Chapter 1063

Xie Ning looked at his "son-in-law" who didn't know his identity and felt very interesting.

The little guy looks a little silly and honest, but the operation is really good. So young, you can go to Mayo and Heidelberg for surgery, which is not generally capable.

"Zheng Ren..." Xie Ning just called, and Zheng Ren's cell phone rang.

Zheng Ren smiled apologetically. His face was full of fatigue and picked up his mobile phone.

"Rich and noble, we're going to have dinner. Come with you." Zheng Rendao.

"Hmm? OK, I'll be there in a minute."

"No, I'll go myself. It's faster. You have someone pick me up at the door. Forget it, pick me up yourself."

Zheng Ren finished and hung up.

"Boss, what's up?" Su Yun is obviously a little unhappy. In Su Yun's opinion, this wine Bureau will make some jokes more or less, which is the point of laughing at Zheng Ren in the future.

But the goods are really lucky. The professor seems to have encountered some problems. Su Yun thought with some regret.

"Fuguier said that there was a thoracic aortic stent on that side and went into the false cavity." Zheng Rendao.

Su Yun's regret dissipated, and he couldn't help but feel a chill.

Aortic dissection is the kind of disease Cui Heming had on the plane. As long as it is not type 1, it can be treated by interventional surgery. Now type 1 is OK, but it is too difficult and few people do it.

However, when removing the stent, there will be a complication - the stent is not placed in the thoracic aortic trunk, but enters the middle of the blood vessel through the torn opening to open the false cavity.

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

This kind of complication is extremely rare. It also occurs because of the operation level of doctors. In China, it can be said to be a very serious medical accident.

The level has to be many times before this complication can occur!

Zheng Ren said something in his heart.

Zheng Ren has only read similar reports in magazines about this man-made damage. He still has no number of specific treatments.

He smiled apologetically and said, "Uncle Ning, you go to dinner first. I'll have an operation. If it goes well, I'll be able to go in an hour."

"Use me?" Su Yun asked solemnly.

As a doctor, when he hears about emergency surgery, he replaces himself every time. This is a sense of mission.

"There are rich and noble children. I'll go and see the situation. You can chat with Uncle Ning." Zheng Rendao.

"OK." Su Yun responded.

Although a little regretful, emergency rescue is still important. When he thought of going into the false cavity under the stent, his condition became worse... The blood flow of the aorta poured frantically into the dissection. Now I'm afraid the dissection was torn directly to the toe tip.

MD, the medical level of rich children is not very good, Su Yun thought to himself.

Xie Ning looked at his cheap and capable son-in-law, who was so busy even in Heidelberg, Germany. But that side is emergency rescue, and it's hard to say.

It's very capable. Shaning smiles.

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

"You're welcome." Zheng Ren responded directly.

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

Zheng Ren never thought about whether it would be too ostentatious to sit in a lengthened Lincoln for surgery.

And Xie Ning, Zou Jiahua said sorry again, Zheng Ren turned and left. Zou Jiahua's entourage followed and took Zheng Ren to the lengthened Lincoln.

The car is very stable. Zheng Ren sits in the car and enters the system space to prepare for surgical training.

The system operating room sprang up. After Zheng Ren entered, he took a look at the film and directly started the operation. The catheter entered. As soon as he underwent angiography, Zheng Ren was stupid when he saw the image.

The stent in the thoracic aorta of the experimental body is located in the thoracic aorta at the proximal end and in the torn false cavity at the distal end. There is almost no blood flow in the true lumen of the thoracic aorta, and although the false lumen is not as exaggerated as expected, it is also directly torn to the position of the common iliac artery.

This... Is too heavy.

The severity of the disease, beyond Zheng Ren's prediction, is imminent, and the patient may die of vascular rupture at any time.

The outer layer of the thoracic aorta was tough, and the patient was lucky, so there was no rupture and bleeding. The high pressure of the aorta continues to tear the blood vessel and pour it all the way to the common iliac artery.

The blood vessels here are neither thick nor thick compared with the thoracic aorta and will be torn at any time.

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

He scolded in his heart. Zheng Rengang was confused when he wanted to operate.

How to operate?

This is a very strange operation. Even Zheng Ren, who has reached the peak, began to be a little confused.

Surgery is not done by saying.

Femoral artery puncture usually has a built-in guide wire and catheter.

The current situation of the patient is to remove the stent, and the operation between the true and false lumens of the aorta cannot be performed at the same time.

One guide wire and catheter can't operate at the same time.

Zheng renning thought for a moment and decided to adopt an operation mode he had never done - bilateral femoral artery catheterization.

It's just that there's only one person in the system operating room

With a sigh, Zheng renning responded to the existing situation. Even if there is only one person, what can it be?

He is a man at the top step. Zheng Ren cheers him up.

The experimental subjects exposed bilateral femoral arteries under general anesthesia and put them into the sheath. Zheng Ren ignored the aseptic operation and knelt on the narrow operating table to start the operation.

After all, the other side can be handed over to Professor Rudolph Wagner when the operation is really carried out. Zheng Ren still gave a strong recognition to the level of the professor.

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

The left sheath was placed at the distal end of the original stent in the false cavity and inserted into the multi ring snare. On the right side, exchange the 10F sheath through the hard guide wire and place it in the true cavity to make it 2cm away from the end of the original stent.

After several failed operations, Zheng Ren summarized his experience and began to have some ideas about the operation.

A 5F catheter was inserted through the end of the 10F sheath and close to the snare in the false cavity. Follow up the 0.014 inch guide wire and enter the snare through the inner membrane between the true and false cavities with the cooperation of the catheter. Then the guide wire and catheter were placed into the original stent.

After exchanging the hard guide wire, the continuous balloon dilated the window to a diameter of 25mm, and then placed a 36mm wide and 77mm long TX2 stent, half in the original stent and the other half in the true lumen of abdominal aorta above the celiac trunk.

The perfusion of visceral artery and renal artery increased.

The completion rate was 88%.