Chapter 2090 [2090] Frame Frame

"Do you want to do it?" The nurse in the operating room asked the doctors.

If it can be done, the tools for aneurysm embolization can be prepared.

Interventional surgery for aneurysms is embolization.

Since the interventional operation is performed in the blood vessel, it is impossible to clamp the blood vessel from the outside of the blood vessel to cut off the flow of the aneurysm like a craniotomy, so the doctors thought of another way to destroy the aneurysm: placing a microcatheter in the aneurysm cavity , fill the tumor tightly like filling a puddle. In this way, the blood flow can no longer enter the puddle (tumor body) to increase the reservoir (tumor body), and the tumor body will naturally not burst (burst).

This method can be said to have the same effect as the method of clamping blood vessels to cut off the blood supply of aneurysm in craniotomy. It can also be imagined that the thinking logic of medical treatment of diseases is like engineering, which is a proper engineering operation.

The neurosurgeons were not in a hurry to give answers to the nurse's inquiries and the doubts of the cardiologists.

Whether interventional embolization can be performed is certainly not simply determined by the number of aneurysms.

The advantage of craniotomy is that as long as the doctor can find the tumor and the doctor's hands are flexible enough, even a small aneurysm can be removed for you.

For embolization, as I said before, you can’t even get in the diameter of the blood vessel with tools, and you can’t do anything. This is the limitation of interventional surgery, and it has not changed.

The most damning thing is that an aneurysm is characterized by a small volume and a relatively high chance of bleeding.

An aneurysm whose diameter is less than 0.5 is a small aneurysm, an aneurysm greater than 0.6 is an ordinary aneurysm, and an aneurysm greater than 2.5 is a giant aneurysm. Needless to say, huge tumors are also very easy to burst blood vessels, and the risk of interventional embolization is also very high.

In addition to the diameter of the tumor body restricting embolization, the diameter of the tumor neck is also another important condition for embolization. It should be said that what the surgeon uses to fill the tumor cavity is a tool called a spring coil, which is as soft as a spring and can be stretched and contracted. If such a thing is put into the tumor cavity, if the neck of the tumor is too large, it will be washed by the blood flow inside, and it will easily slide out while stretching and shrinking inside, resulting in the failure of the operation.

This is the reason why most MIA clinically choose microsurgery instead of interventional surgery. The conditions of the framework of neurointerventional surgery are too restrictive. Like Fang Ze, a lot of neurointerventional surgery is to explore the way of neuromicrosurgery. That is, to do interventional examination before operation, to find out the condition of the patient's blood vessels, and to find out the location and condition of each tumor can provide convenience for setting the best surgical approach for craniotomy.

Considering this, Deputy Director Lu and Zhai Yunsheng emphasized at the beginning that the Guoxie can also perform interventional surgery inspections, and if there is a problem found during the period, it is no problem to immediately transfer the patient to the traditional operating room for surgery, which is also reasonable.

The phone in Deputy Director Lu's hand got through, and he went outside the door and muttered. As if thinking, if you can't do it, you can't do it. If you can't do it, you can't pull it into the operating room on the third floor. Young doctors are just wasting time if they procrastinate.

Xie Wanying stood behind the glass, and one could imagine Dr. Song's conflicted and conflicted mood in the operating room.

The patient was a teacher at Dr. Song's alma mater, Beidu. Dr. Song definitely wanted to help the teacher get rid of the disease with the least amount of harm. Doing a craniotomy and just doing an intervention are far worse in terms of side effects and harm to patients.