Chapter 1274 Difficulty Is Definitely There, but Not Big
"Papaverine." Zheng Ren said while looking at the image while operating.
As soon as he finished speaking, the drug had already been injected. Su Yun watched the surgery intently and cooperated very well.
"Boss, is the success rate high here?" Su Yun asked seriously.
"After the anesthesia, the doctor doesn't make trouble, and the success rate is still very high." Zheng Ren said: "It's just a stent removal operation. It must be difficult, but it's not big."
What an outrageous answer, Su Yun sighed in his heart.
The highest level of pretending is that others can't do it, but you can do it yourself, and then said lightly, that's how difficult it is.
This method is often used by myself. For example, when I rescued Zhao Yunlong, I finally put it down.
But when Zheng Ren told himself that, he felt completely different.
Su Yun's experience was quite poor.
Director Zhang Lin stood behind Zheng Ren's body and watched the operation carefully. She had lost her mind at all.
Coronary stent removal has long been "eliminated".
Not because of the problem of the surgical procedure, but because no one can do it smoothly.
During the process of adhesion, dissociation and decomposition between the stent and the intima of the blood vessel, there is a high probability of causing myocardial ischemia. There may even be a coronary tear, leading to cardiac tamponade and direct death of the patient.
In Director Zhang Lin's view, this is an unavoidable complication.
But the unavoidable thing did not happen under the operation of Boss Zheng. She didn't even understand Boss Zheng's operation, and the bracket was taken out.
The extractor with the filter was taken out, and Zheng Ren placed it directly on the instrument table.
Director Zhang Lin looked at it several times, but she didn't know how the thing was taken out, nor why Dr. Mayhal's anterior descending branch looked like it was made of reinforced concrete, and there was no spasm.
Did you see it wrong? Curiously, she asked for a pair of sterile gloves to put on, and motioned for the nurse to hand the brace to herself.
The inner layer of the stent is covered with thrombus, and the lumen diameter has been narrowed to half of its original size. Director Zhang Lin remembered the description in the medical records. In less than half a year, Dr. Mayhal's coronary stent was blocked like this.
This also happened on top of Dr. Mayhal's oral anticoagulant medication.
Director Zhang Lin tried to find another way to treat Dr. Mayhal's disease, but the stent in her hand silently told her that there was only one way.
Whether it is a drug-loaded stent or an absorbable stent, it will definitely become useless under Dr. Mayhal's hypercoagulable state.
It seems that coronary stenting, which is contraindicated, is the only way. Maybe that's why Dr. Mayhal is willing to try. He is a leading figure in cardiology and must know that he has no way out.
In a trance, Director Zhang Lin looked away from the inside of the stand and carefully observed the outside of the stand.
The intimal hyperplasia of the blood vessel formed some climbing marks at the adventitia of the stent. I just don't know what method Boss Zheng used to avoid coronary spasm and release the proliferation of the intima of the blood vessels, so the stent was taken out.
It's really amazing, Director Zhang Lin thought.
This kind of contraindication in the textbook, Boss Zheng dares to do it, and Dr. Mehar dares to ask Boss Zheng to do it. The courage of these two people is really too much.
Just thinking about it, Zheng Ren on the operating table had already put in a brand-new stent-graft, but he didn't have an angiography, and started to do another coronary artery directly.
Anterior descending stent removal and stent implantation, so successful? ! Don't even need an imaging confirmation?
Director Zhang Lin was speechless, and Boss Zheng was too confident.
Although he knew that he wanted to complete the operation before he woke up from the basic anesthesia, there were still two arterial stents waiting to be removed and new stents placed.
Is there enough time?
Thinking, Director Zhang Lin glanced at the clock hanging on the lintel.
Only 3 minutes have passed since the bolus of basic anesthetics.
Not only can it be done, but the surgery is done very quickly. But watching the surgery, why didn't I feel it?
Director Zhang Lin sighed, this is the difference in the level of surgery. Other little doctors see themselves doing surgery, and I'm afraid that's the same idea.
There is no difficulty in doing this surgery.
The operation of the remaining two coronary arteries is exactly the same.
If one stent can be taken out, the remaining two can also be taken out, with zero difficulty... As long as there are no unexpected situations, Director Zhang Lin thought to himself.
Boss Zheng's cardiac interventional surgery level is so high!
Director Zhang Lin stared blankly at Zheng Ren continuing to operate, feeling at a loss.
Compared with Boss Zheng, his level is more than an order of magnitude worse. This kind of restricted area level operation is not difficult at all under his hands.
Before the operation, Director Zhang Lin pondered over and over what kind of rescue he might make during the operation. Some very rare complications are taken into account.
But now, looking at Dr. Mayhal who was falling asleep, looking at the stable ECG monitoring that never changed, she knew that her homework had been done in vain.
A contraindicated operation without any complications seems to be simpler than doing a coronary angiography yourself.
...
In the operating room, Dr. Mehar's accompanying medical team stood in the operating room with big eyes and small eyes, and they were not allowed to enter.
Dean Yan and Vice Dean Yuan were sitting in front of the operating table, while the technician who should have been sitting in front of the operating table could only hide behind. However, Boss Zheng doesn't seem to need a technician at all, and all operations are done inside with the control panel. He can play soy sauce with nothing to do until the end of the operation.
If all doctors did this, would I be out of a job? The technician thought anxiously.
At the beginning of the operation, the conversation between Zheng Ren and Dr. Mayhal was constantly being heard through the loudspeaker, and there were translators behind the deans.
Neither of the two deans knew how to describe this matter.
Like a child, Dr. Mayhal was curious about Zheng Ren's surgical techniques.
Even the most dangerous heart surgery needs to be done once or twice.
"Director Kong, what do you think?" Director Yan suddenly said.
"President, the operation is difficult, but I believe that Boss Zheng can complete it smoothly." Director Kong said without hesitation.
"Won't there be vasospasm?" Dean Yan asked.
As he was talking, he saw through the lead glass that Lao He started to inject anesthesia into Dr. Mayhal as basic anesthesia.
It turned out that Boss Zheng really knew what to do. Dean Yan changed his posture and sat comfortably in the chair, so that his legs were as relaxed as possible.
Originally, he held a meeting in another place, but he turned off a lot of reception work and rushed back after all difficulties. Running all the way, it is a little tired.
But Boss Zheng's surgery was done well, which is very worry-free, Dean Yan thought to himself.
Meanwhile, in the operating room, a signal receiver transmits the information.