Zhou Congwen wore a lead suit and brushed his hands. After returning to the operating room, the order was laid. Director Jiang was standing in the assistant's position and was undergoing femoral artery puncture.

Put on the surgical gown and stand at the operator's position. DSA underwent abdominal aortic angiography and superselective hepatic angiography. Zhou Congwen was very skilled, and he knew that this step was just to do everything and follow the process.

Normally, thrombosis in liver transplantation for 3 days can be dissolved by thrombolysis, but the reward given by the patient in front of him is too generous. Zhou Congwen predicted before the operation that thrombolysis should not be treated and surgery is required.

But this is just a guess. Guess cannot be counted, and you must follow the normal process.

As long as Zhou Congwen stands in the operating room and in the hospital, he will never make arbitrary decisions and will speak with objective facts.

Director Jiang looked at Zhou Congwen's actions and wanted to speak several times but stopped. The guide wire was in a lot, and it might have been discounted in the blood vessels. Now we should check the location of the guide wire by graphic imaging.

Zhou Congwen's expression looked a little wrong. It is estimated that this is his first time in interventional thrombolysis treatment after liver transplantation.

It seems that my experience this time is richer than Zhou Congwen, Director Jiang thought to himself.

"Professor Zhou." Director Jiang felt that Zhou Congwen had entered the wire guide too much, so he endured it for a long time and still reminded him.

"Hmm?" Zhou Congwen responded while undergoing the operation.

"Can you take a picture now?"

"Need not."

No need... Director Jiang was stunned for a moment.

Although I felt that Zhou Congwen did something wrong, Director Jiang did not point it out directly on the operating table.

After all, I worked very well with Zhou Congwen before. He had some problems today and would not question the operation. Wait until I wait, I always need an angiography, so I will talk about it then.

Director Jiang widened his eyes and immediately reminded Zhou Congwen when he saw something wrong when he saw it.

"Chief Han, go out first." Zhou Congwen reminded less than 2 minutes later.

"Have you arrived at the location? So fast?" Director Han asked in surprise.

"Yeah, it's here." Zhou Congwen nodded.

Everyone who was not wearing lead clothes left the operating room, leaving only the surgeon, assistant, anesthesiologist, and Zhou Congwen did not even leave the instrument nurse.

Is the angiography? It’s not a surgical procedure. Why do you need to keep the equipment and nurses eating wires together?

If Liu Wei hadn't put on his lead clothes early in the morning, Zhou Congwen would have wanted the anesthesiologist to go out too.

The airtight lead door is closed, and Zhou Congwen starts to step on the line.

Director Jiang looked at the images on the DSA machine screen and stared blankly, feeling sad in his heart.

If he had surgery, the guidewire would still be in the iliac artery position when stepping on the thread. There were branched blood vessels there, such as super-selecting with naked eyes.

But Zhou Congwen had just twisted the guide wire into the blood vessel. Director Jiang saw that the guide wire was entering a lot, and he thought it was the guide wire that was broken in the blood vessel. He never expected that Zhou Cong's illiterate fucked the guide wire to the position of the hepatic artery.

How did he do it?

How did he do it!

"Xiao Zhou, why are you so accurate in your blind fucking?" Director Jiang asked in surprise.

"Touch." Zhou Congwen replied while starting to prepare for angiography by starting the catheter, "The blood flow speed at the bifurcation of the iliac artery is different. You can't say such things. You will know if you do too much."

Director Jiang cried very sadly.

When a young boy despises the surgery, where can I reason!

Although he was a little surprised and distracted, Director Jiang had long been used to Zhou Congwen's magicality. He did what an assistant should do and connected the high-pressure syringe as soon as possible.

As Zhou Congwen made a gesture, he began to inject contrast agent.

During the operation, abdominal aortic angiography showed that the hepatic artery was filled with defects from the beginning, and there was no blood flow, and thrombosis was formed.

really!

The hepatic artery was blocked and it was completely blocked.

The current situation is different from the thrombolysis treatment of coronary blood vessels.

The blood vessels that are anastomotic in liver transplant surgery are still in the edema stage 3 days after the operation. If the movements are a little rude, there will be big problems. This is not a problem of technical level, but a problem of principle.

If there is no way to remove the thrombus, then thrombolysis treatment can only be performed.

The hepatic artery opening treatment catheter was injected with 500,000 u of urokinase through the catheter pulsed bolus.

Director Jiang could see that Zhou Congwen was placed in a catheter with a very accurate position, less than 1m away from the anastomosis of the hepatic artery.

The thrombolysis catheter is almost pushed to the emboli to push the thrombolysis medicine. Director Jiang dares not do this kind of face-riding operation.

If you are not careful, the anastomosis of the hepatic artery will be touched, causing unpredictable consequences.

This is also the reason why he dare not operate.

If you are not careful, the operation will be slapped. Next, the patient may die on the operating table.

But Zhou Cong's literary and artistic talent is brave and dares to place the thrombolysis catheter so close to the anastomosis port. Director Jiang admires the operation of the face.

"Xiao Zhou, I was amazed once when I saw this interventional surgery. To be honest, I didn't believe in talent before, surgery, carpenter work, even if I do too many things, I will do it."

Taking advantage of the gap between thrombolysis, Director Jiang said to Zhou Congwen with emotion.

"Oh, that's true." Zhou Congwen was not polite and said lightly, "Your generation hasn't caught up with the good time."

"..." Director Jiang was not angry when he heard Zhou Congwen say this, but sighed.

The reason is very simple. When the interventional surgery enters the country, hospitals can afford DSA machines and have related consumables. This is after joining the WTO. Before that, the hospital was poor and could not think about DSA machines.

Not to mention the DSA machine, CT has not yet become popular for more than ten years.

Director Jiang waited for the hospital to enter the DSA machine before he started learning interventional surgery, which was also a matter of being on the shelves. But he knew very well that he was old and had passed the best study period.

Zhou Congwen said the truth, and he had even more ugly and more real words that he didn't say.

"But it's okay, it will always get better if you do too much." Zhou Congwen comforted him indifferently.

"Xiao Zhou, do you guess the thrombus can dissolve?" Director Jiang asked.

Zhou Congwen shook his head, "It's very difficult."

A despair rose in Director Jiang's heart.

What should the patient do if it cannot dissolve?

"Director Jiang, what surgery has our vascular surgery carried out?"

"..." Director Jiang was ashamed.

If someone else asked this question, Director Jiang would be proud to tell the techniques he had mastered.

Director Jiang has only a handful of levels in the province.

But in front of Zhou Congwen, Director Jiang did not dare to say anything. What if Zhou Congwen asked himself, how was the carotid endarterial exfoliation surgery done? How was the major artery torsion reduction surgery done?

How do you answer yourself?

Some surgical procedures overlap with cardiothoracic surgery, so Director Jiang won’t cause trouble for this.

"Xiao Zhou, what should I do if I can't dissolve it?" Director Jiang smiled embarrassedly and asked in a low voice.

"Let's see."

The thrombolysis of the catheter was placed for 20 minutes and the contrast was performed again. The hepatic artery thrombosis was indeed dissolved a little under the action of urokinase, which was useless.

Director Jiang sighed deeply.

"Prepare to start the stage together. Director Jiang, you can do it by taking the radial artery."

Zhou Congwen was not disappointed, but looked at Director Jiang and asked.
Chapter completed!