I Can See Health

  Chapter 758 Steps for Modifying Academicians (Part 3)

   The next day.

  Guanghai First Hospital, Cardiology Catheterization Laboratory.

After checking the room, Lu Chen brought Jin Miao to the catheterization room.

   "How was the video last night?" Lu Chen asked with a smile.

   "It's 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 them yet."

   "It doesn't matter, I'll take a look at it later." Lu Chen said, "Today's surgery, you mainly focus on observation. 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 lab of Guanghai First Hospital.

   There are ten operating rooms in the entire catheterization laboratory, which is even larger than Kyoto and the Magic Capital.

   Really rich!

   There are six common operating rooms in total.

   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 "zero" breakthrough in the hospital.

   The reporter invited by the hospital was already waiting in the catheterization room.

  The reporter is mainly responsible for a brief interview with Lu Chen after the operation, as well as taking some photos related to the operation.

  The other interventional doctors in the Cardiology Department rushed over as long as they were not on duty.

  For example, the directors of the cardiology department, Yan Wanfeng from the second district of the heart and others all came to the scene.

   This is a good opportunity to observe TAVR surgery up close!

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

  …

   Putting on a new surgical gown and lead gown, Lu Chen and Jin Miao entered the catheterization room together.

  Outside the catheter, 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.

  Lu Chen taught while operating: "Actually, Academician Guo of the Department of Cardiology of Sun Yat-Sen University outlined 18 steps of TAVR surgery in detail."

   "If every operator can master these steps proficiently and analyze the difficulties and crux of them, they can avoid the occurrence of complications to the greatest extent, then TAVR is not difficult."

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

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

  Cumbersome surgical steps are easily forgotten.

   "So, next is the main point I want to talk about." Lu Chen said solemnly, "I summarize the 18 steps of TAVR surgery into four ABCD points."

   Hearing this, Jin Miao's eyes lit up.

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

  Lu Chen smiled and continued: "The first point, A refers to Access, that is, entry processing."

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

   "In previous interventions, the sheath inserted into the artery was only 6-7F, which is easy to handle. However, most TAVRs are above 18F, which is complicated and dangerous, and many interventional doctors need to relearn."

  “…”

  Lu Chen explained while operating.

   The movements on his hands are not hurried and slow, with a calm look.

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

  Conduit outdoor.

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

   Take a look at how the first TAVR operation in the hospital was done.

   After all, there are very few things that can be learned without observing in the catheterization laboratory.

   However, with the deepening of Lu Chen's teaching, everyone was amazed.

   This is not just surgery!

   Instead, he summed up his surgical experience and passed it on to everyone present.

   "How dare you revise the procedure of the academician's surgery, this boy is really daring!" Director Yan Wanfeng sat outside the catheter room and said without much sigh.

   These people, when they meet academicians, may not dare to get out of the atmosphere.

  Lu Chen is good, summed up a more concise four-step method directly on the basis of the surgical steps prescribed by the academician.

   The most surprising thing is that Lu Chen didn't hide his secrets, he directly disclosed all his surgical experience, and even the details of each operation.

   Actually, 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 behind a little behind.

  Lu Chen doesn't 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, refers to Balloon, which is balloon expansion."

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

   "Balloon expansion can not only improve hemodynamics, but also provide an important reference for valve selection and risk judgment of coronary occlusion."

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

   There are more and more interventional doctors watching outside the catheter room.

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

   The operation started, but it was only half an hour.

  Other interventional doctors have already filled the catheter room.

   "Congratulations, I received a thank you from Jinmiao..."

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

  Lu Chen noticed it long ago.

On the    system panel, his gratitude value is rising like crazy!

  Interventional doctors in the catheter room, the youngest is also the attending doctor, most of them are assistant assistant doctors and chief doctors!

The higher the    professional title, the more thanks to Lu Chen.

   In just ten minutes, he earned hundreds of gratitude points.

  …

  Lu Chen continued: "The third point of the operation, C, refers to Crossing, which is the transvalve."

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

   Specific skills, Lu Chen will also demonstrate with Jin Miao.

   This made the audience jealous!

   How they hope that at this moment, they can take the place of Jin Miao!

   There are more and more interventional doctors watching.

   Yan Wanfeng, director of the scene, was not allowed to appear in person to maintain the order of the scene.

   Catheter room.

  Lu Chen is solving problems for Jin Miao step by step.

   "The last step of the operation, that is D, Deployment, is valve release."

"Sometimes it is said that if TAVR surgery is a football match, the valve release is the last shot, the front has been laying the groundwork, the ball has been passing, and the last shot decides whether it is successful or not. ."

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

  ABCD, the four precautions have been explained in detail.

   And Lu Chen's surgery also ended successfully!

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

   Thank you for your donations and monthly passes.

   (end of this chapter)