Director Jiang has done hundreds or thousands of circulatory interventional surgeries, and he has seen even more surgeries. Some of them did it themselves, some wore lead suits and stood behind the teacher and watched, and some sat in the operation room and watched the screen.

But this perspective lying on the operating table is the first time Director Jiang has seen it.

In the upper left of the field of vision, is the screen, and the image on the screen is still the image of the previous casualty after thrombectomy. He knew that soon there would be movement, and that it would be his own coronary artery.

Whether it is an anterior wall myocardial infarction or not, you can know at a glance.

Not only that, but he suddenly found that he could observe Zheng Ren's surgery from the patient's point of view.

As soon as he thought of this, Director Jiang suddenly realized one point - Dr. Zheng, will he do cardiovascular interventional surgery?

As this thought rose, the spirit that had just been relieved suddenly became tense, and a tingling pain came from the precordial area.

"Expand the crown!" Zheng Ren said immediately when he saw that the ECG oscilloscope displayed on the ECG monitor began to be disordered.

The nurse who was assigned to the table immediately began to give Director Jiang a bolus of medicine.

"Old Jiang, can't you be honest?" Su Yun was a little impatient.

The main thing is that he is familiar with Director Jiang, and Su Yun knows that the more casual he says on stage, his nervousness can be relieved a lot. After all, he had never seen Zheng Ren do heart interventional surgery, and if he looked like he was facing a great enemy, he was afraid that the consequences would be very serious.

Unexpectedly, it was an acute major attack of myocardial infarction.

"I ...... I'm not...... I wonder if Dr. Cheng will do it. With the completion of the injection, Director Jiang felt that the pain in the precordial area was better.

"Lie down, if he doesn't, no one will. Su Yun said disdainfully, "Nobel Prize judge, Dr. Mehal ......"

"Don't talk about this, as soon as he gets excited, the blood vessels spasm, and it will be even more troublesome to have another seizure. Zheng Ren said calmly.

"Breath!" Su Yun glanced at Director Jiang and reprimanded.

After a few words, the radial artery of the wrist was given local anesthesia, arterial sheaths, and guidewire catheters had been entered.

Zheng Ren began to step on the line, and the contrast agent was infused into Director Jiang's coronary arteries.

Director Jiang looked sideways at the screen and sighed, this speed is as fast as ever. So are you, what are you worried about?

Brother Yun said what about the Nobel Prize, perhaps, Director Jiang stopped thinking about these messy things, and looked at the screen to empty himself.

But before he could empty himself, his thoughts were immediately interrupted by the image on the screen.

Angiography showed that the proximal proximal anterior descending artery of the left coronary artery was localized severe concentric stenosis, with a stenosis of almost 100% and a lesion length of about 10~15 mm.

There was no obvious abnormality in the circumflex branch, and the moderate concentric stenosis of the second segment of the right coronary artery was about 50%, and the length of the lesion was about 15 mm.

The judgment is correct, this level of diagnosis is really awesome! Director Jiang admired it in his heart.

An ECG can give some hints, but it is still difficult to judge so accurately.

"Boss, you said that it has been almost 200 years since Bernard first inserted a catheter into an animal's heart in 1844, and I don't think there has been any breakthrough in heart intervention. Su Yun looked at the image of Director Jiang's imaging and said completely different things.

"It shouldn't be counted that way. Zheng Ren said while removing the contrast catheter: "If you start to calculate, I think it was in 1929 that the German doctor Forssmann first inserted a urinary catheter from his elbow vein and sent it through the superior vena cava into the right atrium that it can be said to be the beginning of cardiac interventional surgery." ”

As he spoke, Zheng Ren had already passed through the vascular sheath into the 7F JL4.0 catheter to the left coronary artery ostium, and first sent the 0.014" PTCA guidewire to the distal end of the anterior descending artery.

"Thrombectomy catheters. Zheng Rendao.

Dressed in a lead suit, the instrument nurse who followed in handed over a catheter, and Su Yun opened the outer package, "You said that within twenty years, robotic surgery can be carried out, and there is no other progress except for not eating threads." Surgery with a da Vinci robot on the chest and general surgery is purely taking off your pants and farting. ”

"If you can cure the disease, if you really want to solve it fundamentally, you need to study chemistry and genetics. Zheng Ren sent the thrombectomy catheter near Director Jiang's anterior descending artery.

Director Jiang felt that this was the atmosphere of the operating room.

The surgeon and the assistant chatted for a long time, which was simple and relaxed, instead of everyone being bored for surgery before, countless wounded people were waiting for treatment, and people with high pressure would collapse at any time.

All of a sudden, he felt as if his whole life was back on track.

It's just that now I'm a patient lying on the operating table, and other than that, everything is normal.

Oh, and what's not normal, that is, Zheng Ren's hand speed, it's just too fast!

After the thrombectomy catheter went in, he didn't see him thinking anything, and even Director Jiang didn't feel anything, and the thrombectomy catheter on the screen began to walk out with a piece of black stuff.

Is that done?

Director Jiang was so confused.

This fresh plug is taken by yourself...... His technical level is not up to it, and he can only accommodate catheter thrombolysis.

If you can take it, you should also add a strainer, be careful, for fear of breaking the fresh plug and causing more unpredictable complications.

Where is like Zheng Ren, he sent the thrombectomy catheter to the position with a big grudge, clamped the thrombus and walked out.

"Dr. Zheng, what kind of technique are you using here?" Director Jiang asked blankly, looking at the screen.

Fresh plugs, as tender as tofu, are extremely difficult to remove whole.

So Director Jiang has such questions.

Zheng Ren smiled and said, "Now is not the time to discuss, the earthquake relief is over, if you have time, you can come to 912 Hospital to find me." ”

Director Jiang nodded, this is Dr. Zheng's second promise to go to 912 for further study.

Only this time, his mood changed somewhat.

Dr. Zheng, that's a real cow, but it's not pretending to be blown out.

Soon, the image of the thrombectomy catheter disappeared, and Su Yun caught the fresh embolus with a piece of sterile gauze.

On the white gauze, the purple-black plug of about 1cm looks so hideous.

It was it just now, blocking the coronary artery and almost killing Director Jiang.

"Old Jiang, take a look. Su Yun stood the gauze block on his side, and Zheng Ren was afraid that the bolt would fall down at any time.

But Su Yun generally has the right hand, so there should be no problem.

"You're all like this bear, and you're still screaming at the rescue, you say you, how much delay you have. Su Yun's temper was boundless, and the way he spoke did not change.

Director Jiang rarely sees fresh blood clots, and as for his own, this is really the first time.

He smiled, it turned out that when the plug was removed, it didn't hurt.

"Boss, you said that the front branch was 100% blocked, why didn't he react?" asked Su Yun.

"I was so nervous, I had too much lactic acid in my body, and I didn't feel the pain obviously...... Well, that doesn't seem right. Zheng Ren said and said, and couldn't go on.

These are not reasons, and Zheng Ren himself feels very far-fetched to say it.

In fact, what he thought in his heart was that what supported Director Jiang was his enthusiasm.