After driving for about half an hour, I saw the towering building of Pinghuai Hospital in the night. It was quite large.
The two Cao brothers spoke.
"Is there any extension to this building?" Cao Yong asked as he had been visiting less recently and his impression was a bit blurry.
Cao Zhao replied: "I'm not sure. They said they were expanding the emergency building."
The expansion of the emergency building is for business needs. Like Guozhi, the number of cases in Pinghuai's emergency interventional center is increasing day by day, and the operating room needs to be expanded. Hospitals generally place the interventional center on the first floor to facilitate emergency first aid and place special equipment. Pinghuai's interventional center is at
Behind the emergency room.
After greeting in advance, the patient was sent directly to the entrance of the interventional center, bypassing the emergency room.
The emergency cart rolled out, and a group of people hurriedly transferred the patient to the lathe and sent him to the interventional operating room.
The person who was going to perform interventional surgery on the patient was Director Gao of the Pinghuai Internal Medicine Department.
It was a rare opportunity to sneak into someone's operating room, and Shin You-hwan was ready to spy on the information.
Director Gao recognized him immediately: "Dr. Shen from Guozhi is here."
"Hello, Director Gao."
"Would you like to come into the operating room and take a look?"
The other party invited him in intuitively, and Shen Youhuan accepted it generously for the sake of his junior brother.
Radiofrequency ablation, like any surgery, has risks. Compared with other cardiovascular interventional surgeries, radiofrequency ablation technology generally has a poor reputation both in the medical circle and among ordinary people.
The reason is like the small underarm and chest incision surgery that Dr. Chen Xiang hates. As long as a technology is difficult for ordinary doctors to do well, it cannot be too popular. Radiofrequency ablation is like this. It seems that ordinary doctors can get started.
The threshold is not high, but the number of complications and cases with poor results is high in the total number of cases. This is reflected in various medical research literature descriptions.
What are the specific difficulties of this technology? We must first talk about how this technology operates.
Using the conventional operation method of interventional surgery, a catheter is used to enter the heart from the peripheral blood vessels, conduct electrophysiological examination of the heart, and then determine the target point for ablation. The so-called ablation involves placing a special catheter called an ablation catheter into the heart cavity and energizing it.
Burning the myocardium can send out ectopic pacemakers leading to malignant arrhythmias in the heart.
From the above simple description, we can know where the technical risk points of this operation are.
Burning myocardium is not a joke. If you burn it wrongly, it may be ineffective in some cases, or it may make the conduction system of the heart worse, causing malignant arrhythmia, or it may burn a hole in the heart directly with high power.
Come on. These are all the most terrible complications, although the probability of them happening is very low.
Cardiac surgery is needed just in case. Different from coronary angiography and stent placement, the cardiac surgery procedure for this kind of surgery is just to fill the hole in your heart. If it is like coronary stent placement,
If cardiac surgery is not possible, bypass surgery can be used as an alternative. Currently, cardiac surgery has very few methods for solving the cardiac conduction system.
Less does not mean none at all. For example, the most famous maze surgery to solve such problems in surgery is said to have a cure rate of 95% for atrial fibrillation, which is higher than catheter intervention. The problem is that this surgery is for isolated atrial fibrillation.
Trembling is the most effective. Other more complicated ones like Mr. Wei’s should be discounted.
Generally doctors do not advocate or recommend it. Maze surgery requires drastic modification of the atrial surface. The atrial surface is thin and cannot withstand modifications.