376 Prop the door with sticks

Wu Mian's hands twisted the guide wire, and each joint of his wrists and fingers continued to adjust the direction slightly. Generally speaking, interventional surgery is like this, through the movement of the fingers, the guidewire is "lived", walking in the blood vessels, and superselection.

It's just that they all operate a guidewire with two hands, and no one will operate two guidewires at the same time like Mr. Wu, or in one blood vessel. No, it's three, Chu Zhixi in the operation room is still operating the valve clamp with a robotic arm.

A cool breath rose from Gao Baixiang's heels, as if someone had blown on his heels, and the cool air meandered straight up, rushing all the way to the back of Gao Baixiang's head.

Gao Baixiang had goosebumps all over his body, and if he could see Mr. Wu's god-level operation in person, this day and night were not in vain! Whether he succeeded or not, it didn't matter, if he could see Mr. Wu's weird thinking with his own eyes, it would definitely be worth the ticket price.

Raising his head, Gao Baixiang saw two guide wires walking in the blood vessels, over-selected.

Either side by side, or staggered. On the screen, they look like two snakes, they have their own minds, and no matter how sinuous their blood vessels are, they don't seem to confuse them at all.

Over-selection, success, forward-...... Gao Baixiang has performed more than 5,000 interventional surgeries, but he has never seen such images.

Is this an interventional procedure?

Suddenly, two guide wires passed through the external iliac artery and entered the abdominal aorta, and the rugged and narrow road suddenly became clear. Then it should be the thoracic aorta, which seems to be difficult when passing through the aortic arch...... Gao Baixiang thought to himself.

"Director Gao, don't be stunned. Wu Mian's voice came slowly.

"Uh......"

"Hold the guidewire steady, hold it with both hands, and make sure that the force of the guidewire falling backwards affects my operation. Wu Mian spoke briefly.

Gao Baixiang immediately understood that he had just made a mistake because he was stunned.

Although he is only an assistant, Mr. Wu operates two guidewires with both hands, which is already the limit operation, he can only manage the front, not the back.

The guidewire itself is very long, and after the super selection enters the blood vessel, there is also a section of the "tail" that falls behind, and if you can't hold the guidewire yourself, it will lead to countless changes in the previous operation.

Gao Baixiang clearly knew in his heart that it was not that Mr. Wu really couldn't solve this problem, but he was here, so he could make the operation more stable and the probability of mistakes smaller, so why not do it.

Although Mr. Wu didn't scold himself like those bad-tempered practitioners, Gao Baixiang understood that he was wrong.

"Teacher Wu, don't worry. He didn't explain much, holding two guide wires in both hands, and his right hand behind him, like an assistant to a heavy machine gun feeding bullets, holding it firmly to counteract the downward force.

The two guidewires continued forward, and the curved aortic arch had many openings, but the guidewire did not make a single mistake and just followed the main road.

The aortic arch is arc-shaped, and it is generally necessary to "borrow" the blood vessel wall to "borrow" force when passing through here, and change direction after hitting the wall. However, Gao Baixiang did not see the two guide wires touch the blood vessel wall even once, and directly entered the descending aorta along the arc of the aortic arch.

The advantage of this is that Gao Baixiang understands - to avoid the guidewire touching the blood vessels, causing the arteriosclerotic plaque to fall off. It's just that he can't understand how Mr. Wu operates at all, and why the guidewire has an arc out of thin air.

However, this question was deeply buried by Gao Baixiang, and he didn't dare to think about it. If you don't hit the wall, how does the guidewire bend?

Although it is only surgical training, even if it fails, it does not matter, and it is not really a surgery for the patient. But Gao Baixiang didn't think so, he was curious about what Mr. Wu was going to do next.

And in this level of surgery, he behaved too idiotically, even if Mr. Wu didn't scold himself, he couldn't help it.

It's like being dotted with ink on the Qingming Riverside Diagram and turning it into a Qingming Tomb Diagram.

The guidewire entered the left ventricle, Wu Mian stopped his movements, and said, "Girl, I will support the mitral valve, and you use the mitral valve clamp to clamp it." The action should be steady, accurate, and fast. ”

There was silence in the walkie-talkie for a few seconds, and Chu Zhixi hesitated and said, "I'll try." ”

"Girl, you're a very powerful neurosurgeon, so you can do microsurgery. Wu Mian said.

"Hmm!" Hearing Wu Mian say this, Chu Zhixi's confidence was obviously much stronger.

Although Gao Baixiang understood Wu Mian's words, he still didn't know what he wanted to do. The mitral valve is propped up with two soft guidewires...... Or operating in the turbulent blood flow of the heart, which is beyond his knowledge.

The mitral valve attaches to the left fibrous atrioventricular ring and is a tissue structure formed by folds in the endocardium.

It has two valves, the anteromedial valve called the anterior cuspid valve, and the larger, often called the large valve, which is the demarcation marker between the left ventricular inflow and outflow tracts.

The posterior lateral valve is the posterior cuspid valve, which is smaller and is often called a small valve. The valve is triangular in shape with the tip towards the left ventricular cavity.

The basilical margins of the two valves are often fused with each other, and the apex, margin, and ventricular surface have many chordae tendinae attached to the ** muscle. When the ventricles contract, the mitral valve tightly closes the atrioventricular orifice, preventing blood from flowing backwards into the left atrium.

The cause of mitral regurgitation is stiffening, shortening, deformity, adhesion fusion, chordae fusion, shortening.

Like the muscles of an old man, there is no "mental head", no strength. The mitral valve hangs down toward the ventricular cavity and cannot close the door as blood is pumped from the left atrium into the left ventricle.

Gao Baixiang understood that what Wu Mian had to do was to use two sticks to support the gate......

But a hard stick can do this, but it seems that no one can hold the gate with two ropes.

"I opened. Wu Mian said softly, and then on the opposite screen, a guide wire raised its head slightly, and pressed against the root of the tendon cord of the anterior apiral valve.

I didn't see how hard Mr. Wu was, or couldn't use force at all, but Gao Baixiang felt that the anterior cuspid valve moved slightly. The amplitude is not large, and it may also be an illusion caused by afterimages.

As the mitral valve faintly hits, another guidewire pushes against the tip of the anterior cusp valve.

At about the same time, the mitral valve clamp opened and inserted against the force-supported anterior valve.

The guidewire supporting the tip of the anterior cuspid valve follows the mitral valve clip in and out.

But the problem appeared, the supporting force disappeared, but the mitral valve clamp did not fully follow at the first time, Chu Zhixi's operation was a little slower, and the anterior cuspid valve immediately slipped out of the position of the clamp mouth.

First attempt, failed.

"There's no hurry, it's already done well. Wu Mian pressed the walkie-talkie and said gently, "Try twice again, don't worry." ”

"Hmm. Chu Zhixi's mood was stable, without a trace of waves.