Xie Ning looked at his' son-in-law 'who did not know his identity and felt that it was very interesting.
The little fellow looked a little silly and honest, but he performed the surgery really well. He was so young, yet he was able to come to Mayo and Heidelberg to perform surgery. This was not an ordinary ability.
"Zheng Ren …" Just as Xie Ning called out, Zheng Ren's phone rang.
Zheng Ren smiled apologetically. His face was full of exhaustion as he picked up his phone.
"Lil Fugui, we're going to eat. Come with us," Zheng Ren said.
"Huh? Okay, I'll be there right away. "
"No need. I'll go faster by myself. Get someone to pick me up at the door. Forget it. Pick me up yourself. "
After Zheng Ren said that, he hung up the phone.
"Boss, what's the matter?" Su Yun was obviously a little unhappy. In Su Yun's opinion, this drinking party would more or less make some jokes. This would be the point of ridicule for Zheng Ren in the future.
However, this guy's luck was really good. The professor seemed to have encountered some problems. Su Yun thought about it and felt a little regretful.
"Lil Fugui said that there's a thoracic aortic stent going down into the false cavity," Zheng Ren said.
The regret in Su Yun's heart dissipated, and he could not help but shiver.
Aortic dissection was the kind of disease that Cui Heming had on the plane. As long as it was not type 1, it could be treated through interventional surgery. Now, type 1 was also possible, but it was too difficult. Very few people did it.
However, when the stent was placed, there would be a complication. The stent did not go down in the thoracic aortic trunk. Instead, it went through the torn opening and entered the middle of the blood vessel, propping up the false cavity.
This would cause the patient's condition to worsen and he could die at any time.
This kind of complication was extremely rare. It appeared because of the doctor's surgical skills. In the country, it could be said to be a very serious medical accident.
It had to be done multiple times to cause this kind of complication!
Zheng Ren cursed in his heart.
Zheng Ren had only seen similar reports in magazines about this kind of man-made injury. He still did not know how to treat it.
He smiled apologetically and said, "Uncle Ning, you guys go eat first. I'll do the surgery. If everything goes smoothly, I should be able to go in an hour. "
"Do you need me?" Su Yun asked solemnly.
As a doctor, whenever he heard about emergency surgeries, he would always put himself in the situation. This was because he had a sense of duty.
"There's Lil Fugui. I'll go and take a look. You can chat with Uncle Ning for a while," Zheng Ren said.
"Alright." Su Yun agreed.
Although it was a pity, emergency treatment was more important. When he thought of the stent going into the false cavity, it would worsen the condition … The blood flow of the aorta would pour into the dissection crazily. Now, the vascular dissection would probably be torn to the tip of his toes.
'F * ck, the medical skills on Lil Fugui's side aren't that good,' Su Yun thought to himself.
Xie Ning looked at his cheap and capable son-in-law who was so busy even in Heidelberg, Germany. He felt a little helpless. However, it was an emergency rescue, so it was not appropriate for him to say anything.
He was quite capable. Xie Ning smiled.
"Dr. Zheng, don't call for a taxi. Let's go in my car," Zou Jiahua said.
"Then I won't stand on ceremony," Zheng Ren immediately agreed.
In fact, he already had this idea when he talked to Professor Rudolf Wagner. Zou Jiahua was a smart person. It was impossible for him not to know what he meant.
However, Zheng Ren had never thought about whether it would be too ostentatious to sit in the extended Lincoln to perform the surgery.
After apologizing to Xie Ning and Zou Jiahua, Zheng Ren turned around and left. One of Zou Jiahua's attendants followed him and brought Zheng Ren to the extended Lincoln.
The car drove very steadily. Zheng Ren sat in the car and entered the System space to prepare for surgical training.
The System's operating theater rose from the ground. After Zheng Ren entered, he took a look at the radiographic films and immediately began to operate. The catheter entered. When Zheng Ren saw the image, he was dumbfounded.
The proximal end of the stent in the experimental subject's thoracic aorta was in the thoracic aorta, and the distal end was in the torn false cavity. There was almost no blood flow in the true cavity of the thoracic aorta. Although the false cavity was not as exaggerated as he had expected, it was still directly torn to the position of the common iliac artery.
This … was too heavy.
The severity of the condition exceeded Zheng Ren's expectations. It was already imminent. The patient could die from the rupture of the blood vessels at any time.
The outer layer of the thoracic aorta was relatively tough. In addition, the patient was considered lucky, so there was no rupture and bleeding. The high pressure of the aorta continued to tear the blood vessels open, pouring all the way to the position of the common iliac artery.
The thickness of the blood vessels here could not compare to the thickness of the thoracic aorta. They could be torn at any time.
As soon as the blood vessels ruptured, the patient would die without a doubt.
Zheng Ren cursed in his heart. Just as he was about to operate, he was stunned.
How should he operate?
This was an extremely unfamiliar surgery. Even Zheng Ren, who was at Peak One, began to feel a little lost.
Surgery was not something that could be done on a whim.
Under normal circumstances, a guide wire and catheter were inserted into the femoral artery.
However, the patient's current situation was to remove the stent. It was impossible to operate between the true cavity of the aorta and the false cavity at the same time.
One guide wire and catheter definitely could not operate in two places at the same time.
Zheng Ren focused for a moment and decided to use a mode of operation that he had never done before — bilateral femoral artery catheter insertion.
However, he was the only one in the System's operating theater …
Zheng Ren sighed and focused on the current situation. Even if there was only one person, so what?
He was a man at Peak One, Zheng Ren encouraged himself.
The simulation mannequin exposed both femoral arteries under general anesthesia and inserted a sheath tube. Zheng Ren could not care less about the sterile procedure. He knelt on the narrow operating table and began the surgery.
After all, if it was a real surgery, the other side could be handed over to Professor Rudolf Wagner. Zheng Ren was very impressed with the professor's skills.
Bilateral femoral artery catheter insertion. The right catheter was inserted into the true cavity while the left catheter was inserted directly into the false cavity. After the hard guide wire was inserted, one of
5F, 95cm
The long tube sheath was placed at the level of the abdominal trunk for contrast. The results showed that the abdominal trunk, superior mesenteric artery, and right renal artery supplied blood to the true cavity while the left renal artery and lumbar artery supplied blood to the false cavity.
The left sheath tube was placed at the distal end of the original stent in the false cavity and a multi-loop snare was inserted. The right side was exchanged through the hard guide wire.
The sheath tube was placed in the true cavity so that it was located at the end of the original stent.
At the location.
After a few failed surgeries, Zheng Ren summed up his experience and began to have some ideas about the surgery.
The end of the sheath tube was inserted with a
5F catheter and placed close to the snare in the false cavity.
0.014
Inch guide wire was inserted through the inner diaphragm between the true and false cavity with the help of the catheter and into the snare. The guide wire and catheter were then inserted into the original stent.
After the hard guide wire was exchanged, the balloon was continuously expanded to a diameter of
25mm, followed by a
Width, 77mm
Half of the stent was placed in the original stent and the other half in the true cavity of the abdominal aorta above the abdominal trunk.
Angiography showed increased perfusion of visceral arteries and renal arteries.
The surgery was completed with an 88% completion rate.
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