Chapter 627 Terrifying Surgery

Zheng Ren seemed to have heard the professor's prayer, and the guide wire on the screen advanced slowly but firmly, without any hesitation or pause, and walked through it.

Robin's eyes were open like eggs, but he didn't notice. Although the direction of research is epidemiology, his professionalism is higher than 95% of the circulation interventional doctors in the world.

Robin knew how difficult this level of surgery was.

Even if it is not clear, the final consultation opinions of experts from major medical centers in Europe and the Karolinska Institute of Medicine and Surgery in Stockholm are there.

A disease that cannot be cured at all!

This is an incurable disease!

Stupid as a bull in heat, Rudolf Wagner sent two young men to operate on the doctor.

It's just ridiculous.

What's even more absurd is that their first step was successful.

Watching the wire penetrate the "wall of sighs", Robin was stunned.

Just passed the most difficult step? He knew that as the completely occluded right coronary artery was opened, even if there was only a trace, Dr. Mehal's heart would be supplied with fresh blood.

Before that, the power to keep his heart beating came from the capillary network. How can that bit of arterial blood satisfy the beating of the heart?

Had it not been for extracorporeal membrane lungs, Professor Mehar would have gone to God.

The process of opening a blocked blood vessel is the most difficult and the most dangerous.

The fragile heart would stop beating at any time. On the operating table, the assistants beside the surgeon did nothing, but were posing there to defibrillate Dr. Mehal immediately.

But he didn't move until a passage was opened.

The operator's operation is so gentle that the heart that would collapse with a little force doesn't even feel it.

This is impossible! Robin stared at the screen in astonishment, his whole body stiffened.

It's okay, it's okay, it's just the beginning. Robin comforted himself. Before that, he had a full understanding of Dr. Mehal's condition and surgery.

In this case, no one can use rotational atherectomy to solve the thrombus and calcified lesions piled up in Dr.'s coronary artery.

Absolutely not!

Otherwise, the opinions of many experts in Europe and even the United States would not be so pessimistic.

No one suggested interventional surgery.

because,

No one can make it down.

The guidewire is gently withdrawn, and the atherectomy probe is then inserted.

The air in the entire operating room froze, and everyone felt that a big stone was pressing on their chests, making breathing a luxury.

The first step was successfully completed, which exceeded the expectations of all the experts present. And the next step, who knows.

Professor Rudolf Wagner said the young man had hands that had been kissed by God.

Looking at it now, it is indeed the case.

The action of opening the right coronary artery just now, every detail is impeccable, perfect to the extreme.

But this is a routine operation, and many doctors have done it to open the thrombus, but they have not done such a heavy operation as Dr. Mehal's.

Next, the rotational atherectomy will begin.

Dr. Mehar has all the contraindications of rotational atherectomy.

For thrombotic coronary artery disease or the acute phase of coronary heart disease, rotational atherectomy can aggravate the formation of thrombus in the acute phase.

Moreover, Dr. Mechal's coronary angle has exceeded 90°, which is an absolute contraindication.

The large angle means that there is little room for rotational grinding during surgery, and the coronary grinding may leak at any time, causing coronary bleeding and cardiac tamponade.

Even if it does not leak, only the intima of the blood vessel is broken by rotational abrasion, which will also cause arterial dissection.

The people present, including the little doctors who recorded the values, were the elites among the elites of their peers. Everyone knows the difficulty of the operation, and everyone's eyes are on the screen.

The atherectomy head was sent into the right coronary artery without any attempt. The operator was extremely confident and directly put in place in one step, and started the atherectomy.

Countless debris can be seen faintly, but only faintly, because the speed is too fast, no one can see clearly.

The debris is caught by the filter behind the atherectomy probe, and the slightly larger debris will be prevented from entering the coronary capillaries.

The tiny debris is harmless to the human body and will not cause embolism or necrosis.

Piece by piece, the thrombus was cut, gyrated off, and turned into debris. Like drilling a mountain to open a road, the grinding probe goes all the way forward, grinding out a passage of life.

The whole process is divided into two steps. The first step is what the surgeon is doing. First, simply grind and spin a path.

This step is so difficult that countless high-level professors dare not do it.

However, this is not the hardest.

The most difficult step is the second step, which is to remove the thrombus and calcifications near the intima of the right coronary artery.

The staff of the Karoline Institute of Medicine and Surgery in Stockholm held their breath and watched the rotary atherectomy probe move forward step by step. In a few minutes, the access to the right coronary artery was basically opened.

Professor Rudolf Wagner did not relax, but became even more nervous.

It's beyond his expectation that the operation has achieved this step.

However, the most difficult step is to rotationally atherify the position close to the intima of the vessel. It can be said that here, as long as there is an error of less than 1mm in Zheng Ren's hand, the operation can be declared a failure and Dr. Mehar's clinical death can be declared.

The palms of the hands were full of sweat, and the professor stared at the screen intently, watching that the rotary atherectomy probe began to touch the part close to the intima of the blood vessel.

He subconsciously rubbed his hands on the spotless white clothes to wipe off the sweat from his palms, but he couldn't wipe off the tension and anxiety deep in his heart.

Professor Rudolf Wagner's heart was beating violently, pounding, as if someone inside his body was beating a drum. He was concentrating on watching the screen, but his body trembled slightly with the strong heartbeat.

Robin, like Professor Rudolf Wagner, stared nervously at the screen. Because he breathed with his mouth open for a long time, he felt a little dry in his mouth. He swallowed hard, but felt a little pain.

Because of too much tension, the oral glands have not secreted saliva for a long time.

Dehydrated mucous membranes rub against each other, causing injury and causing capillaries to rupture. For a moment, Robin felt the taste of blood in his mouth.

But he didn't care about the changes in his body, but focused on looking at the screen, with his fingers wrapped around his hands, his nails pressed tightly against the back of his hand, and his nail bed was pale.

The operation of the rotary atherectomy probe is as fine as the millimeter level, and the thrombus and calcified plaque adhering to the intima of the blood vessel are finely rotated away, and the right coronary artery gradually takes on the shape that a blood vessel should have.

Half an hour later, Dr. Mechal, who was lying in the operating room, was in no problem at all, and the expected high probability of ventricular fibrillation and other fatal complications did not appear.

And with the opening of the right coronary artery, the blood supply to the myocardium was improved, and the situation got better little by little.

It took half an hour for Zheng Ren to open the entire right coronary artery.

The moment he withdrew the rotary grinding probe, Su Yun let out a long breath.

"Boss, you scared me to death."