After driving for about half an hour, we saw the Pinghuai Hospital building standing tall in the night. It was quite large.
The two brothers of the Cao family spoke.
"Is this building being expanded?" Cao Yong asked as he hadn't been here much recently and his impression of the place was a bit vague.
Cao Zhao replied: "I'm not sure, they said they were expanding the emergency building."
The expansion of the emergency building is due to business needs. Like Guozhi, Pinghuai's emergency intervention center has an increasing number of cases and needs to expand the operating room. Hospitals generally place the intervention center on the first floor to facilitate emergency first aid and place special equipment. Pinghuai's intervention center is at the back of the emergency building.
After prior notification, the patient was sent directly to the door of the interventional center, bypassing the emergency room.
The emergency cart was pushed out, and a group of people hurriedly transferred the patient to the cart and sent him to the interventional operating room.
The person who was preparing to perform interventional surgery on the patient was Director Gao of the Pinghuai Cardiology Department.
It's a rare opportunity to sneak into someone's operating room, so Shin You-hwan prepares to gather intelligence.
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Director Gao recognized him immediately: "Dr. Shen from Guozhi is here."
"Hello, Director Gao."
"Would you like to come into the operating room and take a look?"
The other party invited him to come in for a direct look, and Shen Youhuan accepted it generously for the sake of his junior fellow apprentice.
Radiofrequency ablation is like any other surgery, as long as it is a surgery, it has risks. Compared with other cardiovascular interventional surgeries, the reputation of radiofrequency ablation technology is generally poor, both in the medical circle and among ordinary people.
The reason is similar to the small incision surgery under the armpit that Dr. Chen Xiang hates. As long as a technique is difficult for ordinary doctors to perform well, it is unlikely to be popular. Radiofrequency ablation is exactly like this. It seems that the threshold for ordinary doctors to get started is not high, but the number of complications and cases with poor results is relatively high. This is reflected in the descriptions of various medical research documents.
To understand the specific difficulties of this technology, we must first talk about how this technology operates.
Using the conventional operation method of interventional surgery, a catheter is inserted from the peripheral blood vessels into the heart to perform electrophysiological examination of the heart, and then the target is determined for ablation. The so-called ablation is to place a special catheter called an ablation catheter into the heart cavity, and then electrify it to burn the myocardium that can produce ectopic pacemakers and cause malignant arrhythmias.
From the above simple description, we can know where the technical risks of this operation lie.
Burning the myocardium is no joke. If you do it wrong, it can be ineffective at best, or it can make the heart's conduction system worse, making malignant arrhythmias more malignant, or it can burn a hole through the heart. These are all the most terrible complications, although the chances of them happening are very low.
Just in case, cardiac surgery is needed. Unlike coronary angiography and stent placement, this type of surgery is just to fill the hole in your heart. If coronary stent placement doesn't work, cardiac surgery can do a bypass surgery as a replacement. Currently, cardiac surgery has very few means to solve the heart conduction system.
Less does not mean no. For example, the most famous surgical procedure for solving this kind of problem is the maze procedure, which claims to have a cure rate of 95% for atrial fibrillation, which is higher than catheter intervention. The problem is that this procedure is most effective for isolated atrial fibrillation. Other more complicated procedures, such as the one Wei had, are discounted.
Doctors generally do not advocate or recommend this procedure. Maze surgery requires drastic changes to the surface of the atrium, and the surface of the atrium is thin and cannot withstand drastic changes.
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