Chapter 640: Let Lu Chen Continue!
The originally quiet catheter room was now full of discussions.
Everyone looked at each other in bewilderment. It was a lucky thing to encounter such a malformed blood vessel!
IVC agenesis is a rare congenital cardiovascular disease, accounting for about 0.6% of congenital heart disease.
And there are very few patients who need radiofrequency ablation for IVC agenesis combined with premature atrial fibrillation.
"What's wrong?" Zou Yi looked at Liu Jun beside him.
Liu Jun frowned, "It should be a congenital vascular malformation. The conventional puncture path cannot pass the guidewire."
"Congenital vascular malformation?" Zou Yi was stunned, "Is it serious?"
"It's not a question of severity." Liu explained, "Ablation surgery requires the introduction of guidewires and electrodes through the inferior vena cava. Now the path is blocked, and the surgery may need to be suspended."
"Is there any unconventional path?" Zou Yi asked in confusion.
"Yes, there is." Liu Jun said, "But the risk is high, and it tests the proficiency of the operator."
Just as the two were talking, Zhang Shuqing walked out of the catheter room.
"Director, there is an emergency. The patient has congenital vascular malformation." Zhang Shuqing put his hands on his chest and said in a deep voice, "The guide wires on both sides cannot be inserted."
"I see." Liu Jun nodded slightly, "Let's suspend the operation. Let's organize a discussion immediately and make the next plan."
Liu Jun said this not only to Zhang Shuqing, but also to Zou Yi.
He wanted to show an attitude of importance.
However, Zhang Shuqing paused and said slowly: "That... Lu Chen said that the internal jugular vein route can be used."
Liu Jun raised his eyebrows, "Internal jugular? He has done it?"
"He said yes." Zhang Shuqing nodded slightly, "If the operation is suspended now, the patient's second operation will be very harmful and troublesome."
Liu Jun frowned.
At this moment, he was a little dissatisfied with Lu Chen's "recklessness".
Obviously, a more reliable method can be used.
Does Lu Chen have to be a hero like this?
Isn't it good to suspend the operation, brainstorm, discuss, and then perform the operation?
Zhang Shuqing knew the director well. Seeing him remain silent, he immediately sensed the anger beneath his calm exterior.
"Director, I think it's better to suspend the operation." Zhang Shuqing said immediately.
Liu Jun didn't think it was a good idea to say this, after all, Zou Yi was watching from the side.
But what he said didn't matter much, after all, he was Lu Chen's mentor.
"Okay, suspend the operation!" Liu Jun nodded slightly.
Zhang Shuqing understood and was about to return to the catheterization room, but Zou Yi stopped him, "Director Zhang, wait a minute, I'll make a call and then make a decision."
"This..." Zhang Shuqing glanced at Liu Jun and saw Liu Jun nodded, "Okay."
Then he stood aside silently.
Zou Yi returned to the lounge, took out his mobile phone, and called Xiao Shikang.
...
Kyoto University First Affiliated Hospital.
Cardiac Region 3.
Director's Office.
"Lu Chen went to the Magic City, which is really a big loss for us!"
Xiao Shikang passed the medical records given to him by Zou Yi to Qin Sifeng.
"Alas, there is nothing I can do." Qin Sifeng sighed slightly while holding the medical records. "It is reasonable that the hospital is unwilling to give too much to the hospital and cannot keep Lu Chen."
Yang Feng is the chief of the Department of Cardiology at the First Affiliated Hospital of Kyoto University.
He seems to have some prejudice against Lu Chen and has not taken active measures to recruit Lu Chen.
"Lu Chen has only been in the Magic City for a short time, but he has already made a name for himself in the First Hospital of the Magic City. It is really not easy." Xiao Shikang smiled.
"Gold will shine wherever it is." Qin Sifeng smiled, "It is reasonable."
Xiao Shikang was about to continue to say something when his cell phone rang suddenly.
"Director, I'm sorry, I have to answer the phone."
Gu Yu
Seeing that it was Zou Yi calling, Xiao Shikang answered the call immediately.
"Hey, Lao Xiao, are you busy? There was a problem with my surgery."
Xiao Shikang was stunned, "Wasn't it Lu Chen who did it? How could it go wrong?"
He knew Lu Chen's electrophysiological surgery level too well. In some surgical procedures, Lu Chen was the ceiling, not to mention this simple atrial premature ablation surgery.
"It was Lu Chen who did it!" Zou Yi said in a deep voice, "But I heard from Director Liu Jun in the Magic City that my brother has congenital vascular malformation, and no puncture path can be used, so the surgery may need to be suspended."
"Vascular malformation?" Xiao Shikang was stunned, looked up at Professor Qin Sifeng, "Please tell me more about it."
Qin Sifeng was immediately interested when he heard the conversation between the two.
"It was punctured from the thigh upwards, and the guide wire could not enter." Zou Yi explained simply, "The Magic City is going to suspend the surgery and do a second surgery after discussion."
He was an outsider and could only say a few words according to his own meaning.
But that's enough!
Xiao Shikang immediately understood what Zou Yi wanted to express.
"The path below is blocked, so we can go from the top!" Xiao Shikang frowned, "Why do we need to suspend the operation?"
"Won't the risk be very high?" Zou Yi asked in confusion.
"The risk is a little higher, but a second operation is also very troublesome. If the problem can be solved in one go, it will definitely be the last." Xiao Shikang said, "A second operation will cause more suffering to the patient!"
"But who should do it? Should we let Lu Chen continue to do it?" Zou Yi frowned.
According to his meaning, he wanted Director Liu Jun to do it himself.
Lu Chen looked too young.
The older a doctor is, the more secure he feels.
A young man in his twenties and a middle-aged man with gray hair on his temples.
Who would you choose as your attending physician?
Xiao Shikang said without hesitation, "Let Lu Chen do it!"
"But... this..." Zou Yi was still a little hesitant.
At this time, Qin Sifeng suddenly said, "Shikang, are you talking to Zou Yi on the phone? Are you talking about the surgery in Modu?"
"Yeah." Xiao Shikang nodded.
"Give me the phone, let me talk!" Qin Sifeng smiled.
Xiao Shikang was stunned for a moment, and immediately said, "Zou Yi, our Director Qin is also here, I'll let him talk to you in person."
"That's great!"
Zou Yi's face lit up.
He had been to the Department of Cardiology of the First Affiliated Hospital of Kyoto and met Qin Sifeng.
Qin Sifeng is the leading electrophysiology expert in the entire Chinese electrophysiology field.
"Shikang told me about your situation. I also know about the vascular malformation just now," Qin Sifeng said seriously.
"Thank you, Professor Qin." Zou Yi said softly, "Please guide the next step of treatment."
"Hehe, I don't need to guide you." Qin Sifeng said slowly, "You have Lu Chen there, that's enough!"
Zou Yi looked surprised, Lu Chen again? !
Not to mention that Xiao Shikang praised him so much, now even Professor Qin Sifeng, a nationally renowned electrophysiology expert, trusts this young man Lu Chen so much!
"Do you mean to let Lu Chen continue the operation?" Zou Yi asked tentatively.
"Well!" Qin Sifeng smiled, "Lu Chen has encountered a more difficult case than this, a patient in his seventies or eighties, even the internal jugular vein cannot be used, and finally the percutaneous hepatic vein puncture is successful..."
Hearing Qin Sifeng's words, Zou Yi made a decision in his heart.
"Okay, thank you Professor Qin!"
...
Hang up the phone and returned to the catheterization room.
Liu Jun and Zhang Shuqing were waiting for Zou Yi's final choice.
"Director Zou, what have you considered?" Liu Jun said.
Zou Yi glanced at the two people in front of him and said slowly: "Let Lu Chen continue!"
.