I Can See Health

The next day.

Guanghai First Hospital, Cardiology Department Catheterization Room.

After the ward check, Lu Chen took Jin Miao to the catheterization room.

"How did you watch the video last night?" Lu Chen asked with a smile.

"Very good." Jin Miao said, and then touched his head embarrassedly, "It's just that there are too many videos and the time is too short. I haven't finished watching it yet."

"It doesn't matter, I'll watch it slowly later." Lu Chen said, "Today's operation, you mainly watch it. I will stop and explain the important operation process to you slowly."

"Well, thank you Director Lu."

This is the first time Lu Chen has come to the catheterization room of Guanghai First Hospital.

The entire catheterization room has a total of ten operating rooms, which is even larger than Kyoto and Modu.

It's really rich!

There are a total of six common operating rooms.

Lu Chen's operation this time was performed in the No. 2 operating room.

The hospital attaches great importance to Lu Chen's operation, which is a breakthrough in the hospital's "zero".

The reporters invited by the hospital are already waiting in the catheterization room.

The reporters are mainly responsible for a brief interview with Lu Chen after the operation and taking some photos related to the operation.

All other interventional doctors in the cardiology department, as long as they were not on duty, rushed over.

For example, the directors of various departments in the cardiology department, Yan Wanfeng of the second cardiology department, and others came to the scene.

This is a good opportunity to observe the tavr surgery up close!

The hospital has even prepared a podium camera to record all the surgical processes so that others can learn.

…

After changing into brand new surgical gowns and lead gowns, Lu Chen and Jin Miao entered the catheterization room together.

Outside the catheterization room, everyone held their breath and watched Lu Chen's movements silently.

Preoperative preparation, disinfection, drape, puncture.

These routine operations are not much different from normal coronary intervention and electrophysiology.

While Lu Chen was operating, he taught: "In fact, Academician Guo of the Department of Cardiology at Sun Yat-sen University summarized the 18 steps of tavr surgery in detail."

"If every operator can master these steps skillfully and analyze the difficulties and crux of the problem, they can avoid complications to the greatest extent, and then tavr will not be difficult."

Jin Miao echoed on the side: "Well, I have also listened to Academician Guo's lectures before, but these 18 steps are a bit cumbersome. If you don't practice the surgery frequently, it's easy to forget."

In fact, in clinical practice, there are very few doctors who can perform surgery by themselves.

The cumbersome surgical steps are very easy to forget.

"So, the next is the key point I want to talk about." Lu Chen said in a deep voice, "I summarized the 18 steps of tavr surgery into four points abcd."

Hearing this, Jin Miao's eyes lit up.

As a beginner of tavr surgery, Jin Miao was very interested in Lu Chen's experience summary.

Lu Chen smiled and continued: "First, A refers to ESS, which means access treatment."

"This is the first skill to learn for TAVR surgery."

"In previous interventions, the sheath inserted into the artery was only 6-7F, which was simple to handle. But most TAVRs are above 18F, which is complicated and dangerous. Many interventional doctors need to learn again."

"..."

Lu Chen explained while operating.

His hands moved slowly and calmly.

His words could be heard directly by people outside the catheter room through the voice system.

Outside the catheter room.

The crowd of onlookers originally just wanted to join in the fun.

To see how the first TAVR surgery in the hospital was performed.

After all, if you don't observe in the catheter room, you can learn very little.

However, as Lu Chen's teaching deepened, everyone was amazed.

This is not just doing surgery!

Instead, he summarized his own surgical experience and passed it on to everyone present.

"How dare this guy to modify the academician's surgical steps!" Director Yan Wanfeng sat outside the catheter room and sighed.

These people, if they meet an academician, they may not dare to breathe.

Lu Chen, on the other hand, directly summarized a more concise four-step method based on the surgical steps stipulated by the academician.

The most surprising thing is that Lu Chen did not hide anything, and directly told all his surgical experience, even the details of each step of the operation.

In fact, Lu Chen is different from others.

Many directors or deans like to suppress young people.

To put it bluntly, today is to prevent young people from surpassing themselves, so when imparting various knowledge and experience, they will more or less leave a little trick.

Lu Chen does not need it.

He is not afraid of others surpassing him at all!

...

After successfully completing the first step, Lu Chen started the second step.

"B stands for balloon."

"This is also the core step of the TAVR surgery, including anterior and posterior dilation."

"Balloon dilation can not only improve hemodynamics, but also provide important reference for valve selection and risk assessment of coronary artery obstruction."

"Of course, if you are not careful, it may also cause some serious complications, such as annular rupture and circulatory collapse."

Outside the catheter room, more and more interventional doctors are watching.

Many people even took out paper and pen and began to record every word Lu Chen said.

The operation started in less than half a quarter of an hour.

Other interventional doctors have already filled the catheter room.

"Congratulations, I received the thank you value from Jin Miao..."

"Congratulations, I received a thank you from Dai Wansong..."

Lu Chen had already noticed it.

On the system panel, his gratitude value is rising crazily!

Among the interventional doctors outside the catheter room, the youngest one is also the attending doctor, and most of them are associate assistant physicians and chief physicians!

The higher the professional title, the more appreciation points Lu Chen received.

In just ten minutes, he earned several hundred gratitude points.

…

Lu Chen continued: "The third point of the surgery, c, refers to crossing, which means crossing the valve."

"This is the speed-limiting step of tavr surgery. Sometimes it is difficult and takes a long time. It is often the step that determines the length of tavr surgery. This step also requires certain skills."

Lu Chen will also demonstrate specific techniques with Jin Miao.

This made the onlookers jealous!

How they wish they could take Jin Miao's place at this moment!

More and more interventionalists are watching.

Director Yan Wanfeng had no choice but to come forward in person to maintain order at the scene.

Inside the catheter room.

Lu Chen was solving the problem for Jin Miao step by step. UU reading www.uukanshu.net

"The last step of the operation is D, deployment, which is valve release."

"Sometimes it is said that if TAVR surgery is a football match, valve release is the last kick. The previous steps have been laying the groundwork and passing the ball. The last kick determines success or failure. It feels like failure or failure. "

"It can be seen that this step is very important in tavr, and it is often completed within 2 minutes. This is also the charm of tavr!"

abcd, the four precautions are explained in detail.

And Lu Chen's surgery ended successfully!

－－－－－－Digression－－－－－

Originally there was another chapter, but I haven’t revised it yet. I’m too sleepy, so I’ll post it tomorrow morning.

Thank you all for your tips and monthly votes.

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