I Can See Health

   Chapter 730 Lost, but also won (night shift tonight)

  The First Hospital of Magic City.

   Emergency operating room of the cath lab.

  Lu Chen is concentrating on the preoperative preparations.

   The patient's heart failure symptoms have just stabilized, but in the state of oxygen inhalation, the oxygen saturation is only around 90%, and the blood pressure can only be maintained at 90/60mmHg.

  Emergency surgery, different from regular consultation, has a much higher risk.

   Moreover, because of the unstable factors of the patient, it is necessary to complete the operation as soon as possible to avoid the recurrence of heart failure.

   Towel spread, disinfection, puncture, all in one go.

  Lu Chen didn't notice the outside of the operation room at all, and a group of people had already surrounded him.

   "This is Lu Chen, what kind of emergency surgery does he want?"

   "It seems to be a patient with severe aortic valve stenosis, that should be emergency TAVR surgery!"

   "I think this patient's condition is not stable and the risk is very high!"

   At this time, the island country exchange group, Professor Watanabe and his doctor, also came over curiously.

   After flipping through the medical records outside the operating room, the interpreter immediately said to Watanabe: "Dear Watanabe-kun, this Huaxia doctor is preparing to perform emergency TAVR surgery on the patient."

   "Oh? Emergency TAVR surgery?" Watanabe was slightly surprised, "I didn't expect you to be able to do emergency treatment here? Let's take a look first."

   Watanabe did not rush to leave, but stopped to watch.

On the side of   , people at the level of dean, director, etc. will naturally not leave.

  Liu Jun glanced at the operating room and saw that it was Lu Chen. He said to Zhang Shuqing who was beside him with some surprise, "I remember that he seemed to be worried about the inpatient general of the internal medicine department? Why did he come here for surgery?"

  Zhang Shuqing lowered his head and thought, looked over the patient's medical records, and whispered, "This patient is very ill and needs emergency TAVR surgery. Just now, Lao Zhu and I were not free, only Lu Chen can do it."

   "Can Lu Chen have emergency surgery?" Liu Jun wondered.

   "It can be done." Zhang Shuqing nodded slightly, and then explained Lu Chen's previous surgery experience and his work as a TAVR class instructor at the Magic Capital Central Hospital.

   "I know that you are an excellent student. It turns out that not only is the scientific research outstanding, but the clinical operation is also a good hand!"

   Liu Jun sighed that young people in this era also want to beat their front waves to death on the beach.

  Rao is so, Liu Jun only thinks that Lu Chen's level is similar to Zhang Shuqing and others, or slightly inferior.

   However, if the island country exchange group wanted to observe, he would definitely not be able to refuse.

  …

   Operation room.

  Lu Chen continued his operations.

   First of all, it is the choice of the approach.

   The aortic arch of the patient was OK, and there were no obvious signs of stenosis or developmental variation in the openings of the three hairs of the aortic arch.

  The thoracic aorta and abdominal aorta were relatively straight, no obvious calcified plaque was found, no obvious stenosis in the lumen, and the bilateral iliac-femoral arteries were slightly tortuous.

After comprehensive consideration, Lu Chen chose the right femoral artery as the main approach.

The    approach was very smooth, but the delivery of this valve was difficult!

  Lu Chen stopped the operation in his hand.

   Outside the emergency room, everyone noticed Lu Chen's actions.

   "Let me just say it, emergency TAVR surgery is not easy to do!"

   "You look at the patient's ultrasound and CT. This patient has a TYPE0 bicuspid valve, which is highly calcified. The calcification is distributed towards the junction of the valve leaflets. The operation is very difficult!"

   "I think it's more difficult than the four operations just now?!"

Professor Watanabe of the island country also touched his chin, looked at the medical records in front of him, and muttered: "The heart angle is 62°, the difficulty of passing the valve through the valve is increased, and the coaxiality of the valve implantation is poor. It is easier to shift, which increases the difficulty of the operation..."

   He didn't care about Lu Chen's operation, but was thinking, what would he do if he encountered this situation?

   After thinking about it for a while, Watanabe shook his head slightly, but he didn't think of a good solution for a while.

   The first hospital in the magic capital is too unlucky, how did it happen to encounter such a difficult operation? !

  …

   At this moment, Lu Chen lowered his head and thought.

   In his mind, flashed past the TAVR surgery that he had practiced on the system panel.

   Difficulties such as puncture, valve delivery, release... and so on were constantly projected in his mind.

   Suddenly, Lu Chen had a flash of light.

   Once he used an assist method in the system space to deliver the prosthetic valve into the designated position.

  Thinking of this, Lu Chen said to the assistant beside him, "Use an 18mm balloon for pre-dilation, L23 VenusA-Valve valve, and bring a snare here!"

  The assistant was a doctor in the catheterization room. He was startled, "Snares?"

   "Yes!" Lu Chen said, "The patient's heart angle is too large, I see if a snare can be used to assist in crossing the arch and crossing the valve."

The assistant    understood and immediately took out the snare.

   As the balloon was pre-expanded, Lu Chen began to deliver the valve.

  Outside the catheter room, Professor Watanabe saw Lu Chen's operation.

   He frowned slightly.

   What is this operation?

  With VenusA-Valve? And then use a snare?

  Look at the previous operation of this surgeon, he is not a beginner, right?

How could    make such a low-level mistake? !

   However, with the continued operation of Lu Chen's valve delivery, with the help of the snare, the VenusA-Valve valve actually successfully reached the predetermined position!

   "This... is it over?"

  Professor Watanabe was stunned. The two island doctors beside him who participated in the surgery just now had the same expression as him.

   "Professor Watanabe, what did this Chinese man do?"

   "I...I didn't even see clearly, why did he put the valve in?"

   Watanabe frowned slightly, he stared at Lu Chen closely, and did not speak.

   At this time, Lu Chen started the postoperative ultrasound evaluation after the valve was delivered.

   Postoperative angiography and ultrasonography showed that there was no obvious regurgitation and no paravalvular leakage, the valve placement position was good, the shape was intact, and the preoperative transvalvular pressure difference was 50 mmHg.

   There is almost no pressure difference after surgery!

   Quite a successful operation!

  Professor Watanabe can see the ultrasound results clearly through the screen outside the operating room.

"how is this possible?"

   "Why do Chinese people still perform such difficult TAVR surgery?"

   Watanabe had a dark face, looking at Lu Chen in the operating room, the expression on his face was unpredictable.

  …

   Zhang Shuqing and Zhu Qingshan, who had been in the operating room for surgery, were all excited at this time.

  Others could only notice that Lu Chen suddenly delivered the valve, but did not see the most critical factor.

   And they are experts, and they can best see the doorway.

   Lu Chen's operation can be said to fill another gap in the difficult operation of Huaxia TAVR!

  Not only use the snare for transmembrane transport, but also use the VenusA-Plus retrievable delivery system to ensure the stable release of the valve while reducing coronary risk!

   With this one-handed operation, Lu Chen can definitely be regarded as a magic capital, and even the ceiling of Huaxia TAVR surgery operation exists.

   When Zhang Shuqing and Zhu Qingshan looked at the island country medical exchange group, they found that they had left silently.

   Before he even had time to say hello to the dean and the director, he left first...

   Seeing that the island country exchange group had left, the dean, director and others also left immediately.

  …

   When Lu Chen walked out of the operating room, most of the onlookers had already left.

   "Teacher, your competition is over?" Lu Chen took off his gloves and looked at Zhang Shuqing suspiciously.

   Zhang Shuqing looked at Lu Chen and nodded with a smile on his face.

   "Who won?" Lu Chen asked curiously.

   "We lost, but we also won."

  Zhang Shuqing said something inexplicable, Lu Chen scratched his head, not knowing why.

   Night shift tonight, just one chapter for now.

rest tomorrow.

   Starting point 515 activity, every 5000 words updated on May 15, readers can draw a lottery once (reader fan value is more than 500)

   Strive for more on the day, let everyone draw 5 times!

   (end of this chapter)