The cardiologists raised their hands and surrendered, feeling that it was a bit embarrassing to ask their neurosurgery colleagues on the spot. Lin Chenrong walked up behind Xie and whispered: "Do you know what the situation is now?"
"The first picture is of the right aortic arch angiography, which is normal." Xie Wanying communicated with Teacher Lin from the beginning, choosing to start with the cardiovascular angiography that Teacher Lin is most familiar with.
Before Lin Chenrong heard what she said, he really didn't think that extraneural angiography started from the aortic arch, the blood vessel coming out of the heart, and he was a little stunned.
What's even more frightening is that he, a cardiovascular specialist, didn't think of it, but she, an intern, immediately thought of it and was not confused at all.
It's right to ask thanks to her classmates. Lin Chenrong thought. Younger people or people with incompetent nerves might not be able to think as fast as her.
Deputy Director Lu on the opposite side turned his head, as if eavesdropping on their conversation. Interventional surgery is a new technology, and it is something that old doctors who are used to traditional surgeries are not good at. It is indeed difficult for an old doctor like Deputy Director Lu to do so for a while.
Lenovo.
"Keep talking." Lin Chenrong said to classmate Xie, standing next to her and listening attentively.
It is not surprising that neurointerventional angiography should start from the aortic arch. This is because the aortic arch is the starting point of the systemic arterial system, including the cerebrovascular arterial network. Specifically, the aortic arch emits the brachiocephalic trunk, left common carotid artery, and left subclavian artery.
The brachiocephalic trunk branches into the right common carotid artery and the right subclavian artery. The left and right common carotid arteries branch into the left and right internal carotid arteries, and the left and right subclavian arteries branch into the left and right vertebral arteries.
The important point is that 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 the aortic arch is examined during neurointerventional vascular examination, the next site to be examined is the left and right internal carotid arteries and the left and right vertebral arteries.
Just like checking the water network system, you must first check whether there are problems at the source, and then further check whether there are problems in various channels of the water network.
"The second step is to examine the left and right internal carotid arteries. No abnormalities are found for the time being. There seems to be a section of the right vertebral artery that is slightly narrowed." Xie Wanying continued to talk about the imaging results just obtained from the surgery.
Has it been found out? There is some problem with the patient's blood vessels? A group of people standing behind were surprised. It means that the surgeons in the operating room operated too fast. If they were a little careless, they, the bystanders who only watched, would have lost their eyes and brains.
Can't keep up with the pace.
Classmate Xie did not miss any details in describing each scene, and his fast-paced memory is very impressive.
"Didn't the CT report be written before?" Lin Chenrong asked some questions. He had not seen the patient's medical record and was not clear about some issues.
"The stenosis of the patient's blood vessel segment is not a complete occlusion. After all, the patient has undergone thrombolytic treatment before." Xie Wanying said.
"Oh." Lin Chenrong turned around and waited for her to continue, "They need to deal with the narrow area they discovered now, right?"
"It can be treated. But the main purpose is to find intracranial aneurysms." Xie Wanying did not forget the surgical topic discussed at the previous neurosurgery meeting.
This little stenosis is easy to deal with. However, to eliminate the emboli in the patient's body in the long term, we need to start from the source so that emboli are no longer produced in the patient's blood vessels. If you have atrial fibrillation, treat atrial fibrillation. If you have other diseases, high blood lipids and high blood pressure,
For blood pressure, etc., long-term medication is required after surgery. Surgery often solves local symptoms but does not cure them completely.
