Qin Yuanwu actually didn't know what he was saying, so he just took Lu Cheng's words as a listen. After all, the situation Lu Cheng mentioned was only a very small number of cases.

That was a small probability event, and the reason why he gave it another try in the end was because of the special circumstances of this incident. If it weren't for the professors from the higher-level hospitals who came to perform the surgery, in normal times, even if it was his friendship with Director Zang, he would

I won't embarrass myself and waste time so much.

In this world, after arterial embolism, there are many cases where rescue is unsuccessful, and patients who need amputation are also common. Even the top hospitals in the world cannot guarantee that every patient with eventual embolism can be removed by thrombectomy.

This is such a waste of time. Further down the arterial network, there are too many branches and too many complexities. No doctor has the spare time to test each one one by one. The patient cannot bear it, and no one can bear the final result.

predict!

Arterial thrombectomy is to enter the blood vessel through a semi-closed catheter, then inflate the balloon at the distal end of the catheter, and pull it back to the broken end of the blood vessel. If there is an arterial emboli along the course of the blood vessel,

Then it will be taken out of the blood vessel by the inflated balloon.

This is the principle of treatment. However, in order to ensure the effect this time, Qin Yuanwu tentatively placed two catheters as Lu Cheng said, and then pulled out the balloon through two branch blood vessels. If the embolus still could not be removed,

come out.

Then it may not make much sense to continue doing it!

"Tongsheng, please pay attention. After I have pulled back about four centimeters, you can pull back the part of the catheter you control. I will immediately release the air bag of my catheter and withdraw to make room for you!"

"Qin Yuanwu explained to Tong Sheng.

Tong Sheng nodded, he was still a little excited. He didn't have much experience with this kind of thrombectomy performed by two catheters at the same time. He had seen professors from Xiangya Hospital perform it when he was in training, but the actual operation

,Never had.

In Changshi First People's Hospital, only Qin Yuanwu can perform this kind of operation.

"Okay, Director Tan." Tong Sheng replied.

Qin Yuanwu immediately inflated the air bag and said, "Pay attention, I'm going to start pulling back."

"Ready!"

After Qin Yuanwu pulled it in for nearly three or four centimeters, he immediately said, "Now, inflate the air bag quickly, and I will release the air bag!"

"Recharged."

"pull!"

Qin Yuanwu gave an order and pulled out the catheter. Tong Sheng also quickly pulled it back three to four centimeters and kept it away. This could quickly block the emboli even in the anterior tibial artery!

Tong Sheng paused for a full second, and then continued to pull the catheter back again.

His breathing was a little short and he was extremely nervous, but his current operation had become a familiar single-catheter thrombectomy, so he was very familiar with it and not that scared!

As the catheter was pulled back bit by bit, suddenly at a certain moment, a long organ was pulled out of the blood vessel. Qin Yuanwu, who had quick eyesight and quick hands, immediately used gauze to connect the reshaped embolus.

Living.

He said with a happy face: "The embolus has come out, but whether there is still an embolus at the far end depends on luck. We have to suture it."

Even if the embolus is removed, he can't guarantee whether there are any in the distance, because without arteriography, he doesn't know the specific location and number of thrombus. Even if there is, he still can't guarantee the number!

Qin Yuanwu told Liu Kaihua this.

"Okay, thank you, Director Qin, for your hard work. If it still doesn't work, then the only option is amputation!" Liu Kaihua replied in a very serious tone, but he did not blame Qin Yuanwu, and he could not blame Qin Yuanwu.

Now that it was the weekend break, Qin Yuanwu rushed to the operating room as soon as possible, and it was impossible for him to come to the operating room just to deal with him.

"Take two 6-0 sutures!"

"Tongsheng, sew with me and see the effect!" Qin Yuanwu said quickly.

The circulating nurse has been ready for a long time. She is a specialist nurse from the vascular surgery department who was just called.

"Two 6-0 sutures are on the stage!" She repeated the surgeon's words to confirm whether the doctor's order was correct, and also asked another circulating nurse to record the intraoperative consumables!

Qin Yuanwu and Tong Sheng each took one piece and began to sew it up quickly.

Five minutes later.

Qin Yuanwu opened the blood vessel clamp far away from the broken end of the blood vessel, and then said nervously: "Whether the blood vessel can be opened depends on this time."

Liu Kaihua also nodded.

Open the vascular clamp!

With a hula, the rapid arterial blood instantly filled the severed end, no arterial blood overflowed, and the suture was in place!

The blood flow shoots to the far end.

Everyone is waiting patiently.

ten seconds,

Twenty seconds!

If there is an embolism at the distal end, the arterial blood will flow back due to the high pressure at the distal end, causing high blood pressure in the whole blood vessel, causing the newly closed position to ooze blood again.

Sixty seconds passed and still no blood was seen.

Qin Yuanwu immediately said: "Take the syringe needle and test the blood supply at the far end!"

Tong Sheng quickly pricked the patient's instep and toes.

Suddenly!

Blood gushes out.

Liu Kaihua saw the red blood oozing out, as if he saw the sun rising from the east.

pass!

The embolus has basically been completely removed. Even if there is still a small embolus at the far end, it is not harmful!

Liu Kaihua quickly said excitedly: "It's clear, thank you, Director Qin, thank you Dr. Tong. Thank you for your hard work."

When Liu Kaihua said this, the patient, who had not fallen asleep the whole time, quickly said: "Are the blood vessels open? Do I need to amputate my limb?"

In fact, he had been listening to the conversation between Qin Yuanwu and Liu Kaihua before, and he was almost desperate in his heart. But at this moment, he could only hand himself over to the doctor, otherwise, what could he do? Making a big noise would do it.

If you can heal your feet, then why does the world need hospitals and doctors?

Liu Kaihua said even more excitedly: "Yes, your blood vessels have been opened, and we can continue the operation! There is no need for amputation. It was Director Qin of our vascular surgery department who saved your leg."

The patient was already crying. He wanted to wipe his tears with his hands, but his left hand was infusing fluids and his right hand was tied with a blood pressure monitor. He could not move. He just let the tears flow down the corners of his eyes. He choked slightly and said: "Thank you, Director Qin, thank you Dr. Tong,

Thank you, Director Liu, thank you."

The patient once searched online for general complications after trauma when his daughter was undergoing surgery, so at the beginning, his heart dropped.

At this time, Qin Yuanwu glanced at Lu Cheng with deep meaning and said, "The person you should thank the most is not me, but Dr. Lu. If it hadn't been for his last words, I might not have tried this last experiment again."

For a moment. And if it weren’t for his reminder, I wouldn’t have dared to operate the double catheter!”
Chapter completed!