After receiving the "understanding" look from his uncle, Cao Yong looked forward. The uncle was a neurosurgery expert and his mind was spinning so fast that he could almost feel the pounding heartbeat in his heart.
The nephew was almost embarrassed to be seen by him. Zhai Yunsheng smiled with warm eyes. In fact, no medical senior would dislike a girl like this who is serious, hard-working, cute and talented.
"Keep talking," Deputy Director Lu said to classmate Xie after wiping his red face, his tone became more humble and lower-pitched.
"Mr. Lu knows Dr. Song's ability. Dr. Song really wants to try aneurysms in the posterior circulation. So, the problem becomes another more troublesome place." Xie Wanying stated the complete surgical idea.
"What trouble?"
"Is it only affected by these three aneurysms, or the special connection between these three aneurysms and the ophthalmic artery needs to be deciphered."
What does it mean? The group of people in the Department of Cardiology were the first to be shocked by her words. Today, it was not the nerves that shocked them, but classmate Xie.
It was quiet all around, everyone was waiting for her to open the lid.
"Don't forget the patient's symptoms and the purpose of our operation. The PICA aneurysm was discovered incidentally and was not within the scope of our preoperative discussion. It seems to have little to do with the blood supply to the eye and can be treated together. The trouble is from
Judging from the current results, it is difficult to say that the location of the two aneurysms in the anterior circulation has much to do with the blood supply to the eye. To determine whether the three aneurysms are related to the ophthalmic artery, this is not a problem that can be solved by going to the operating room on the third floor. It needs to be continued.
We look for opportunities to solve eye problems while doing surgery in the interventional operating room," said Xie Wanying.
"Wait a minute, why do you say the two aneurysms of the anterior circulation have little to do with the ophthalmic artery?"
"They branch distally from the middle cerebral artery."
For distant tumors, whether they can affect the fluctuation of the ophthalmic artery needs to be carefully confirmed.
After what she said, everyone remembered Dr. Hu's eye disease symptoms. The main purpose of this operation was to remove the emboli from the central retinal artery.
"Can't the retinal artery enter?"
People from the cardiology department can quickly familiarize themselves with neurology knowledge by watching and asking more questions on site. They are all top-level academic masters who learn quickly. After grasping the key points, this group of people talked about it first to replace the big discussion in neurology:
"Don't talk about the retinal artery. You can't get in even far away from the ophthalmic artery."
"How many branches does the ophthalmic artery have?"
"More, what is the posterior ciliary artery?"
"The current situation is-"
"As she said, there is no emboli in the proximal section of the ophthalmic artery. The emboli travel far away and the catheter cannot enter. It seems that they are based on this consideration and want to find a diseased aneurysm that affects the ophthalmic artery."
"It is very difficult to plan an operation like this." Lin Chenrong expressed the initial conclusion that everyone felt, "If you have dealt with all three aneurysms, if they are really related to the patient's eye symptoms, will they be dealt with at once?
, but became completely blind.”
This possibility is indeed possible.
According to the doctors' original good idea before the operation, there was only one aneurysm, and its location was easy to determine whether the ophthalmic artery embolus could be dislodged if removed.
It's just that surgery often happens that the preoperative predictions backfire and conflict with the doctor's expectations. Today's examination results are too outrageous and deviate far from the preoperative ones. The positions of the three tumors are somewhat inexplicable, which decisively shocked all the nerves.
