Xie Ning looked at his "son-in-law", who didn't know his identity yet, and thought it was very interesting.

The little guy looks a little silly and honest, but the operation is really good. At such a young age, he can go to Mayo and Heidelberg for surgery, which is not an ordinary ability.

"Zheng Ren......" Xie Ning just shouted, and Zheng Ren's mobile phone rang.

Zheng Ren smiled apologetically, his face full of exhaustion, and picked up his phone.

"Fugui'er, we're going to dinner, come along. Zheng Rendao.

"Okay, I'll be right there. ”

"No, I'll go faster by myself, and you have someone pick me up at the door. Forget it, you pick me up yourself. ”

After Zheng Ren finished speaking, he hung up the phone.

"Boss, what's the matter?" Su Yun was obviously a little unhappy, this wine game, in Su Yun's opinion, would make some jokes more or less, which were all points to laugh at Zheng Ren in the future.

But this shipment is really good, and the professor seems to have encountered some kind of problem. Su Yun thought, a little regretful.

Fuguier said that there was a thoracic aorta stent on that side that went down into the false cavity. Zheng Rendao.

The regret in Su Yun's heart dissipated, and he couldn't help but feel a sigh.

Aortic dissection, which is the kind of disease that Cui Heming had on the plane, can be treated by interventional surgery as long as it is not type 1. Now Type 1 is also available, but the difficulty is too high, and few people do it.

However, when the stent is lowered, there will be a complication - the stent does not go down in the thoracic aortic trunk, but enters the middle layer of the blood vessel through the torn incision, and the false lumen is propped up.

In this way, the patient's condition will worsen and he may die at any time.

This complication is extremely rare, and it occurs because of the doctor's surgical level, which can be said to be a very serious medical accident in China.

Level up many times before this complication can occur!

Zheng Ren sneered in his heart.

Zheng Ren had only seen similar reports in magazines about this kind of man-made injury, and he still didn't know how to treat it.

He smiled apologetically and said, "Uncle Ning, you guys go to dinner first, I'll have an operation." If it goes well, it is estimated that you can go in an hour. ”

"Do you use me?" asked Su Yun solemnly.

As a doctor, when I hear about emergency surgery, I put myself in the game every time, which is a sense of mission.

"There are rich and noble, I'll go and see the situation, and you can talk to Uncle Ning. Zheng Rendao.

"Good. Su Yun responded.

Although it is a bit regrettable, it is still important to rescue in the first instance. The thought of him going down into the false cavity caused his condition to worsen...... The blood flow of the aorta is frantically poured into the dissection, and now I am afraid that the blood vessel dissection is directly torn to the tip of the toe.

MD, isn't the medical level of Fugui'er not very good, Su Yun thought to himself.

Shainin looked at his cheap and capable son-in-law who was so busy even in Heidelberg, Germany, and was a little helpless. But it's an emergency rescue, so it's hard to say anything.

It's quite capable, Shainin smiled.

"Dr. Zheng, don't call a taxi, take my car. Zou Jiahua said.

"Then you're welcome. Zheng Ren responded directly.

In fact, when he talked to Professor Rudolf Wagner, he had this idea. Zou Jiahua is a human spirit, it is impossible not to know what he means.

Just sitting on the elongated Lincoln to have surgery, will it be too ostentatious, this Zheng Ren has never thought about.

After saying sorry to Xie Ning and Zou Jiahua, Zheng Ren turned around and left. An entourage of Zou Jiahua's side followed and took Zheng Ren to the elongated Lincoln.

The car drove very steadily, and Zheng Ren sat in the car and entered the system space, ready to do surgical training.

The operating room of the system rose from the ground, and after Zheng Ren entered, he took a look at the film, and directly started the operation, the catheter entered, and as soon as the imaging was made, Zheng Ren was stupid when he saw the image.

The stent in the subject's thoracic aorta is proximal to the thoracic aorta and distal to the torn false cavity. The true lumen of the thoracic aorta is almost free of blood flow, and the false cavity, although not as exaggerated as I expected, has also been torn directly to the location of the common iliac artery.

This...... It's too heavy.

The severity of the condition, beyond Zheng Ren's estimate, is imminent, and the patient may die at any time due to the rupture of blood vessels.

The outer layer of the thoracic aorta is relatively tough, and the patient is lucky, so there is no rupture and bleeding. The high pressure in the aorta continues to tear the blood vessels open and irrigate all the way to the common iliac artery.

The blood vessels here are not comparable to the thoracic aorta in terms of thickness or thickness, and they can be torn at any time.

As long as the blood vessel is broken, the patient will definitely die.

scolded in his heart, Zheng Ren just wanted to operate, and he was directly stunned.

How does it work?

This is an extremely unfamiliar operation, and even Zheng Ren, who is at the peak of one step, is beginning to be a little confused.

Surgery is not something that can be done just by saying.

Femoral artery puncture, in general, is built with a guidewire and catheter.

The patient's current situation is to remove the stent, and the aortic true and false lumen cannot be operated at the same time.

A guidewire and catheter will definitely not be able to operate in two places at the same time.

Zheng Ren thought for a while and decided to adopt an operation mode that he had never done before-bilateral femoral artery catheterization.

It's just that I'm the only one in the operating room......

With a sigh, Zheng Ren concentrated on the existing situation. Even if it's just one person, so what?

He is a man at the peak of one step, Zheng Ren cheers himself up.

The subject exposed both femoral arteries under general anesthesia and placed a sheath, and Zheng Ren did not care about the aseptic operation, knelt on the narrow operating table, and began the operation.

After all, if it were to be operated on, the other side would be given to Professor Rudolf Wagner. Zheng Ren still gave a strong recognition to the level of the professor.

Bilateral femoral artery puncture with the right catheter inserted into the true lumen and the left catheter placed directly into the false lumen. After the insertion of a rigid guidewire, a 5F, 95 cm long wind guide sheath was placed at the level of the celiac trunk for angiography, and the results showed that the celiac trunk, superior mesenteric artery, and right renal artery were supplied to the true lumen, and the left renal artery and lumbar artery were supplied to the false lumen.

The left sheath is placed distal to the original stent in the false lumen and a multi-ring snare is placed. The right side is exchanged for a 10F sheath with a rigid guidewire and placed in the true lumen so that it is 2 cm away from the end of the original stent.

After several failed surgeries, Jung in summed up his experience and began to have certain ideas about surgery.

A 5F catheter is placed through the end of the 10F sheath and near the snare in the false lumen. Follow up with a 0.014-inch guidewire and pass through the inner membrane piece between the true and false lumen into the snare with the fit of the catheter. The guidewire and catheter are then placed into the original stent.

After the exchange of the rigid guidewire, the continuous balloon dilates the window to a diameter of 25mm, followed by the placement of a 36mm wide and 77mm long TX2 stent, half of which is located in the original stent and the other half in the true lumen of the abdominal aorta above the celiac trunk.

Angiography shows increased perfusion of splanchnic and renal arteries.

At the end of the operation, the completion rate was 88%.