After listening to Chief Huo's introduction, Zheng Ren had already outlined the surgical procedure in his mind.
After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery, and right femoral artery were blocked. The right common iliac artery and the right external iliac artery were cut open and the IABP catheter was removed. After it was taken out, one could see that the catheter balloon was twisted and a thrombus had formed inside.
The intima of the right common iliac artery was torn from the opening of the right common iliac artery to the opening of the right internal iliac artery. The intima of the right internal iliac artery was torn and repaired with a 7/0 sliding thread.
Zheng Ren had a rough idea of the process of the surgery. However, that was not the problem now. It was the surgery just now.
"When you took out the catheter, you didn't use much strength, did you?" Zheng Ren asked worriedly.
At this time, what he was most afraid of was Chief Huo removing the catheter after the DSA angiography and pulling it hard, causing the intima of the artery to tear.
If that was the case, it would be troublesome.
"No, no," Chief Huo said repeatedly. "I watch your live broadcast every day and know that you can't use brute force to solve the problem."
Zheng Ren nodded. It was still useful to open a live broadcast room.
"I tried it twice and found that it was very stuck, so I didn't dare to move." Chief Huo's voice became softer and softer as if he had made a mistake.
"…" Zheng Ren looked at Chief Huo's back and already had a bad premonition.
He hoped that it was wrong. What should he do?
Even if the IAPB catheter was embedded in the iliac artery and the intima of the blood vessel was torn when it was taken out, it could only be sutured surgically. He had only pulled out a knife to help. There was no reason for him to make irresponsible remarks here.
IABP was one of the most widely used cardiac assistance devices in clinical practice. Its common complications were mainly lower limb ischemia, arterial damage, local infection and bleeding, and balloon puncture.
When the IABP was offline, the balloon counterpulsation catheter could not be smoothly withdrawn and caused iatrogenic foreign bodies in the large blood vessels were relatively rare. It was just like when he first went to the First Affiliated Hospital of Provincial Medical University and encountered the neurosurgery department pushing the guide wire in during surgery.
These were relatively rare things.
In interventional therapy, the common iatrogenic foreign bodies in the blood vessels, such as stents, guide wires, spring bolts, and so on, could be removed from the body through the blood vessels with a miniature coil retractor. Not many needed to be removed by surgery.
Of course, the premise was that Chief Huo did not move.
He was afraid that he would be inexperienced in the process of trying, and the more he tried, the more mistakes he would make and the more trouble he would be in.
Without realizing it, Zheng Ren had already pinned the label of lack of clinical experience on the heads of the chief physicians of prefecture-level hospitals without any psychological barriers.
Iatrogenic foreign bodies embedded in large blood vessels could cause secondary thrombosis, infection, and even ischemia and necrosis of organs and limbs if not treated in time. When the patient's condition permits, it should be removed as soon as possible.
"How long has it been stuck?" Zheng Ren asked a crucial question.
"Less than two hours."
'Fortunately, fortunately, what a coincidence,' Zheng Ren thought to himself. In less than three hours, the possibility and risk of thrombosis would be greatly reduced.
Furthermore, Chief Ai had stated that he did not repeatedly pull and attempt to remove the IABP pipe by force, so the possibility of local vascular intima tearing was not high.
Let's give it a try. There shouldn't be a problem. Hopefully, there won't be a problem.
Along the way, Zheng Ren briefly inquired about the interventional radiology machines and related medical supplies in People's Hospital.
Zheng Ren followed them to the interventional radiology room, changed his clothes, and entered the room. While he was changing, he went to the System's operating theater to perform a surgery before coming out.
It could be removed. The broken IABP pipe was stuck in a branch of the external iliac artery. However, the force that was removed had to be twisted a little. He could not use brute force.
The most gratifying thing to Zheng Ren was that Chief Ai did not use any force. The intima of the blood vessel was completely fine!
This person was not bad. Zheng Ren had a good impression of Chief Ai, and the mosaic on his face lightened a little.
He did not forcefully pull a surgery that could not be done. He knew his limits.
"Boss Zheng, I'm really sorry. You came out to play this weekend, but I pulled you to save the day," Chief Ai said apologetically in a low voice.
"It's fine." Zheng Ren smiled and first watched the surgery process at four times the speed. Then, he put on his lead apron and went to wash his hands.
Lin Yuan silently followed beside him. He also put on his lead apron and prepared to go on stage.
"Do you think the chances of successfully removing it are high?" Chief Ai asked vaguely.
"I'll give it a try." Zheng Ren still spoke in a tone that sounded like he was talking to a patient or a family member. He was vague and would never say whether it could be done or not. If asked urgently, he would say a lot of complications.
After being a doctor for a long time, he would always have some habits like this. No one could escape it.
Standing in front of the operating table, Zheng Ren first got used to the machine. Then, he made a gesture to Chief Ai outside the lead-lined glass. The airtight lead door slowly closed.
"Chief, you're really amazing. How did you convince Boss Zheng to come up?" Chief Zhai asked.
"I have a friendship with Boss Zheng," Chief Ai said coldly.
One could not brag too much. As the saying went, the more one spoke, the more mistakes one made. In addition, Chief Ai was worried that Boss Zheng would not be able to do it. He glanced at the screen and then through the lead-lined glass, he looked at Boss Zheng who was performing the surgery.
"Chief, the vascular department is up," Chief Zhai said in a low voice as two doctors walked in in isolation suits.
Chief Ai looked at the screen with full attention. His heart was already in the clouds. He did not hear Chief Zhai's long-winded words.
The chief of the vascular department rushed over from home, but he saw the doctors from the circulatory department and the interventional department standing outside.
Were they giving up on the surgery and waiting for him? There was nothing to be proud of in his heart. Naturally, the less he had to take the blame to save the day, the better. It was not a good thing for him.
It was hard to say whether the surgery could be performed or not. If he gave up so early, he would not try more.
"Chief Ai, is your side not good? Do you want to try again? "The vascular department chief said as he walked in.
He saw that Chief Ai was looking at the screen and did not say anything. He thought that Chief Ai was stunned. When they encountered a medical accident, many people would be stunned. He did not expect Chief Ai, who had always been domineering, to be like this.
It would not be inevitable.
However, he took a look and was stunned. The airtight lead door of the operating theater was closed. There was a doctor operating inside.
It looked like a man and a woman.
Since when did his hospital have a female interventional doctor? Could it be that someone from the circulatory department went on stage to try?
Then, he looked at the screen again.
The blood vessels were empty. They were doing the angiography. Was there nothing wrong with them? The vascular department chief was a little puzzled.
Today was April Fool's Day. Were they looking for fun? That was not necessary. In the hospital, all kinds of jokes could be made, but no one had ever joked about emergency treatment.
Then, the image on the screen stopped, and the airtight lead door slowly opened.
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