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¡¾1365¡¿What¡¯s special about surgery

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    "You're right." As the squad leader, Yue Wentong announced on the spot that Mr. Pan's basic condition of the patient was correct, and continued to tell the patient's self-reported medical history, "The patient was previously treated at the Department of Cardiovascular Medicine, Zhongshan First Affiliated Hospital.  Interventional surgery. A few months ago, the situation did not seem to be serious. I did not go to the emergency department. I just felt uncomfortable in my chest and went to the outpatient clinic. Later, an angiography examination revealed that the left anterior descending coronary artery was stenotic. The degree of stenosis was according to what the doctor said at the time as reported by the patient.  It was quite serious, so a stent was placed after balloon dilation.¡±

    It¡¯s her hometown.  Xie Wanying thought.

    "As for why it is so narrow?" Yue Wentong glanced at Mr. Feng again when he said this.

    Does this question need to be asked?

    In-stent restenosis is all too common.  Besides, did he just say that the patient was sent to the emergency room due to in-stent restenosis?

    Feng Yicong blinked and stared at the ceiling, hating himself for speaking carelessly.  The monitor is the top student in the class, second only to the female top student Yingying.

    How could he suspect that the patient had in-stent restenosis before undergoing coronary angiography?  Maybe other arteries are clogged, or maybe there's something else.

    Pan Shihua swallowed his food and said something fair for Feng, "We can be sent to the emergency room in a few months, and we just had angiography a few months ago and other blood vessels are fine for now. The possibility of something happening again in the stent should be relatively high."  High.¡ªYingying, what do you think?"

    When asked by a classmate for her opinion, Xie Wanying recalled that in this era, medical stents had not yet come out, and bare stents were too easy to narrow again, thus becoming a major obstacle to stent surgery.  In fact, the two students¡¯ questions were in the right direction.  It's just that the class monitor is a very cautious person and will not make random suspicions before the results of the angiography examination come out. There is something that the class has not said.  It may be that in-stent restenosis is very common among patients who come to the emergency department, which means that this reason is unlikely to be due to the patient's special condition that requires Brother Jin to come here specially.

    "The squad leader hasn't finished speaking." Xie Wanying said.

    When she pointed out that he had not finished speaking, Yue Wentong was stunned for a moment, and his eyes looked at her with a hint of meaning.  The two classmates in the class seemed to be somewhat knowledgeable about things.  The difference is that the logic of classmate Pan's speculation is shallow-level, while the logic of the female top student in their class is deep-level and has secrets of the brain that others don't know.

    "The teachers decided to perform radial artery puncture on him." Yue Wentong said the key point.

    "Instead of passing through the femoral artery, we have to go through the radial artery. Why?" Feng Yicong asked, not afraid of being educated again by the squad leader.

    The surgical approaches for PCI are generally three: femoral artery, radial artery, and brachial artery.

    Among the three arteries, the femoral artery is the farthest from the heart, but it is the thickest and easiest to puncture and insert a guidewire.  The radial artery and brachial artery are closer to the heart. Unfortunately, the diameter of the blood vessels is small, and there are several thresholds to pass on the way to the coronary arteries of the heart. The road is not as smooth as the femoral artery, so it is not easy to succeed.

    Clinicians will basically choose the femoral artery as the surgical route unless there are special circumstances.  Choosing the radial artery must be because the patient has special conditions that trigger contraindications for the femoral artery approach.

    "The patient has arteriosclerosis occlusive disease? Is he taking anticoagulants?" Pan Shihua cited possible reasons.

    Pan¡¯s grades are also very good in the class, otherwise he would not have been approved to enter the clinical internship in advance.  (Remember the website address: www.hlnovel.com
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