Jin Tianyu looked at the puncture point on the patient's left hand and frowned, thinking further about what to do next.
If PCI radial artery doctors have a choice, they usually choose the left-hand approach. The blood vessels that reach the heart through the left-hand path are slightly smoother than the path through the right hand. For example, the right subclavian artery goes to the aortic arch and then passes through the brachiocephalic trunk artery, while the left-hand path leads to the heart.
There is no brachiocephalic trunk artery, and the left subclavian artery emerges directly from the aortic arch. The left side has fewer branches.
Based on this, Dr. Fang carefully chose to puncture the left upper limb when the option was available. Furthermore, the puncture point was chosen at the proximal end of the radial styloid process, where the radial artery runs straight and has relatively few branches. The doctor made a mistake in the operation.
The probability of branching is low.
It can be said that the doctor was extremely cautious from the beginning and knew that the patient's situation was special.
A group of people in the control room looked at the situation in the computer room, and everyone looked a little nervous. Like the people in the computer room, they wanted to find out the specific cause as soon as possible.
Fu Xinheng's eyes shone with a faint light like the depth of the ocean floor.
Li Chengyuan probably needs to find an anesthesiologist at any time. But like Fu Xinheng, he does not want to admit this patient to the surgery department immediately and send him to the operating room for emergency surgery.
The operation that the surgeon wants to perform is always risk-free. No doctor will like this kind of emergency rescue operation if it is performed before the specific cause of the disease is clear. The mortality rate is too high, and it is difficult to explain to the family members.
Xie Wanying said that PCI should be done first as much as possible to explore the way for the surgery. They, the senior surgeons, did not feel offended by her words. On the contrary, they thought that she was considerate of their surgery.
But in such a bad situation now, can PCI continue to be done? Can we help them find a surgical path?
The teachers stood in the front, and a few medical students stood in the back standing on tiptoes to look into the wind. They occasionally looked at each other and did not dare to speak nonsense in front of the teachers.
After a while, Yu Xuexian probably thought that the results were too difficult to wait for, and was upset after seeing them. He walked out of the control room and took a breath at the door. The main reason was that he couldn't help standing here, as he was not the director of his specialty.
Xie Wanying trusts her teachers and seniors at the teaching hospital. I have long heard that senior Jin is a leader in PCI technology and a very powerful person. It’s just that the National Association is not as famous as Guozhi. Only senior Jin can do it alone.
It is difficult for the Cardiovascular Medicine Department of the National Association to compete with Guozhi.
"It's not difficult for Dr. Jin to withdraw the guide wire." The nurse in the interventional room said that she had been working with a group of doctors for a long time and knew Jin Tianyu's skills well.
Sure enough, after adjusting the direction of the guide wire, Jin Tianyu safely pulled out the guide wire.
Dr. Fang breathed a sigh of relief when he saw the resistance. He was most afraid that the guidewire tip would be stuck in the blood vessel when he encountered resistance. He would not be able to pull it out. If he pulled it hard, he would cause severe bleeding and he would have to call for surgical dissection of the blood vessel.
The next difficulty is still unresolved, and I don’t know how to solve it. A series of careful preparations I made before seemed to be useless. After the guide wire entered the puncture point, it suddenly encountered resistance before it could go very far.
Dr. Fang considers himself to be cautious in every step, and the speed of feeding the guide wire is very slow. He always looks for the right feel before starting, so there should be no operational errors.
Jin Tianyu turned to talk to Dr. Fang and verified the specific operation process just now.
Dr. Fang emphasized again: "It was done under fluoroscopy. I had known about this situation and was afraid that the guide wire would go the wrong way and go to the branch."
