I Can See Health

   Chapter 438 Making History

   means that after the guide wire goes in, the next step is the entry of the electrode.

   In addition to the conventional guidance under X-ray fluoroscopy, Lu Chen pasted several electrode pads on the patient's body, established a three-dimensional electric field, and guided the electrode lead by scanning the movement trajectory.

   This is also one of the difficulties of surgery.

   In addition, electrodes implanted in the patient's left ventricle can defibrillate and improve cardiac function. The lead is thicker and more difficult than a simple pacemaker lead!

   In the next step, Lu Chen and Qin Sifeng cooperated with each other.

   This is not an operation in a surgical simulation room, it is all a standard technique.

  Real clinical surgery is completely different from simulated surgery!

  Lu Chen is always paying attention to various sudden changes, such as the impact of the patient's breathing on the blood vessels, the displacement of the heart, and even the malformation of the patient's own blood vessels.

   Each of the above points may affect the operation of the operator.

  …

  Time is passing slowly.

   The surgery has been going on for two hours.

   Ordinary electrophysiological surgery, up to an hour, and this surgery has more than doubled the normal time.

   At this point, the guide wire electrode has been successfully placed in the correct position, and the pacemaker has also been placed.

   However, this is just the beginning.

   "How is the pacemaker function?" Qin Sifeng asked.

   In this operation, the electrodes are retrograde from bottom to top to the heart chamber, and the operation is much more difficult than the usual top-to-bottom operation.

  It is difficult to place the electrodes in place, especially the left ventricular electrode is extremely difficult, and due to the effect of gravity after surgery, the risk of pacing disorders caused by electrode displacement is high.

  Lu Chen shook his head slightly, "The position is not quite right and needs to be adjusted. If this is the case all the time, the pacemaker will be easily displaced, resulting in pacing obstacles in the future!"

  Patients now rely on pacemakers to survive, once the pacemaker is blocked, it will be a huge blow to him!

   "Then continue to adjust the position." Qin Sifeng said, "Be sure to choose the best position."

  Lu Chen nodded, and with Qin Sifeng's cooperation, he constantly adjusted the positions of the electrodes and pacemaker.

  …

   In the live broadcast room of the surgery.

  The expressions of everyone are not very relaxed.

   But Li Yao, as Lu Chen's mentor, had a very bright smile at this time.

   He and Qin Sifeng were together, and they cooperated very skillfully.

   So much so that Li Yao almost forgot that the surgeon in front of him on the screen was his own graduate student.

  If he is a senior doctor in charge, or deputy chief doctor, there may not be too much surprise.

   Everyone praises two words, it may be over.

   However, the identity of the artist is an unknown second-year graduate student!

   This is big news!

  Li Yao knew that no matter whether today's surgery was successful or not, Lu Chen had already made his mark in the electrophysiological surgery circle.

   In the electrophysiology circle in Kyoto, when you mention Lu Chen's name, everyone knows that there is such a person.

  …

   The doctor next to Yu Hewei saw Lu Chen's performance at this time, and the expression on his face was also very exciting.

   From the arrhythmia mapping, threshold location, and Lu Chen's operations, there are no flaws, so that even he can't pick out any faults.

   In the surgery live room.

   When someone reminded that Lu Chen was only a student of the second grade, the barrage exploded.

   "I'm going, this person who is undergoing surgery is a second-year graduate student? This technique must at least be a deputy director."

   "When I was in the second grade, I was still playing with mud."

   "I'm still in love."

   "His name is Lu Chen, he is in the same school as me, a postgraduate student in the Department of Cardiology of Jinghua Second Hospital, an influential figure in our college, and the champion of the National Clinical Skills Competition..."

In the    barrage, there has been a falling out.

   At first, they were discussing surgery, but now, they are discussing Lu Chen.

  …

   "The position is good!" Qin Sifeng looked at the debugging results with satisfaction. The pacemaker was running normally and its defibrillation function was not bad.

  Lu Chen still did not relax, his eyes were fixed on the screen of the operating table, the changes of the patient's heartbeat pacing.

   Pacemaker is very interesting, if a person's heartbeat is fast enough, it will automatically recognize it and won't work.

   It only starts working when the human heartbeat is too slow.

   At this time, the graphs on the ECG monitor are pacing heartbeats for several consecutive times.

   "Professor Qin, please observe for a while." Lu Chen said, "I'm afraid that the pacing function is not good. I will induce arrhythmia again later, and I will also evaluate the defibrillation function."

   "That's fine." Qin Sifeng nodded.

   The operation has been going on for four hours and is coming to an end.

   At this time, the closer you are to success, the more you can’t relax.

   Until the end of the surgery.

   After Lu Chen implanted the pacemaker under the skin, he was truly relieved when he put down the scalpel.

   "The surgery is over!" Qin Sifeng smiled and looked at the live camera.

  Lu Chen thought to himself, Qin Lao is really good at facing the camera.

   So, he also stretched out his right hand and made a "yeah" gesture towards the live camera.

   "Crack..."

   This picture of Lu Chen was captured by many viewers in the live broadcast room.

   The protagonist of today's operation is not Qin Sifeng, but the young student beside him.

  When the operation was over, everyone suddenly woke up. This made history!

  This operation is the world's first percutaneous hepatic vein implantation of a pacemaker with ICD defibrillation function!

   The whole process seemed calm on the surface, but Lu Chen, Qin Sifeng and the others were already sweating on their backs.

   "Congratulations, percutaneous hepatic vein puncture implantation, proficiency reached 76%!"

   A highly difficult operation raised Lu Chen's proficiency by several percentage points!

   "Congratulations, you received a +5 thanks from Fang Ruzhang!"

   "Congratulations, you received +10 thanks from Qin Sifeng!"

   "Congratulations, received +10 thanks from Li Yao!"

  …

  Suddenly, a series of beeps from the system made Lu Chen slightly confused.

   There are hundreds of reminders, and Lu Chen saw many familiar names, including his mentor Li Yao, Qin Sifeng who was present, and Fang Ruzhang himself.

   Some other unknown names should be the audience in the live broadcast room of the surgery.

   "They all gave me thanks?"

   Qin Sifeng's understanding is very good. As his assistant, Lu Chen's role is beyond doubt.

   But how to explain Li Yao's gratitude value?

  Lu Chen was taken aback for a moment. Could it be that Teacher Li Yao is also watching the live broadcast?

   Moreover, she also learned something from her live surgery?

  Lu Chen coughed lightly and immediately cleared this thought from his mind.

   No matter what the reason, the operation was successfully completed and a large number of thanks points were obtained, Lu Chen was overjoyed.

  …

   Get out of the cath lab.

   Lu Chen, Qin Sifeng and the others were greeted by countless applause.

   This operation was a huge breakthrough for Lu Chen.

   For the Department of Cardiology, The First Affiliated Hospital of Kyoto University, it is also a historic moment!

   (end of this chapter)