Chapter 620： The level of flattering straight through the sky

There was nothing to say about the previous surgery. After Zheng Ren saw a few sketches, he made sure that the condition described by Professor Rudolf Wagner was still light.

Dr. Mehar's three coronary arteries are basically blocked, and the heart muscle is severely ischemic, relying on capillaries to provide a negligible blood supply.

If there is no extracorporeal membrane lung support, blood oxygen exchange in vitro, reducing the heart load, it is estimated that Dr. Mehar has died.

In the coronary artery, you can see the shadow of the stent full of blood clots and calcified plates. Zheng Ren recalled that Professor Rudolf Wagner’s statement that when the guide wire was pulled out, the end of the blood clot was hung.

Such a serious coagulopathy, what can be done to restore the patient?

Yes, in the eyes of Zheng Ren, the old man lying inside with the extracorporeal membrane lungs and various machines to keep the flame of life from extinguishing is not a speech on the Nobel Prize in biology and medicine in the Caroline Institute of Surgery, Stockholm. Jiuding's old man.

He,

Just a patient,

It's just a patient who needs surgery.

"Boss... Here, the whole wave is blocked... There is hope..." The professor said hesitantly.

"With coronary atherectomy, it should be OK, I am thinking about other things." Zheng Ren said faintly.

Uh... the professor stunned.

Coronary artery atherectomy, or coronary atherectomy, referred to as atherectomy.

It refers to a surgical procedure in which the atherosclerotic plaque and calcified tissue of the coronary artery are ground into very fine particles with a rotating head with ultra-high speed rotation, thereby eliminating the plaque of the blocked blood vessel cavity.

This surgical method was developed in the United States in the 1980s. After several clinical trials, it was approved by the FDA in 1993 and officially became a surgical procedure for the treatment of endometrial calcification and plaque.

"Boss, Dr. Mehar has a C-type..." The professor whispered, and he was stepped on the foot by Su Yun. He snorted and looked at Su Yun. "Cloud brother, what happened?"

"The boss is pondering the next step, that is to say, there is nothing wrong with atherectomy. Don't pull the open end of the C-shaped blood vessel is a contraindication to atherectomy. You should not consider complications such as dissection and wear." The cloud blew a sigh of relief, and the black hair floated in front of the forehead.

Professor Rudolf Wagner stunned.

Surgery, if even contraindications are not considered, what should be considered?

Su Yun’s enchanting smile, the country’s allure.

"The rich, you should consider how to convince the people here and let the boss do surgery for Dr. Mehar." Su Yundao: "Not questioning the boss's level of surgery."

This is a shot! The level is straight through the sky!

The professors are all stupid, watching Su Yun coldly, and the whole person is in a state of compulsion.

It is no wonder that Yun Geer is the boss's assistant, he can only be regarded as a peripheral assistant, look at this level!

However, there are countless questions in the professor's mind, but there is no way to ask for an exit. Say it, is it to question the boss's level?

But this time questioning is the reaction that humans should have. It’s still a cloud buddy, and it’s not questioned at all.

The professor suddenly admired Su Yun, and he can only achieve this level.

Want to trust the boss completely? It is such a problem that the professor thinks repeatedly in his mind.

Although the situation is bad, but the professor still has a way, the great level of the boss?

Cheng, the Nobel Prize is at your fingertips a few years later, although he is only the second author.

Lose...

Oh, the boss can't fail.

Professor Rudolf Wagner gave himself psychological hints.

Learn from Yun Geer! Be sure to learn, but you must be the man who won the Nobel Prize.

After weighing the pros and cons, the professor made a heart and made a final confirmation.

"Boss, Dr. Mehar's condition is extremely complicated. Do you think that the possibility of successful surgery is not great?" Professor Rudolf Wagner bent over, very respectful, whispered.

"Surgical success is sure to be successful. I am thinking about re-blocking after a short period of time. What should I do? The vascular elasticity of the elderly is very poor. I don't necessarily have the opportunity to do the atherectomy next time. Zheng Ren concentrated on the image on the computer and answered indifferently.

The boss is a boss, really can do it!

The professor is half-hearted. Since the boss says that he can do it, he will be able to do it.

Recalling the first time I saw a video of surgery for prostate embolization, I recalled that when I first saw the boss doing TIPS surgery, I thought...

After countless recalls, the professor felt confident.

"Boss, then you think about it, I will contact Dr. Mehar for surgery." The professor said with a gnashing, he decided to press everything up. "Not necessarily, I will try my best."

"Go and go." Zheng Ren waved his hand, like a fly, and took Professor Rudolf Wagner away.

This is simply too noisy, and I interrupted my thoughts several times.

Zheng Ren concentrated on the images of surgical angiography, and there were countless similar documents in his mind. One by one, Zheng Ren looked for a solution to the problem of Dr. Mehar's coronary artery and coagulation mechanism.

A long time later, a bold plan gradually took shape.

The professor hasn't come back yet, Su Yun sat on the side, fiddling with the phone, and took a look at the image from time to time.

When Zheng Ren saw time, he immediately entered the system space and clicked on surgical training.

The operating room of the system rises from the ground, and an experimental body appears in front of the eyes even the extracorporeal membrane lungs, Zheng Ren is also very admired for the intelligent simulation of the system. I haven't been doing surgery training for a long time, and the temperament of the big pig's hooves has not changed.

If you first see it,

Fortunately,

Ok!

Zheng Ren immediately entered the system operating room and began to perform atherectomy.

Dr. Mehar's coronary angiography showed plaque formation at the branch of the three coronary vessels, which is one of the contraindications to surgery.

The coronary arteries are all thrombosis and plaque, which is one of the contraindications.

Of course, the so-called contraindications are only taboos under the current state of the art. Zheng Ren is a person who can already undergo peak surgery. These difficulties are not a matter for Zheng Ren.

For example, the contraindications of blood vessel branching into the horn, the former 60 ° is a contraindication. Nowadays, it has been increased to 90°, which is a surgical contraindication.

The level of technology is constantly improving, and the so-called contraindications are constantly changing.

But Zheng Ren’s problem is that he only understands the theory, and he has not done any surgery for cardiac intervention.

Train for a while, Zheng Ren estimates that it takes about five days of surgery to complete.

Anyway, my family is big, and the training time for a few months is not bad.

And coronary surgery is also very important, not a waste.

Zheng Ren calmed down and started surgery.

Coronary atherectomy is an olive-shaped, diamond-grained atherectomy head that selectively removes fibrotic or calcified arteriosclerotic plaques according to the principle of "selective cutting."

The surgery is done in such a way that it does not cut elastic tissue and normal coronary arteries.

The catheter is placed, the guide wire enters, and the surgical training begins.