Because this was an operating room in Nan Xie, although Qian Gang could not see Tianhua's operation site, he could learn about the progress of another operating room through some channels.
When Qian Gang learned that the patient Gao Qian met had "anatomic anomaly of the left vertebral artery," he relaxed instantly.
Even God is helping me!
As an experienced doctor, even though he didn't see the patient's information, Qian Gang knew the difficulty of the operation through professional terms.
Conventional endovascular aortic repair surgery is no longer possible, and new and difficult techniques such as chimney technology, fenestration technology, and sandwich technology must be performed.
If it were not a competition, it would not be difficult for Gao Qian and she would have enough time to prepare.
But now it's a competition.
Of course, although Qian Gang was very relaxed, he knew that this was a competition and he could not take it lightly.
He needs to speed up the pace, on the one hand to ensure the quality of the operation, and on the other hand to complete all operations within six hours.
Jiang Jing participated in the operation as the second assistant. He found that after Qian Gang communicated with the traveling nurse, his whole mental state relaxed and he always felt that something was wrong.
"Director Qian, is there something wrong over there?" Jiang Jing asked softly.
Qian Gang did not hide anything and smiled lightly, "The situation there is worse than ours. Of course, we cannot take it lightly. Doing our best is a top priority."
Jiang Jing reminded, "If the surgery there is difficult, will the judges be biased when scoring?"
Qian Gang was slightly startled and frowned, "Just do your job with peace of mind and don't get distracted."
Jiang Jing's words actually made Qian Gang worried.
If the patients there are more difficult to treat than you are here, the other party's starting score will definitely be higher than yours.
But the premise is that the other party can successfully complete the operation.
It's like a diving competition. Although you choose the S-level difficulty, none of your moves are standard, and the splash when you fall into the water is extremely large, so it's difficult to get a high score.
…
Operating room.
Zhao Yuan took a pen and quickly sketched lines on the white paper.
In about two minutes, an anatomical diagram of the heart and a design of the stent appeared on the paper.
Zhao Yuan handed the drawing to Gao Qian.
Even if you have a good idea, you can cut the bracket directly by yourself.
But Zhao Yuan still presented his ideas to Gao Qian and two other doctors.
This game is a team game. Although Gao Qian allows herself to do whatever she wants, she is the core of the team.
Gao Qian was worried at first because she knew how difficult extracorporeal fenestration was.
The size, position, and angle of each window must be accurately calculated. Once any blood vessel is misplaced and sealed, it may lead to surgical failure and serious complications to the patient.
If it is in Tianhua, each parameter of the aneurysm can be accurately measured and the stent window opening can be completed manually.
This is a competition now, and there are no conditions for precise calculations.
Gao Qian carefully studied Zhao Yuan's design drawings, every detail was meticulous, and then compared the relevant data, realizing that Zhao Yuan's composition was well-founded.
"Dr. Zhao, how were these data calculated?" Gao Qian was very curious.
Zhao Yuan thought of Academician Jiang.
"When I was studying Mr. Jiang's case, he had used similar techniques and recorded the calculation formulas."
Gao Qian was slightly startled.
She has seen similar cases.
Academician Jiang has created many original cardiothoracic surgery techniques, including "Jiang's extracorporeal pre-fenestration."
The conditions at that time were not as good as today, and it was not uncommon for surgeons to use their experience to modify stents during surgery.
However, this courage and technology must be based on rich experience.
Since Academician Jiang passed away, because no one can do it.
Gao Qian took a deep breath.
She chose to believe Zhao Yuan.
"Do this surgery according to your ideas."
Second assistant Li Bo reminded softly: "Isn't it too risky? If the position is not correct, it will cause an accident. We are competing now, so stability must be the priority."
Gao Qian said firmly, "There is no need to look forward and backward! I believe in Zhao Yuan's professionalism and he will not gamble with the patient's health."
Li Bo's eyes fell on Zhao Yuan.
He was a little jealous and a little angry.
Why does everyone become his supporting role in the most crucial game?
Zhao Yuan was grateful to Gao Qian for trusting him.
Trust is based on one's own strength.
Gao Qian knew that Zhao Yuan had the magical power to turn decay into magic.
He knew very well that he could not live up to this expectation.
Zhao Yuan first trimmed the bracket by "windowing" it. It is still beneficial to draw the artwork, and the transformation will be faster.
Next is the most critical step.
Stent implantation...
Everyone in the operating room held their breath.
Many people outside the operating room were also affected.
Although Jiang Qiang was not present at the scene, he watched the live broadcast on his computer.
When he learned that Zhao Yuan and Gao Qian encountered "anatomical anomaly of the left vertebral artery", his whole mood exploded.
Is it destined to lose to Yugoslavia and fail in the preliminaries again?
However, as Zhao Yuan came up with a hand-drawn plan.
Jiang Qiang's mood calmed down again.
At the critical moment, Zhao Yuan stabilized the morale of the army and stabilized the position.
"Jiang's extracorporeal pre-fenestration?"
Jiang Qiang has studied deeply his father's various techniques.
Many techniques have been eliminated.
Jiang's extracorporeal pre-fenestration technique is based on experience accumulated in actual combat. Nowadays, there are advanced window opening equipment, such as inputting data into 3D printing molds, which can accurately locate the window opening position.
Therefore, this technique is one that has been "forgotten" in the corner...
But at this moment, it came in handy.
Jiang Qiang was still worried about Zhao Yuan.
My father dared to perform this surgery because he had enough experience to accurately judge the condition of the patient's body and then open the window and position it.
Although Zhao Yuan has good talent, he lacks experience. How can he ensure accuracy?
You must know that in extracorporeal pre-fenestration, if you miss the smallest detail, you will definitely miss a thousand miles!
…
Bloody pliers, red gauze.
The camera focuses on Zhao Yuan from time to time.
He is already the absolute protagonist at this moment.
Marfan syndrome aggravates the deterioration of systemic vascular conditions and makes blood vessels very fragile. During the process of delivering and releasing stents, there is always a huge risk of vascular rupture and damage.
The angle between the aortic arch and the descending aorta is very small, forming an acute angle, which makes advancement of the guidewire and delivery system difficult.
The military medical style that was engraved in his bones made Zhao Yuan have no choice to compromise.
The operating table is like a battlefield. There is no opportunity to create opportunities. Even if there is a chance, we must seize the opportunity!
Time passed minute by minute.
Accompanied by a soft cry.
The fenestrated stent was successfully implanted into the patient's body.
According to the angiography, the stent perfectly covered the breach, and the blood vessels of the left subclavian artery and aorta were not affected.
The surgery is not over.
While the stent is being implanted, other symptoms in the patient's body must also be treated.
The surgery took a turn...
I was in trouble, but now I'm out of trouble!
Everyone looked at Zhao Yuan with admiration.
Especially Li Bo.
His attitude towards Zhao Yuan has completely changed.
Why can Zhao Yuan become the protagonist of the surgery?
