I Can See Health

   Chapter 905 Shocking thoughts

  The appearance of chest pain symptoms proves that the patient still has myocardial ischemia.

   Recurrent chest pain is an extremely high-risk manifestation.

  Once the blood vessel is completely occluded, it is what we often say, acute myocardial infarction!

   "President Dai, I really can't wait any longer!" Lu Chen stood up and said hastily.

   At this time, Dai Wansong also understood the seriousness of the matter, he nodded slowly: "Okay, you can do it, leave the rest to me to handle."

   The only thing left to do is to communicate with patients.

   "Okay, thank you Dean Dai!"

  Lu Chen got Dai Wansong's permission and immediately brought Gu Xinyue and Jin Miao to the catheterization room of the Cardiology Department.

   "Bring both the cutting balloon and the drug balloon here!"

"receive!"

  Gu Xinyue immediately instructed the nurse to bring over all the medical equipment.

   In the operating room.

  The atmosphere is very tense.

  Lu Chen kept thinking about the operation in the virtual space.

   Cut each entry of the balloon.

   Every temptation, every touch of the bracket.

   These are the difficulties of the whole operation.

  Gu Xinyue and Jin Miao's eyes widened, watching Lu Chen's operations closely.

  This surgery is a once in a lifetime!

   If you can learn a little bit, it will be of great benefit.

  …

   Suspended surgery, continue.

  Lu Chen followed the catheter and guide wire into the cutting balloon.

Just started.

The delivery of the   balloon went smoothly.

In the image of    angiography, the cutting balloon successfully reached the stenotic part of the blood vessel.

After    reached the stenosis, Lu Chen began to try balloon dilation.

   The reason why balloon dilation is needed is because it is easier to get the stent in after the stenosis is dilated.

   With Lu Chen's operation, the coronary vessels began to slowly expand.

  Because the surface of the cutting balloon has a blade, Lu Chen used very little force.

  The plaque on the surface of the blood vessel is slowly removed by the blade.

  …

   It seems that everything is going as expected and developing smoothly.

   However, suddenly, Lu Chen felt the resistance from the catheter in his hand.

  Cut the balloon and cannot go any further!

  Lu Chen's expression froze.

   Sure enough, the situation that Dai Wansong said happened still happened!

  Cut the blade on the surface of the balloon and meet the grid hole of the stent.

The    blade poked directly into the grid holes of the bracket.

   aside, Gu Xinyue and Jin Miao also discovered Lu Chen's anomaly.

   "Director, what's wrong?"

  Lu Chen said solemnly: "The blade is hung on the grid hole of the bracket."

"what?"

  Gu Xinyue and Jin Miao glanced at each other and could see the shock in each other's eyes.

   As expected, Dean Dai Wansong said it!

  Lu Chen pushed the cutting balloon and found that he couldn't go any further.

   tried to withdraw the cutting balloon, but was hooked by the stent again.

   The entrance and exit are blocked!

  Lu Chen's heart suddenly sank to the bottom.

   The worst case, 5% failure rate, was actually met by him.

   The problem now is that it has become difficult to stop the operation and withdraw the cutting balloon.

"How to do?"

   Lu Chen's head was oozing with sweat.

   Because of the existence of the system virtual space, he rarely encounters this kind of failure.

  Now, he has never encountered any problems.

  Lu Chen desperately tried to calm himself down.

   He looked at the coronary angiography images over and over again, trying to find another way out.

  …

  Conduit outdoor.

   Dai Wansong's face was extremely solemn.

   He immediately discovered Lu Chen's problem.

   "Oh, still young!"

   Dai Wansong shook his head slightly.

   He had already reminded Lu Chen.

  Intimate contact between the blade and the bracket is the result of this.

   "However, this is a good thing." Dai Wansong murmured, "At least it can make Lu Chen calm down and don't be impatient."

  Lu Chen's operation failed.

   For the rest, he, the dean, needs to come forward to communicate with the patient's family and obtain the understanding of the family.

  Dai Wansong glanced at Lu Chen in the catheterization room, then slowly turned to leave, preparing to go to the doctor-patient communication room to communicate with his family.

  …

   Catheter room.

  Lu Chen still frowned.

   did not find a solution, and he could not use the system virtual space for simulation operations.

   The cutting balloon stays in the vessel.

   cannot go deep, and cannot retreat.

   "Do you want to switch to thoracotomy?" Lu Chen couldn't help thinking.

   Intervention is converted to thoracotomy, which means the failure of the operation!

   A complete failure!

  Lu Chen was a little unwilling!

   He stared at the coronary angiography image in front of him, looking forward to finding a solution.

   Suddenly, an idea flashed through his mind.

  In normal thinking, five months after stent implantation, the stent must be endothelialized (integrated with the blood vessel).

   However, this patient's stent is displaced!

  It proves that the stand is not as conventional and immovable.

   "Then can I try to pull the bracket out?"

   Lu Chen had a flash of light.

After the idea of ​​   grew in his mind, he couldn't restrain it.

   Bracket Shift…

  Cut the balloon blade into the stent grid hole…

   By pulling and cutting the balloon, isn’t that just the right way to pull the stent out?

  If other people knew what Lu Chen was thinking, they would definitely think that Lu Chen was crazy!

   This is really a shocking idea!

  The implanted heart stent, how can it be taken out? !

   This is completely contrary to everyone's normal thinking.

   However, although Lu Chen had this idea, he did not act immediately.

  It is dangerous for the stent to move in the blood vessel.

   Once the force is too great, it is very likely to damage the vascular endothelium, and even cause the dissection of the blood vessel.

   The difficulty of this kind of operation is already the ceiling level of coronary intervention.

   However, since he has come up with a solution, Lu Chen is not in a hurry.

   He can perform pattern training in the system virtual space.

   With a thought, Lu Chen immediately entered the system virtual space.

   Adjust the surgical mode to be the same as in reality, and use the cutting balloon to pull out the coronary stent!

  …

   "Old Gu, what is the director doing?" Jin Miao whispered to Gu Xinyue.

  Lu Chen was motionless at this time, and returned to the situation discussed in the office before.

   "Probably thinking of something." Gu Xinyue hesitantly whispered back.

   However, he was not very confident when he said this.

   After all, there doesn’t seem to be any solution to this situation.

  Jin Miao shook her head slightly.

   He felt a little remorse in his heart.

   This surgery patient was the primary surgeon at first.

   If it weren't for his problems, Director Lu Chen wouldn't be in a dilemma now.

   "I have to carry this pot myself! I can't implicate Director Lu!"

  Jin Miao has made a decision secretly.

  Afterwards, he must take the initiative to take all the responsibilities.

   But at this moment, Lu Chen moved.

   In the astonished eyes of everyone, he gently pulled the cutting balloon in his hand.

   (end of this chapter)