1383 Withdrawal [1383]
Jin Tianyu looked at the puncture point on the patient's left hand, and his eyebrows tightened, thinking further about what to do next.
Some radial artery PCI doctors usually choose the left-handed approach. The blood vessels from the left-handed path to the heart will be slightly smoother than the right-handed path. For example, the right subclavian artery goes to the aortic arch through the brachiocephalic artery, while the left path does not have the brachiocephalic artery, and the left subclavian artery comes directly from the aortic arch. The direction of the left blood vessels is less bifurcated.
Based on this, Dr. Fang carefully chose the left upper extremity puncture under optional circumstances. The puncture point is chosen at the proximal end of the radial styloid process, where the radial artery runs straight and has relatively few branches, and 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 the patient's situation was special.
A group of people in the control room looked at the situation in the computer room, and all of them looked a little tense. Like the people in the computer room, they wanted to find out the specific reason earlier.
Fu Xinheng's eyes shone faintly like a light deep in the sea.
Li Chengyuan estimated that he would need to find an anesthesiologist to come over at any time. But like Fu Xinheng, he didn't want to take this patient into surgery immediately and send him to the operating room for emergency surgery.
The surgery the surgeon wants to perform is always risk-free. This kind of emergency rescue operation, the specific cause of the disease has not been clarified, and no doctor will like it. The death rate is too high, and it is difficult to explain to the family.
Xie Wanying said that PCI should be done first to explore the path for surgery. These senior surgeons did not feel offended by her words. On the contrary, they thought she was very considerate of 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 through surgery?
The teachers stood in front, and several medical students stood on tiptoe in the back row to look out. Occasionally meet each other's eyes, and dare not talk nonsense in front of the teacher.
After a while, Yu Xuexian probably thought that the result was too difficult to wait for, and was upset when he saw it, so he walked out of the control room and took a breath at the door. The main reason is that I can't help even if I stand here, and I am not the director of my specialty.
Xie Wanying trusts the teachers and brothers in her teaching hospital. I've heard people say that Senior Brother Jin is the 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 to single-handedly make the Department of Cardiovascular Medicine of the National Association of China and Guozhi compete.
"The withdrawal of the guide wire will not trouble Dr. Jin." The nurse in the intervention room said that she has worked with a group of doctors for a long time and knows Jin Tianyu's skills very well.
Sure enough, after adjusting the direction of the guide wire, Jin Tianyu safely withdrew the guide wire.
Seeing this, Dr. Fang breathed a sigh of relief. When encountering resistance, he was most afraid that the guide wire head would be stuck in the blood vessel by something, and that it would not be able to be withdrawn. If forced to pull it, he would bleed profusely, so he had to call surgery to dissect the blood vessel.
The next difficulty is still not resolved, and I don't know how to solve it. A series of careful preparations before seemed to be useless. After the guide wire entered the puncture point, it could not be sent far and suddenly encountered resistance.
Dr. Fang believes that every step is careful, and the speed of feeding the guide wire is very slow. All the way to find a suitable feel before starting, there should be no operational errors.
Jin Tianyu turned his head to talk with Dr. Fang, and then checked the specific operation process just now.
Dr. Fang emphasized again: "It was performed under fluoroscopy. I knew about this situation a long time ago, and I was afraid that the guide wire would go the wrong way and go to the branch."