Chapter 2088 【2088】Focus

The cardiologists raised their hands in surrender, feeling a bit ashamed to ask their neurosurgery colleagues on the spot. Lin Chenrong walked behind classmate Xie and whispered, "Do you know what's going on now?"

"The first picture shows the angiography of the right aortic arch, which is normal." Xie Wanying communicated with Teacher Lin from the beginning, choosing to start with the angiography that Teacher Lin is most familiar with.

Before Lin Chenrong heard what she said, she really didn't realize that the angiography outside the nerve would start from the aortic arch, the blood vessel that comes out of the heart, and she was a little dazed.

What's even more frightening is that he, a cardiovascular specialist, didn't think of it, and she, an intern, thought of it all of a sudden, without being confused at all.

It is right to ask Xie classmates. Lin Chenrong thought. Younger or incompetent non-nervous people are probably not as fast as her brain.

Deputy Director Lu on the opposite side turned his head, as if he was eavesdropping on what they were saying. Interventional surgery is a new technology, which old doctors who are used to traditional surgery are not good at. It is indeed difficult for an old doctor like Deputy Director Lu to think about it for a while.

"Go on." Lin Chenrong said to Xie, standing next to her to listen.

It is not surprising that neurointerventional angiography starts from the aortic arch. Because the aortic arch is the beginning of the systemic arterial system, including the cerebral vascular network. Specifically, the aortic arch gives off the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery, and the brachiocephalic trunk gives off the right common carotid artery and the right subclavian artery. The left and right common carotid arteries give off the left and right internal carotid arteries, and the left and right subclavian arteries give off the left and right vertebral arteries.

Here comes the important point, the left and right internal carotid arteries and the left and right vertebral arteries are the arterial trunks that separate the cerebral blood vessels.

Therefore, after checking the aortic arch in the neurovascular examination, the next parts to check are the left and right internal carotid arteries and the left and right vertebral arteries.

Like checking the water network system, we must first check whether there is any problem at the source, and then further check whether there is any problem with each channel of the water network.

"The second step is to check the left and right internal carotid arteries, and there is no abnormality for the time being. The right vertebral artery seems to be a little bit narrow." Xie Wanying continued to talk about the imaging results of the surgery just now.

Already found out? Does the patient have some blood vessel problems? The group of people standing behind were surprised. It shows that the surgeons in the operating room operate too fast, and if they are a little careless, they, the bystanders who just watch but don't do anything, can't keep up with the rhythm with their eyes and brains.

Classmate Xie did not miss any details in this scene, and his fast-paced memory is very powerful.

"Didn't the CT report be written before?" Lin Chenrong raised some questions. He had not read the patient's medical records and was not clear about some issues.

"The stenosis of this vascular segment of the patient is not completely occluded. After all, the patient has undergone thrombolytic therapy before." Xie Wanying said.

"Oh." Lin Chenrong turned his head sideways, waiting for her to continue, "They are going to deal with the narrowness they discovered now, aren't they?"

"It can be treated. But the main thing is to find intracranial aneurysms." Xie Wanying did not forget the topic of surgery discussed in the previous neurosurgery meeting.

This little narrowness is easy to deal with. However, in order to eliminate the emboli in the patient's body in the long run, it is necessary to start from the source, so that the emboli will no longer be produced in the patient's blood vessels. If there is atrial fibrillation, treat atrial fibrillation. If it is other diseases such as high blood fat and high blood pressure, you need to take medicine for a long time after surgery. Surgery often solves local symptoms rather than a radical cure.