Chapter 1384 [1384] Hanging


    It is not only for puncture, for fear of making mistakes, send the guide wire under fluoroscopy as much as possible without blind insertion. At this time, the guide wire is sent to the wrong ce again, which can only be a special situation.


    Is there something blocked in the blood vessel? Arterial lusion usually urs in the lower extremities and is less likely to ur in the upper extremities. Doctors will push heparin, and double-antibodies should be used for interventional surgery. Doctors are more afraid of bleeding during guide wire delivery. If the patient is nervous, vasospasm can also cause signs of guide wire jamming. For this reason, doctors routinely push verapamil and nitroglycerin, which can alleviate such symptoms slightly.


    The probability of both of the above happening is low. Jin Tianyu thinks so. The reason can only go back to the possibility of the guide wire going into the wrong branch. Whether the guide wire is in the wrong branch or not, the light from the ne perspective may not be able to fully see the whole picture.


    "When you sent it in, how big was the resistance? Is it too big?" Jin Tianyu asked Dr. Fang again to determine if the guide wire had really gone wrong and entered the branch just now.


    Everyone in the control room was listening to the answer.


    prate the branch and the resistance will increase. The branches are smaller in diameter than the trunk, and skilled doctors can feel this delicate touch. Therefore, the urate answer of Dr. Fang is very important.


    Doctor Fang replied with difficulty while recalling: "I didn''t feel a lot of resistance before, and if there were any, I would definitely not dare to force it."


    Slowly delivered, no major resistance was encountered along the way, indicating that the route taken is the right one. How could it suddenly be wrong? Doctor Fang couldn''t understand. This guide wire should have been slid in along the big passage, the way is easy. The guide wire walks the path by itself without the doctor''s forced delivery? And he looked at the fluoroscopy and it didn''t show that the guide wire went to the branch.


    "Why don''t you try it yourself." Doctor Fang couldn''t figure out if he didn''t understand, so he suggested to Jin Tianyu to try it himself to see if what he said was correct.


    Jin Tianyu didn''t move, obviously to weigh the pros and cons.


    Dr. Fang tried to get stuck in this ce before. If he wants to try again, he must first find out the reason, otherwise it will only increase the risk. Just luckily, the guide wire was withdrawn. If it gets stuck again, the guide wire may not be able to be sessfully withdrawn as lucky as just now.


    "Hang." Li Chengyuan looked anxious at the people in the operating room and said to Fu Xinheng, "It''s hard to say whether they have been sent to the brachial artery. It will be more difficult to reach the axiry artery and the aortic arch of the subvian arteryter."


    The guide wire from the radial artery to the cardiac artery needs to pass through the brachial artery, axiry artery, subvian artery, and then the aortic arch and finally reach the bottom of the aortic sinus. At this time, a contrast agent is created to determine the blocked coronary artery segment, and a stent is ced if necessary.


    The lower segment of the brachial artery is formed by the confluence of the ulnar artery and the radial artery. At the same time, it is an arterial trunk, which means that other blood vessels such as the deep brachial artery, the superior ulnar coteral artery and the inferior ulnar coteral artery will emerge from it.


    The human cardiovascr system itself is an extremelyplex and huge project, and blood vessels are an important part of the cardiovascr system. It is distributed throughout the human body and is staggered, and each person''s blood vessel map may be different.


    Doctors who learn medical knowledge can only learn the same part of human body structure, and small differences can only be analyzed and controlled by clinicians based on individual cases. Now the vascr part of this case seems to be extremely difficult for the "different" part, and it is difficult for doctors to control it all at once.


    The time of emergency patients is life. Doctors can''t think about it slowly. They must get it done or make a decision as soon as possible.