Wu Mian''s hands twisted and rubbed the guide wire, and each joint of his wrist and fingers kept slightly adjusting the direction. Generally speaking, interventional surgery is like this. Through the action of fingers, the guide wire can "live" and walk in the blood vessels for super selection.
It''s just that two hands operate one guide wire. No one will operate two guide wires at the same time, still in one blood vessel, like Mr. Wu. no It''s three. Chu Zhixi in the operation room also operates the valve clamp with a mechanical arm.
A cool breath rose from Gao Boxiang''s heel, just like someone blew a breath on his heel. The cool breath wound straight up and rushed all the way to the back of Gao Boxiang''s head.
Goosebumps all over Gao Baixiang''s body have sprung up. He can personally see teacher Wu''s divine operation. He didn''t boil in vain all day and night! Whether you succeed or not, it doesn''t matter. It must be worth the ticket price to see Mr. Wu''s strange ideas with your own eyes.
Looking up, Gao Baixiang saw two guide wires walking and superselective in the blood vessel.
Either side by side or staggered. On the screen, it looks like two snakes. They have their own intelligence. No matter how winding their blood vessels are, they don''t seem to have brought them any confusion.
Super selection, success, progress... Gao Baixiang has done more than 5000 interventional operations, but he has never seen such images.
This is an interventional operation!
Suddenly, two guide wires entered the abdominal aorta after passing through the external iliac artery, and the rugged and narrow road became suddenly bright. Then it should be the thoracic aorta. It seems that it should be difficult to pass through the aortic arch... Gao Baixiang thought.
"Director Gao, don''t be stunned." Wu Mian''s voice came slowly.
"Er..."
"Hold the guide wire firmly and hold it with both hands. I must not let the falling force of the guide wire affect my operation." Wu Mian said briefly.
Gao Baixiang immediately understood that he had just made a mistake because of his stupidity.
Although he is only an assistant, Mr. Wu operates two guide wires with both hands, which is already the limit operation. He can only manage the front and can''t care about the back.
The guide wire itself is very long. After super selection enters the blood vessel, there is also a section of "tail" falling behind. If you can''t hold the guide wire, it will lead to countless changes in the previous operation.
Gao Baixiang clearly knows that it''s not that Mr. Wu really can''t solve this problem, but that he can make the operation more stable and the probability of error less. Why not do so.
Although Mr. Wu didn''t scold himself like those bad tempered practitioners, Gao Baixiang knew he was wrong.
"Don''t worry, Mr. Wu." he didn''t explain too much. He held two guide wires in his hands, with his right hand behind him, like an assistant delivering bullets from a heavy machine gun, holding it steadily to offset the falling force.
The two guide wires continued to move forward. The curved aortic arch had many openings, but the guide wire did not make a mistake, but just walked along the road.
The aortic arch is curved. Generally, when you want to pass here, you need to "borrow" from the vascular wall and change the direction after hitting the wall. However, Gao Baixiang did not see that the two guide wires touched the blood vessel wall even once and directly entered the descending aorta along the curved aortic arch.
Gao Baixiang understands the benefits of this - to avoid the guide wire touching the blood vessel and causing the atherosclerotic plaque to fall off. But he didn''t understand how Mr. Wu operated and why there was an arc in the guide wire out of thin air.
However, this question was deeply buried by Gao Baixiang. He didn''t dare to think about it. How does the guide wire bend without hitting the wall? Is it all micromanipulation?
Although it''s only surgical training, it doesn''t matter if it fails, and it''s not really surgery for patients. But Gao Baixiang didn''t think so. He was curious about what teacher Wu would do next.
And in this level of surgery, he was too stupid. Even if Mr. Wu didn''t scold himself, he was sorry.
It''s just as disgusting as being lit with ink on the river map on the Qingming Festival and turned into the tomb map on the Qingming Festival.
When the guide wire entered the left ventricle, Wu Mian stopped and said, "girl, I''ll support the mitral valve and you clamp it with the mitral valve clamp. The action should be stable, accurate and fast."
The intercom was silent for a few seconds. Chu Zhixi hesitated and said, "I''ll try."
"Girl, you''re a very good neurosurgeon. It''s like microsurgery," Wu Mian said.
"Hmm!" hearing Wu Mian say so, Chu Zhixi''s confidence is obviously enough.
Although Gao Baixiang understood Wu Mian''s words, he still didn''t know what he wanted to do. Using two soft guide wires to support the mitral valve... Or operating in the turbulent blood flow of the heart has exceeded his understanding of things.
The mitral valve attached to the left fibrous atrioventricular ring is a tissue structure formed by the folds of the endocardium.
It has two valves. The valve located in the anteromedial side is called the anterior apical valve. It is large and often called the large valve. It is the boundary mark between the inflow and outflow channels of the left ventricle.
The posterior apical valve is located at the posterolateral side, which is small and often called small valve. The valve is triangular and pointed to the left ventricular cavity.
The bottom edges of the two valves often fuse with each other, and there are many tendons connected to the * * muscle at the valve tip, edge and ventricular surface. During ventricular contraction, the mitral valve closes the atrioventricular orifice tightly to prevent blood from flowing back into the left atrium.
The causes of mitral regurgitation are stiffening, shortening, deformation, adhesion and fusion, tendon fusion and shortening.
Like the muscles of the elderly, there is no "spiritual head" and no strength. The mitral valve hangs to the ventricular cavity, and there is no way to close the door as blood is pumped from the left atrium into the left ventricle.
Gao Baixiang understood that what Wu Mian had to do was to support the gate with two sticks
But a hard stick can do this, but it seems that no one can hold the gate with two ropes.
"I opened it," Wu Mian said softly. Then on the opposite screen, a guide wire slightly raised its head and put it at the root of the tendon of the anterior apical valve.
I didn''t see how hard Mr. Wu exerted himself, or couldn''t exert himself at all, but Gao Baixiang felt that the anterior apical valve moved slightly. The amplitude is not large, or it may be the illusion caused by the residual shadow.
With the faint beating of the mitral valve, another guide wire is pushed at the tip of the anterior tricuspid valve.
Almost at the same time, the mitral valve clamp opens and fits into the anterior apical valve supported by force.
The guide wire supporting the tip of the anterior tricuspid valve enters and then leaves with the mitral valve clamp.
But the problem appeared. The supporting force disappeared, but the mitral valve clamp did not fully keep up at the first time. Chu Zhixi''s operation was a little slower, and the anterior tricuspid valve immediately slipped out of the position of the clamp mouth.
The first attempt failed.
"Don''t worry, you''ve done a good job." Wu Mian pressed the intercom and said gently, "it''s OK to try again twice. Don''t worry."
"HMM." Chu Zhixi was in a stable mood without any waves.