The trabeculae and other structures of the patient's heart have deteriorated. To improve the success rate of electrode landing, the method is to try to make larger circles or multiple circles, just like a fisherman casting a wide net.
The "internal" route of medical interventional surgery must pass through the tricuspid valve barrier, and it seems that it cannot be passed now. Using a puncture needle to directly send the guidewire and electrode into the right ventricle, there is no problem of crossing the tricuspid valve barrier.
At this point in the academic debate, it is obvious: Junior Sister Wanwan is the winner.
"There is a question here. How could she detect this problem in a patient on a chest X-ray?" Zuo Jinmao asked.
This talkative little clever guy brought by Senior Brother Ren, don't think that he is deliberately making things difficult or questioning anyone, or that he is just lying.
The ward at the scene was full of youtiaojing, and a group of big bosses knew it all, and none of them wanted to answer him.
This involves Junior Sister Wanwan’s research topic.
It should be said that during the more than half a year of research for her doctoral thesis, Xie Wanying benefited from being attached to many professional experts and obtained the most comprehensive cardiac specimen data in the country at the Capital Heart and Lung Institute and the Guozhi Cardiovascular Research Institute. There are these
The data added to her basic database and was enough to temper her professional vision to become more vicious. She was able to make the above conclusion based on chest X-rays combined with the results of failed interventional surgeries.
Whether her speculation is correct or not depends on clinical verification.
Practice brings out the truth. In the patient's current situation, doctors have no other choice but to give it a try.
"Doctor Ren." Shen Youhuan turned around and carefully entrusted Ren Zhelun, "Sorry to trouble you."
Did Junior Sister Wanwan set a trap for him? It was definitely a trap.
Ren Zhelun used his mind to imagine the veteran junior sister Wanwan muttering his words in her heart: Please enter the urn.
Senior Brother Ren, hurry up and show me your skills. Let me see which path you choose to perform cardiac puncture on this patient. I believe that you, an expert in surgical robot research, have studied these paths thousands of times.
Thousands of times, the choice you make should be unique.
Needless to say, while Xie Wanying was lying on the bed in the emergency doctor's lounge, she was really thinking about which position Senior Brother Ren might choose for the puncture point.
The left side under the xiphoid process is a conventional choice, and two centimeters outside the fourth intercostal space on the left edge of the sternum is another choice.
In the ward, preparations for puncture are being made in full swing.
Since he was a VIP customer, Ren Zhelun personally put on disposable surgical gowns and gloves. Two young men, Zuo Jinmao and Yao Zhiyuan, assisted him.
Boss Zhang was standing at the edge and watching.
Everyone's focus was on whether this injection would stop the electrodes from falling off as she said.
Shen Youhuan held the cell phone without disconnecting the phone line, and continued to keep in touch with his junior sister. While doing the live broadcast in a low voice: "They are going to puncture, Yingying, where do you think it will most likely be punctured?"
The surgeon is doing his job. Unrelated people should trust the surgeon. Don't ask the surgeon for everything and put pressure on him. He has no choice but to ask the junior sister. In addition to the anxiety in his heart, it shows that the anxiety and anger in the mind of the attending physician are no different from those of family members outside. They wish someone could help them.
Give professional comfort.
It's okay to give some professional comfort to the family members. Giving senior brother Shen is not professional comfort, but a professional discussion with senior brother. Xie Wanying thought about it and said carefully: "Senior brother Ren should have a certain understanding of the patient's heart structure. He will choose puncture
Clicking on a factor should be in a downward direction than the normal point."