Jin Tianyu looked at the puncture point on the patient's left hand, his brows tightened, and he was thinking further about what to do next.
If doctors have the choice of radial artery PCI, they usually choose the left-hand approach. The blood vessels in the left-hand approach to the heart are slightly smoother than those in the right-hand approach. For example, the right subclavian artery must pass through the brachiocephalic artery to reach the aortic arch, but there is no brachiocephalic artery in the left-hand approach, and the left subclavian artery comes directly from the aortic arch. The blood vessels on the left side have fewer bifurcations.
Based on this, Dr. Fang carefully chose the left upper limb puncture under the circumstances. In addition, the puncture point was chosen at the proximal end of the radial styloid process, where the radial artery runs straighter and has relatively fewer branches, and the doctor is less likely to enter the branch by mistake.
It can be said that the doctor was extremely cautious from the beginning, knowing that this patient's condition was special.
A group of people in the control room were looking at the situation in the computer room. They all looked a little nervous. They wanted to find out the specific cause as soon as possible, just like the people in the computer room.
There was a faint light in Fu Xinheng's eyes, like the light at the bottom of the sea.
Li Chengyuan estimated that he would need to find an anesthesiologist at any time. But like Fu Xinheng, he did not want to admit the patient to the surgical department for emergency surgery.
Surgeons always want to perform surgery without risk. No doctor would like to perform emergency surgery without knowing the specific cause of the disease. The mortality rate is too high, and it is difficult to explain to the family members.
What Xie Wanying said about doing PCI first whenever possible was to pave the way for the surgical department. These surgical seniors did not feel offended by her words. On the contrary, they thought that she was very considerate of their surgical department.
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But now the situation is so bad, can PCI still be done? Can it help them explore the way forward for surgery?
The teachers stood in the front, and several medical students stood on tiptoe in the back, looking out. They occasionally made eye contact, but did not dare to speak nonsense in front of the teachers.
After a while, Yu Xuexian probably thought that the result was too hard to wait for, and he was annoyed, so he walked out of the control room and took a breath at the door. The main reason was that he couldn't help standing here, as he was not an expert in his field.
Xie Wanying trusted the teachers and seniors in her teaching hospital. She had heard that Senior Jin was a master in PCI technology and a very capable person. It was just that Guoxie was not as famous as Guozhi. It would be difficult for Senior Jin to make the cardiovascular department of Guoxie compete with Guozhi alone.
"Removing the guidewire is not a problem for Dr. Jin." said the nurse in the interventional room. She has been working with a group of doctors for a long time and is very familiar with Jin Tianyu's skills.
Sure enough, after adjusting the direction of the guide wire, Jin Tianyu safely pulled out the guide wire.
Doctor Fang breathed a sigh of relief when he saw this. The most feared thing when encountering resistance is that the guide wire tip will get stuck in the blood vessel and cannot be pulled out. If it is pulled hard, it will cause heavy bleeding and the only way is to ask the surgeon to perform a vascular dissection.
The next difficulty was still not solved, and I didn't know how to solve it. It seemed that the series of careful preparations made before were useless. After the guide wire entered the puncture point, it suddenly encountered resistance before it could be sent far.
Doctor Fang believes that he was careful and cautious in every step, feeding the guide wire very slowly, and looking for the right feel along the way before taking action, so there should be no operational errors.
Jin Tianyu turned around and talked to Dr. Fang to verify the specific operation process.
Doctor Fang emphasized again: "It was done under fluoroscopy. I knew about this situation and was afraid that the guidewire would go the wrong way and branch."
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