Chapter 2733： 【2733】Risk point

Chapter 2733 [2733] Risk Points

After driving for about half an hour, I saw the building of Pinghuai Hospital standing majestically in the night, and it was quite large.

The two brothers of the Cao family spoke.

"Is there any expansion of this building?" Cao Yong asked less recently, and his impression was a little vague.

Cao Zhao replied: "I don't know very well, they said it was to expand the emergency building."

The expansion of the emergency building is for business needs. Like Guozhi, the number of cases in the emergency intervention center in Pinghuai is increasing day by day, and the operating room needs to be expanded. Hospitals generally put the intervention center on the first floor to facilitate emergency rescue and placement of special equipment. The intervention center in Pinghuai is behind the emergency building.

Greeted in advance, and the patient bypassed the emergency department and was sent directly to the entrance of the intervention center.

The emergency cart was pushed out, and a group of people hurriedly transferred the patient to the lathe and sent it to the interventional operating room.

The one who is going to perform interventional surgery on the patient is Director Gao of the Pinghuai Cardiology Department.

It is a rare trip to sneak into someone's operating room, and Shin Woo-hwan is ready to spy on information.

Director Gao recognized him at once: "Doctor Shin from Guozhi is here."

"Hello, Director Gao."

"Would you like to come into the operating room and have a look."

The other party invited him to come in and intuitively, Shin Woo-hwan accepted it generously for the sake of his junior and junior brothers.

Radiofrequency ablation, like any surgery, has risks. Compared with other cardiovascular interventional procedures, the reputation of radiofrequency ablation is generally not good in the medical circle or among ordinary people.

The reason for is like the small incision surgery on the side of the armpit that Dr. Chen Xiang hates. As long as a technique is difficult for ordinary doctors to do well, this technique cannot be too popular. This is exactly what radiofrequency ablation is. It seems that the threshold for ordinary doctors to get started is not high, but the number of complications and cases with poor results are high in the total number of cases. This is reflected in various medical research literature descriptions.

What are the specific difficulties of this technology, we must first talk about how this technology operates.

Using the conventional operation method of interventional surgery, a catheter is used to enter the heart from the peripheral blood vessel, and the electrophysiological examination of the heart is performed, and then the target point is determined for ablation. In the so-called ablation, a special catheter called an ablation catheter is put into the heart cavity, and the myocardium that will emit ectopic pacemakers and cause malignant arrhythmia of the heart is burned to death.

From the above simple description, we can know where the technical risk point of this operation is.

Burning heart muscle is no joke. If it is burned wrongly, the small one will be ineffective, the large one will make the conduction system of the heart worse, malignant arrhythmia will be more malignant, or the heart will burn through and burn out a hole directly with high power. These are all the most terrifying complications, although the odds of them happening are very low.

A heart surgery is needed just in case. Different from stent placement in coronary angiography, the heart surgery of this type of surgery is just to fill the hole when your heart burns out. If it is said that coronary stenting cannot be performed without cardiac surgery, a bypass can be used to replace it. At present, cardiac surgery has very few embarrassing means to solve the cardiac conduction system.

Less does not mean nothing at all. For example, the labyrinth operation, the most famous surgical operation to solve such problems, claims that the cure rate for atrial fibrillation is 95% higher than that of catheter intervention. The problem is that this procedure is most effective for isolated atrial fibrillation. Other more complicated ones, such as classmate Wei, should be discounted.

General doctors do not recommend or do not recommend doing it. Labyrinth surgery requires a drastic reconstruction of the surface of the atrium. The surface of the atrium is thin and cannot withstand being changed.