Generally, there are two approaches for cardiac artery dissection, one is the carotid artery channel, and the other is the femoral artery.
Zhao Yuan chose the femoral vein puncture technique. The swan-ganz catheter is not easy to enter the pulmonary artery and needs to be entered under the guidance of a guidewire.
The observation room was filled with top surgeons from various countries, including many interventional experts, but when they saw Zhao Yuan's operation, their eyes showed disbelief.
"Why does this technique look so strange?"
"I've never seen it before. It seems to be more efficient than ordinary methods."
"With his kind of operation, two hands can be worth three hands. It just takes a long time to master it."
"Just based on this technique, the admission ticket bought today is worth it."
Two hundred thousand euros is not a small amount.
Moreover, the patient’s identity is special.
At this moment, experts who were interested in intervention suddenly felt that it was not a big loss.
They keenly sensed that this technique was advanced!
Not surprisingly, it will even become the most popular technology for interventional treatment in the future.
"I have studied his information. Not long ago, Tang Jin from Mayo mentioned at a secondary annual meeting in China that Zhao Yuan had a self-created technique called the chopstick technique, which was used in the treatment of neurosurgical myeloma at the time.
"
"Neurosurgery? Isn't he an emergency doctor?"
"This is a doctor with extremely comprehensive skills. He not only has high attainments in thoracic and cardiac surgery, but also has great achievements in sports medicine. He and Dr. Baddeck successfully repaired the knee of basketball star Brad.
Brad can return to the game."
"..."
Amir shared his investigation of Zhao Yuan without reservation.
As Zhao Yuan's defeated general, Amir once doubted his own strength.
But at this moment, Amir didn't feel so uncomfortable anymore.
After all, the person who beats him is a monster.
It seems like the operation is light and indifferent, but Zhao Yuan is actually constantly improving his speed.
The operation of entering the aorta is not difficult, but it is also done under visual conditions."
The high-pressure syringe injects the contrast agent into the aorta, and the condition of the patient's thoracic aorta, abdominal aorta and pulmonary artery can be clearly seen, and there are signs of tears in some places.
Zhao Yuan took out the stent.
A stent independently developed by Salamander Medical.
Zhao Yuan was very familiar with this bracket, so he sent the first bracket in easily.
Seeing this scene, the sweat on the Mayo expert's forehead dropped instantly.
To be honest, Zhao Yuan's series of operations just now seemed very simple and smooth.
But can you learn by watching it?
the answer is negative.
Just like in martial arts novels, a skilled swordsman picks up a broken bamboo stick and fights an ordinary swordsman. It seems that every move of the skilled swordsman is very basic, but the ordinary swordsman just can't guard against it.
The Mayo Clinic claims to be No. 1 in the world, but it actually has water.
The first operating room, the first ambulance, and many medical firsts did appear at the Mayo Clinic.
However, the medical research institution that invests the most research funds every year is not the Mayo Clinic, and in the specialty of heart disease, the Cleveland Medical Center is definitely more professional.
"Arrhythmia!"
Ichisuke, who had nothing to do, kept staring at the instrument panel.
Zhao Yuan did not panic and took out a temporary pacemaker.
Arrhythmias are the most common in this type of surgery, and the patient's condition is not the worst. Patients with severe right ventricular dysfunction may even develop malignant arrhythmias.
In cases of atrial flutter and atrial fibrillation, electrical cardioversion is needed to maintain blood pressure.
Zhao Yuan discovered that the old lady's heart condition was worse than imagined, so he installed a temporary pacemaker to ensure the surgery.
Under Zhao Yuan's control, his blood pressure quickly became normal, and his heartbeat also became stable.
Although the interventional method causes little harm to the patient, the complications caused during the operation should not be underestimated.
Some situations cannot be avoided by your good skills. When you encounter them, you should treat them with caution.
Then, what Zhao Yuan was most worried about happened.
Acute pulmonary edema, signs of heart failure!
This is a very serious consequence clinically.
Various instruments sound alarms continuously.
The scene inside and outside the operating room instantly became quiet.
At this moment, even the Mayo expert who cursed Zhao Yuan hoped that the patient would overcome the difficulty.
Pulmonary hypertension is the key cause of dissection.
Arrhythmias cause high pressure to rise, causing the lungs to swell.
Zhao Yuan quickly withdrew the catheter, raised the patient's head to provide oxygen inhalation, and also administered furosemide and other drugs.
Zhao Yuan was ready for endotracheal intubation to assist breathing.
At this time, the level of an emergency doctor was demonstrated.
After just waiting for a while, the patient's condition was stabilized.
The status and salary of emergency physicians in European and American countries are very high. It requires strong professionalism and not everyone can do it.
Emergency medicine in China only has a history of more than 30 years, and talent training and professionalism are many years behind those abroad.
Taking the beautiful country as an example, the average annual salary of emergency doctors is about US$360,000.
Although it is lower than plastic surgeons and cardiac surgeons, it is a relatively high-paying occupation among many industries in the country, so many people are willing to stay in the emergency room.
Zhao Yuan inserted the catheter into the artery for the second time and placed the second stent at the preset position.
The international experts in the observation room began a small-scale discussion after the patient's condition stabilized.
Although they have never seen patients with pulmonary artery dissection, they are all top experts in the medical field. Through the images of the surgical process and Zhao Yuan's on-the-spot response, they can roughly judge the trend of the surgery.
"This Chinese doctor is really amazing. No wonder he is known as the first person to treat pulmonary artery dissection."
"I have studied those two documents, both of which used thoracotomy for treatment. This time he used interventional method. The difficulty has been raised several levels. The key is to minimize the harm to the patient."
"The operation is not over yet, so you should not say something too early!"
"What do you mean? Do you want the operation to fail?"
"Yes, your mentality is wrong. Even though you have had conflicts with him, there is no need to be so vicious, right? If the Cleveland team is really allowed to perform a lung transplant, do you know how much damage it will cause to the patient?"
Mayo experts only slightly expressed their dissatisfaction with Zhao Yuan.
Unexpectedly, I was immediately attacked by others.
No matter how stupid he is, he still knows that he needs to adjust his mentality.
In the medical field, always respect the strong.
Although Zhao Yuan's surgery is not over yet, his clear thinking and calm handling of various situations have proven that he is a super strong person.
Mayo experts put themselves in their shoes, if they were standing on the operating table, would they be able to be so cool and comfortable?
Of course it’s impossible!
Otherwise, he would not choose the cowardly conservative treatment plan.
