Did the two of them successfully deliver the guide wire to the blood vessels of the heart?
Coincidentally, the two students looked at each other.
Do you think what I did was right? Xie's eyes showed the question he was asking Pan.
Student Pan answered with an embarrassed look: Sorry, I need to think about it first.
For this reason, his hand almost habitually reached into his pocket to take out a notebook, make a quick sketch, and review his thoughts.
Jin Tianyu and his team are also observing and measuring the specific location where they send the guide wire, and they can do a X-ray to see the results.
At this time, Pan Shihua, his partner, recalled clearly and said, "I think it is in place. This patient's blood vessels have a variation in their meridians. The blood vessels do not follow the normal path, but go around half a circle in the arm. It is very likely that the axillary artery is not common and directly branches into the radial artery and ulnar artery."
When the others heard what he said, they realized what was going on with the two of them. The patient had such a strange blood vessel distribution map, no wonder Dr. Fang sent the guide wire directly into the branch.
Dr. Fang wanted to cry. What the two medical students said confirmed that it was not his fault.
...
...
"Okay, I'll take over." Jin Tianyu walked over to replace his junior sister.
Xie Wanying decisively gave up her seat to her senior brother.
After the guidewire was sent to the heart, the subsequent operation was more complicated than a simple operation. She had no experience and could not do it.
Standing at her position, Jin Tianyu took the end of the guidewire steadily with his big hand and felt the guidewire in the blood vessel: "Well, it didn't touch the blood vessel wall, and it's not stuck. It should be fine. It's estimated to have reached the aortic sinus. It's okay, turn on the machine and see if there's smoke."
Smoke means turning on the machine. People who have done X-ray examinations in the past will have this impression: the doctor told them not to move, and then there was a snap, smoke came out, and the film was taken. So doctors call it smoke in their jargon.
The aortic sinus is an inner cavity connected to the aorta at the root of the ascending aorta. The anatomical shape of the sinus is a bulge like an ampulla that expands into three spheres, like three petals opening upward. The reason why this place looks so strange is that when the aortic valve is closed, the blood puts pressure on the aortic valve. The bulge here allows the blood to swirl here, reducing the pressure that directly hits the aortic valve.
The three spheres just divide the aortic sinus into three parts, the left sinus, the right sinus, and the posterior sinus. The left sinus and the right sinus have openings for the left and right coronary arteries. The posterior sinus has no artery opening and is called the non-coronary sinus.
The guide wire reaches the aortic sinus, which is equivalent to reaching the entrance of the coronary artery.
It’s not easy. The doctors sighed inwardly, saying that they had almost given up.
It is a rare opportunity to enter the interventional room and study up close. Xie Wanying and Pan Shihua stared at the hands of Brother Jin, a technical expert, without blinking.
I think about how nervous they were just now, as they were holding the guide wire and the patient's arm. Their hand muscles were stretched so tight that they dared not relax at all, and their muscles were so stretched that they seemed about to break.
Senior Brother Jin held the wire tail in his big hands. His hand muscles were not as tense as theirs. His two big hands were calm and free, like a snake charmer holding a snake's tail, and he seemed to be able to play with the wire. Senior Brother had everything under control, so he was not afraid and did not need to be overly nervous.
A technical expert is always a technical expert. The students who study with him admire him in their hearts.
This expert brother is not playing with the guidewire. His movements are very small. He is circling the bottom plate of the sinus to prevent the guidewire from slipping out when it reaches the destination. This expert brother is not like the younger sister who has never done it before and is so stupid that she can only hold the guidewire tightly.
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