Awesome mouth substitute!!

Scold him!

Humiliate him!!

Nail him to the pillar of shame!!

Chen Yong secretly cheered for Shen Zizi in his heart.

"What?!" Fan Dongkai realized that Shen Zizai and Director Shen were attacking him.

In an instant, Fan Dongkai was in a trance.

The state of the art at the Princeton Interventional Center...... Senior brother should be able to reach this level, but it is only possible, Fan Dongkai said it is not good.

I can't do it myself anyway.

Just for the moment he hesitated, Shen Zizi said indifferently, "The major arteries are dominated by elastic membranes, with a little smooth muscle in between.

Under pathological conditions, the smooth muscle of arterial media can move into the intima to proliferate and produce connective tissue, which thickens the intima and is an important pathological process for arteriosclerosis. ”

"If you want to dig out an artificial dissection tunnel in the femoral artery, you can't cross the media, you need to walk between the medial and adventitia."

"This eyesight, this control of power, is really powerful, isn't it, Teacher Fan."

"Although the Princeton Interventional Center has a large number of talents, there should be no one with a higher level than Professor Luo."

Teacher Fan's three words are raised at the end of the word, full of ridicule and ridicule.

Chen Yong's heart was relaxed when he listened.

This is the provocative way that doctors should have, slapping the other party in the face with their technical level, and the other party can't say a word "no" when they hit each other.

I was a little rough before.

You must study hard, after all, you are a member of the medical team, and the task of slapping your face in the future is your own!

Thinking about it, Chen Yong's Danfeng eyes were flashing, and he didn't look at the operation anymore, he couldn't understand it anyway, and he concentrated on watching how Shen Zizi removed the steps, so that Fan Dongkai couldn't get off the stage.

Really.

Fan Dongkai began to fall silent under the attack of the other party's series of technical terms.

The eyebrows moved and moved, but in the end, Fan Dongkai still didn't say a word.

What Shen Zizai said was reasonable.

"I was shocked when I saw Mr. Fan's surgery just now, but now look at it, it seems that it is not as difficult for the micro guidewire to move freely in the femoral artery as it is to travel between the medial and adventitia of the blood vessels."

"Some time ago, I heard Director Yuan say that the top five interventional treatment centers in the world are going to guide the work and do demonstration surgery, and I am full of expectations."

"Teacher Fan, is there a problem with my cognition, in fact, Professor Luo's surgery is just like that, you will definitely be able to do this."

Fan Dongkai was stunned for a moment and nodded.

"I knew it was going to be like this!" Shen Zizi smiled, "As a world-renowned expert and professor, you will definitely be able to complete such a simple operation." But I have a question, why didn't you just do it? ”

“？？？” Fan Dongkai was originally confused and couldn't extricate himself, and Shen Zizai diss himself and didn't hear anything clearly.

But the last sentence woke up Fan Dongkai.

The horn of war has long been sounded.

Fan Dong immediately calmed down, no longer looking at the shocking operation, but looking back at Shen Zizai.

"You can do it, but you can't do it, Teacher Fan, to put it mildly, what you are doing is not authentic."

"Xiao Luo regards you as a world-renowned expert, and is willing to be your assistant, but I didn't expect you to hide a set."

"This is a means to cure the disease and save people, not a means for your party to fight against differences!"

Shen Zizai said in the end, and scolded in a low voice.

Emmmmm, Chen Yong looked at Fan Dongkai with a smile.

Shen Zizai took advantage of Fan Dongkai's surgery to see that he was fascinated, put him in, and finally struck a thunderous blow.

This method, similar to Luo Hao, is to stand on the commanding heights of morality.

The other party still can't talk back.

Comfortable, Chen Yong smiled, and secretly determined to learn the technique well.

When the time comes, Luo Hao is pretending to be forced on the operating table, and he is pretending to be forced below, it is very cool to think about it!

Fan Dongkai's face was red and white for a while.

Admitting that one's skills are inferior to others is not a moral accusation; If you insist that your level is enough, you will be judged by morality.

Shen Zizai trapped himself in an unkind and unrighteous position in a few words, and was in a dilemma.

Damn it!

Fan Dongkai scolded in his heart.

"It's over!"

Director Wang of the vascular department watched the operation intently, not noticing what was happening at all.

When Luo Hao's microguidewire penetrated the membrane and adventitia of the blood vessels, passed through the thrombus, and entered the lower femoral artery, he let out an exclamation.

Passed?!

Shen Zizi stopped at the right time, stopped ridiculing Fan Dongkai, and began to look at the screen.

Sure enough, Luo Hao began to make pictures.

Instead of using a high-pressure syringe, he pushed the contrast agent by hand.

A black line runs through the blocked femoral artery, creating a bridge.

The patient's lower extremities have begun to develop with the blood inflow.

Because of the lack of pressure, the image is not clear. But what that means, everyone knows in their hearts.

That's blood, it's a leg of the patient, it's even life!

After making sure that the intervascular tunnel was unobstructed, Luo Hao carefully stuffed the stent in.

At this step, there is a risk of blood vessel rupture at any time.

"Director Wang, Xiao Luo's chances of success are very ...... Great, but you'd better prepare. Shen Zizi said very old-fashionedly.

"Okay, I'll ...... it"

Director Wang of the Department of Vascular Surgery has just agreed to ask the nurse to prepare a sterile surgical kit and rush to perform surgery at any time.

But before he could say anything, Director Wang's hand fell.

"It's okay, it's done."

……

……

Note: This case was performed by Dean Xu around 2008, listen to our director.

Looking for a vascular surgeon to come to the stage, with a turn of effort, Dean Xu made an artificial dissection, and later succeeded in getting the stent down.

Awesome!

In 2002, a similar technique was cited in coronary stents, and it will be explained again here.

In fact, Dean Xu did the femoral artery.

Worship the bull again.

(End of chapter)