I Can See Health

The left main blood vessel of the coronary artery is one of the most important blood vessels in the heart.

Lu Chen also felt that the patient in front of him was very difficult.

Recalling the training scene in the system's virtual space, he began to send in the guidance wire.

"Bring 2 guiding wires over here!"

When the guide wire slowly occludes the blood vessel, Xinvinin and prourokinase are immediately injected.

"Photography again!"

Prourokinase is a thrombolytic drug.

Intravascular thrombolysis can dissolve blood clots and reduce blood vessel stenosis.

After repeated angiography, it was shown that the proximal to mid-section of the left main trunk was severely calcified and the proximal segment was occluded!

"Prepare for pre-expansion!"

Lu Chen said in a deep voice.

Before stent implantation, the blood vessels need to be pre-dilated.

He introduced 2 pre-dilation balloons respectively to the lesion.

At this time, a sudden change occurred!

The patient lying in bed suddenly became restless, his heart rate slowed, and his blood pressure dropped.

The bedside electrocardiogram showed frequent ventricular tachycardia.

"Don't panic." Lu Chen said calmly, "It should be reperfusion injury!"

"Get a dose of adrenaline!"

The nurse sprang into action.

Subsequently, the patient's heart rate and blood pressure slowly began to rise.

"The patient's disease is tortuous and there is diffuse calcification. The operation is too difficult!" said Jin Miao, the surgical assistant on the side, "Director, why don't you end the operation? I think the coronary blood flow has been restored. Wait until the patient wakes up." do it?"

Implanting a stent in such a heavily calcified blood vessel can easily lead to poor stent adhesion, resulting in stent thrombosis and stent stenosis in the long term.

"Wait until the patient wakes up?" Lu Chen frowned, "Without surgery, will he be able to wake up?"

Jin Miao was silent.

"Use rotational atherectomy!" Lu Chen thought for a while and said.

Rotary atherectomy, referred to as rotational atherectomy.

It refers to using a rotor with ultra-high speed rotation to grind atherosclerotic plaque and calcified tissue in the coronary arteries into extremely fine particles, thereby eliminating the plaque blocking the vascular cavity.

The surgical nurse immediately brought over the rotational atherectomy machine.

The top of the coronary artery plaque rotational ablation catheter is a metal stainless steel drill bit inlaid with fine diamond particles, which is spindle-shaped.

When it rotates at high speed, the atherosclerotic plaque can be ground into fine fragments and washed to the distal end, and the fragments can pass through the capillary bed.

"Director, the patient's blood vessels are so heavily calcified. It will be even more difficult if the blood vessels are torn or dissected using rotational atherectomy!"

Jin Miao reminded in a low voice.

In his opinion, Lu Chen had done a good job in restoring the patient's blood flow and restoring blood supply to the heart.

Keep sitting and the stakes get higher and higher!

Especially rotational atherectomy of coronary intima.

Although it is a very good interventional technique, the risks are also high.

Human blood vessels are very fragile.

High-speed rotational atherectomy can easily damage blood vessels.

The coronary blood vessels were broken, torn, or dissected, which was another major blow to the patient!

At this time, Lu Chen concentrated his energy.

He took a rotary atherectomy drill and penetrated deep into the patient's blood vessels.

Reaching the most important place of coronary artery calcification, he started to start the machine.

Everyone present was sweating for Lu Chen.

Especially assistant Jin Miao, who is closest to Lu Chen.

Lu Chen's every move touched his heart.

"continue!"

After rotating a calcified plaque, he did not stop.

Only by working hard can we win every battle!

Lu Chen's confidence stems from his practice in the system's virtual space.

Even with systematic assistance, his training never stopped.

From the initial electrophysiology surgery to the current TAVR surgery, Lu Chen has trained hundreds of times in the system's virtual space for every surgical procedure.

…

When the rotation of the coronary rotational polishing diamond stopped, people around him gasped when they looked at the surgical images in front of them.

Even Director Zuo Yaoqun has never used this kind of rotary grinding technique, right?

Jin Miao felt the deepest.

As long as Lu Chen's hand trembles slightly, the patient's blood vessels may be injured!

The risk is simply too high...

But when the stent was successfully implanted into the blood vessel, everyone's eyes changed when they looked at Lu Chen.

Unexpectedly, Lu Chen's most powerful surgery was.

Not tavr intervention, but coronary intervention!

With what Lu Chen showed today, Guanghai's coronary intervention pattern may have changed!

"Okay, it's finally done."

Four stents were successfully implanted into the diseased blood vessel.

The angiography was repeated and the blood flow was restored to timi level 3.

Lu Chen took off his gloves and hat.

Exit the cath lab.

Everyone came forward to greet him.

"Director Lu, you are so amazing!"

"Director Lu, please teach me the atherectomy technique just now!"

"Don't even think about it! Director Lu, I learn TAVR, but I don't learn coronary artery disease!"

For a time, everyone was talking about it.

Lu Chen raised his hand to signal everyone to be quiet.

"Academic issues will be discussed later."

"Today's patient is not finished yet. The next patient needs to be cared for after care. Everyone needs to be careful."

A middle-aged doctor immediately patted his chest and said, "Director Lu, don't worry, I will be on duty tonight and I will put the patient in the emergency room in front of the office!"

"Okay." Lu Chen smiled slightly.

Afterwards, he and Jin Miao came to the doctor-patient communication room.

…

"The operation was successful," Jin Miao said. "Four stents were implanted, but whether the patient can wake up depends on the subsequent recovery."

The patient's eldest son heard this and thanked him profusely.

"Thank you, Director Lu, thank you Dr. Jin."

Lu Chen's tone was calm and he said slowly: "We did our best during the operation. The patient's family and our doctors will need to work together for the patient's subsequent care."

"Yes, I understand, Director Lu." The man smiled slightly, then checked to see if there were any surveillance cameras nearby, quickly took out an envelope from his bag and stuffed it into Lu Chen's arms.

"This is our family's gratitude to Director Lu. Don't refuse, please don't refuse."

Lu Chen held a thick envelope in his hand and said slowly: "Not to mention, our doctors are really short of money."

"But we really can't take your money."

Lu Chen handed the red envelope back.

The patient's son thought there was a camera somewhere in the doctor-patient communication room, so he quickly whispered: "Director Lu, let's talk outside later."

"No need." Lu Chen waved his hand, "Actually... the biggest gratitude your family members have for our doctors is their trust!"

After saying this, Lu Chen took a deep look at the patient and left first.

The patient's family members were left alone, frowning and thinking deeply.

…

Subsequently.

Lu Chen informed Dr. Jin Miao of the postoperative precautions.

He returned to the talent apartment on his own.

My parents are still at home waiting to have dinner together.

When I got home, I opened the door.

There was a burst of laughter in the room.

Lu Chen took a closer look.

Xu Wei was chatting happily with Luo Meizhen.

"Ah? Why are you here?" Lu Chen asked in surprise.

When everyone saw that Lu Chen was back, they all turned their heads.

"You kid, how do you talk?"

Luo Meizhen glared at Lu Chen fiercely, "Don't you welcome others to your home?"

"Mom, UU read www.uukanshu.net that's not what I meant." Lu Chen said helplessly.

Xu Wei sat on the sofa and quickly stood up and said, "Auntie, don't blame Lu Chen. He just came back from the hospital and must be very tired."

Luo Meizhen looked at Xu Wei with a smile and pulled her to sit next to her.

"Ignore them, let's talk more."

Later, Luo Meizhen glanced at Lu Wenguo and said, "It's time for you to cook."

Lu Wenguo could only put down the TV remote control, stood up helplessly, and walked towards the kitchen.

Lu Chen looked at Xu Wei and his mother who were chatting happily.

He felt like an outsider.

"Well...I'm going to help dad cook."

Luo Meizhen didn't even look at Lu Chen, and waved her hand, "Go ahead."

.