Chapter 1383： 【1383】Withdraw

Chapter 1383 [1383] Withdrawal

Jin Tianyu looked at the puncture point on the patient's left hand and tightened his eyebrows, thinking further about what to do next.

PCI radial artery doctors usually choose the left-hand approach if they have some options. The left-hand approach to the heart will be slightly smoother than the right-hand approach. For example, the right subclavian artery goes through the brachiocephalic trunk artery to the aortic arch, while the left subclavian artery does not have the brachiocephalic trunk artery, and the left subclavian artery comes directly from the aortic arch. The left side vessels tend to be less bifurcated.

Based on this, Dr. Fang carefully chose the left upper limb puncture under the optional circumstances, and then there is more. The puncture point is selected at the proximal end of the radial styloid process, where the radial artery is relatively straight and has relatively few branches, so the possibility of the doctor entering the branch by mistake is low.

It can be said that the doctor was extremely cautious from the beginning, knowing that this patient was in a special situation.

A group of people in the control room looked at the situation in the computer room, and all of them looked a little nervous. They wanted to find out the specific reason as soon as possible, just like the people in the computer room.

Fu Xinheng's eyes flashed faintly like the deep light of the sea.

Lee Seung-won reckons that he needs to find an anesthesiologist at any time. But like Fu Xinheng, he didn't want to admit the patient to the operating room immediately for emergency surgery.

Surgery that a surgeon wants to do is always risk-free. This kind of emergency rescue operation, the specific cause is not clear, and no doctor will like it. The mortality rate is too high to explain to the family.

Xie Wanying said that doing PCI first as much as possible is to explore the way for surgery. These senior surgical seniors did not feel offended by her words. On the contrary, they thought she was very considerate for their surgery.

It's just that the situation is so bad now, can PCI continue to be done? Can you help them find their way out?

The teachers stood in the front, and a few medical students stood on tiptoe in the back. Occasionally, they looked at each other and didn't dare to talk nonsense in front of the teacher.

After a while, Yu Xuexian probably thought that the result was too difficult to wait, so he was upset and walked out of the control room to take a breath at the door. The main reason is that I can't help myself by standing here, and I am not the director of my own specialist department.

Xie Wanying trusts the teachers and senior brothers of her teaching hospital. I have long heard that Brother Jin is a leader in PCI technology, a very powerful person. It's just that the National Association is not as famous as Guozhi. It is very difficult for Senior Brother Jin alone to make the cardiovascular medicine department of the National Association compete with Guozhi.

"It will not be difficult for Dr. Jin to withdraw the guide wire." The nurse in the intervention room said that he and a group of doctors have long been familiar with Jin Tianyu's techniques.

Sure enough, after adjusting the direction of the lower guide wire, Jin Tianyu safely withdrew the guide wire.

Doctor Fang was relieved when he saw it. When encountering resistance, he was most afraid that the guide wire head would be trapped in the blood vessel and could not be withdrawn. Forced pulling would cause heavy bleeding, which can only be called surgical vascular dissection.

The next difficulty is still unsolved, and I don’t know how to solve it. A series of careful preparations seemed to be useless before. After the guide wire entered the puncture point, it suddenly encountered resistance within a short distance.

Dr. Fang believes that every step is careful and careful, and the speed of feeding the guide wire is very slow. After finding the right feel all the way, there should be no operational errors.

Jin Tianyu turned his head to talk to Doctor Fang, and then verified the specific operation process just now.

Dr. Fang re-emphasized: "It was performed under fluoroscopy. I already knew about this situation, and I was afraid that the guide wire would go the wrong way and branch off."

(end of this chapter)