Xie Ning looked at himself, the "son-in-law" who didn't know his identity, and found it very interesting.

The little guy looked a little stupid and honest, but the surgery was really good. He could run to Mayo and Heidelberg for the surgery at such a young age. This is not an ordinary competent person.

"Zheng Ren..." Xie Ning just called out, and Zheng Ren's cell phone rang.

Zheng Ren smiled apologetically, his face was full of fatigue, and he picked up his cell phone.

"Fugui'er, we're going to have a meal, come together." Zheng Ren said.

"Hmm? OK, I'll be there soon."

"No, I'll go faster by myself. If you have someone pick me up at the door, forget it, pick me up by yourself."

After Zheng Ren finished speaking, he hung up the phone.

"Boss, what's the matter?" Su Yun was obviously a little unhappy. In Su Yun's opinion, this drink party would make more or less jokes, which were all the points to mock Zheng Ren in the future.

But this freight is really good. The professor seemed to have encountered some problems. Su Yun thought, feeling a little regretful.

"Fugui'er said there was a thoracic aorta stent on that side and went down into the false cavity." Zheng Ren said.

Su Yun's regret dissipated and he couldn't help but feel trembling.

Aortic dissection is the disease that Cui Heming had on the plane. As long as it is not of type 1, it can be treated through interventional surgery. Now type 1 is OK, but the difficulty is too high and few people do it.

However, when the stent is removed, there will be a complication - the stent is not placed in the thoracic aortic trunk, but through the torn opening, it enters the middle layer of the blood vessel, and opens the false cavity.

This will cause the patient to have worsened and may die at any time.

This complication is extremely rare and occurs because of the doctor's surgical level. In China, it can be said to be a very serious medical accident.

This complication can only occur if you have to have multiple levels!

Zheng Ren complained in his heart.

Zheng Ren has only read similar reports in magazines about this kind of human-caused damage. He still has no idea how to treat it.

He smiled apologetically and said, "Uncle Ning, you go to have a meal first. I'll have an operation. If it goes well, I'll probably go there in an hour."

"Do you use me?" Su Yun asked solemnly.

As a doctor, when I hear about emergency surgery, I always put myself in the game, which is a sense of mission.

"I'm rich and powerful. I'll go and check the situation. You can chat with Uncle Ning." Zheng Ren said.

"Okay." Su Yun responded.

Although it was a bit regretful, emergency rescue was still important. When he thought of the stent falling into the false cavity, the condition worsened... the blood flow from the aorta was frantically poured into the dissection, and now the vascular dissection was torn to the tip of the toes.

md, Fuguier's medical level is not very good, Su Yun thought to himself.

Xie Ning looked at his cheap and capable son-in-law who was so busy even in Heidelberg, Germany, and was a little helpless. However, it was emergency rescue on the other side, so it was hard to say anything.

He is quite capable, Xie Ning smiled.

"Doctor Zheng, stop calling a taxi, take my car," said Zou Jiahua.

"Then I'm not polite." Zheng Ren responded directly.

In fact, when he talked to Professor Rudolph Wagner, he had this idea. Zou Jiahua is a human being and cannot not know what he means.

Zheng Ren had never thought about whether it would be too ostentatious to just sit on the extended Lincoln for surgery.

With Xie Ning, Zou Jiahua said apologetically again, and Zheng Ren turned around and left. A follower next to Zou Jiahua followed and took Zheng Ren to the extended Lincoln.

The car was driving very steadily. Zheng Ren sat in the car, entered the system space, and prepared to undergo surgical training.

The system operating room rose from the ground. After Zheng Ren entered, he took a look at the film and started the operation directly. The catheter entered. As soon as the imaging was illusioned, Zheng Ren became dumbfounded after seeing the image.

The stent in the thoracic aorta of the experiment was proximal to the thoracic aorta and distal to the thoracic aorta. The true cavity of the thoracic aorta has almost no blood flow, and although the false cavity is not as exaggerated as expected, it is also directly torn to the position of the common iliac artery.

This is... too heavy.

The severity of the disease exceeded Zheng Ren's estimate and was imminent. Patients may die due to blood vessel rupture at any time.

The outer layer of the thoracic aorta is relatively tough, and the patient is still lucky, so there is no rupture and bleeding. The high pressure of the aorta continues to tear the blood vessels open and pours them all the way to the common iliac artery.

The blood vessels here cannot be compared with the thoracic aorta in terms of thickness and thickness, and will be torn at any time.

As long as the blood vessel is broken, the patient will undoubtedly die.

He cursed in his heart, and Zheng Ren was stunned just as he wanted to operate.

How to operate?

This is an extremely unfamiliar operation. Even Zheng Ren, who was at the peak, began to be a little confused.

Surgery is not done just by doing it.

Femoral artery puncture usually involves a built-in guide wire and catheter.

The current situation of the patient is that the stent is removed, and the true aortic cavity and the false cavity cannot be operated simultaneously.

With a guide wire, the catheter will definitely not be able to operate two places simultaneously.

Zheng Ren concentrated on his mind for a while and decided to adopt an operating mode he had never done before - bilateral femoral artery cannula.

It’s just that I am the only one in the system operating room...

Sighing, Zheng Ren focused on dealing with the current situation. Even if there was only one person, what could it be?

He is a man who is at the peak, and Zheng Ren cheers up himself.

The experimental subject exposed both sides of the femoral artery under general anesthesia and placed in the sheath tube. Zheng Ren did not care about sterile operation and knelt on the narrow operating table to start the operation.

After all, if the surgery is really done, the other side can be handed over to Professor Rudolf Wagner. Zheng Ren still has a strong recognition of the professor's level.

Bilateral femoral artery puncture, the right catheter is placed into the true cavity, and the left catheter is directly placed into the false cavity. After the hard guidewire is placed, a 5f, 95cm long long wind guide sheath is placed at the level of the abdominal cavity trunk for imaging. The results show that the abdominal cavity trunk, the superior mesenteric artery and the right renal artery are supplied to the true cavity, and the left renal artery and the lumbar artery are supplied to the false cavity.

The left sheath is placed at the distal end of the original stent in the false cavity and a multi-ring snail is placed. The right side is exchanged with a 10f sheath through a hard guidewire, and placed in the true cavity so that it is located 2cm away from the end of the original stent.

After several failures of the operations, Zheng Ren summarized his experience and began to have certain ideas about the operation.

A 5f catheter is placed at the end of the 10f sheath and close to the snail in the false cavity. Follow up with the 0.014-inch guidewire, and pass through the inner diaphragm between the true and false cavity into the snail with the cooperation of the catheter. Then place the guidewire and catheter into the original bracket.

After exchanging the hard guidewire, the balloon dilation window was continuously expanded to a diameter of 25mm, and then a 36mm wide and 77mm long tx2 stent was placed, half located in the original stent and the other half located in the true cavity of the abdominal aorta above the trunk of the abdominal cavity.

Angiography shows increased perfusion of visceral and renal arteries.
Chapter completed!