Jin Tianyu looked at the puncture point on the patient’s left hand, his brows tightened as he thought further about what to do next.
When selecting a route for PCI via radial artery, doctors usually prefer the left-hand access, as the pathway through the heart’s vessels tends to be slightly smoother compared to the right-hand path. For example, the right subclavian artery path leads to the aortic arch, which requires passing through the brachiocephalic artery, while the left path does not involve the brachiocephalic artery, and the left subclavian artery cos directly out of the aortic arch. The left-side vascular path has fewer bifurcations.
Based on this, Doctor Fang carefully chose left upper limb puncture when it was optional. He selected the puncture point at the proximal end of the radial styloid, where the path of the radial artery is relatively straight with fewer branches, minimizing the chance of inadvertently entering a branch during the procedure.
It can be said that the doctor was unusually cautious from the start, knowing the patient’s situation is special.
A group of people in the control room was watching the situation in the operating room, each with a sowhat tense expression, eager to find out the specific cause like those inside the operating room.
Fu Xinheng’s eyes reflected a deep light, akin to the ocean depths.
Li Chengyuan estimated that he needed to call an anesthetist to be on standby at any mont. However, like Fu Xinheng, he inwardly hoped not to imdiately admit the patient to surgery for ergency operation.
Surgeons always wish to perform surgeries without risks. Comncing such ergency procedures without a clear understanding of the specific cause is disliked by any doctor. The mortality rate is too high to explain to the families.
Xie Wanying suggested performing PCI first to pave the way for surgery. The surgical seniors did not feel offended by her words; instead, they felt she was considering surgery carefully for them.
But now, in such a bad situation, can PCI continue to be perford? Can it aid in paving the way for surgery?
The teachers stood at the front, while several dical students stood at the back on tiptoe and watched silently. Occasionally, they caught each other’s eyes but dared not speak in front of the teachers.
After a while, Yu Xuexian seed to think the result was too difficult to wait for, feeling irritated, he walked out of the control room to take a breath at the door. Mainly because standing there himself was of no help, as it wasn’t his specialty.
Xie Wanying trusted her teaching hospital’s teachers and seniors. She had long heard that Senior Jin was highly skilled in PCI technology, an impressive person. However, Guoxie was not as renowned as Guo Zhi Hospital. It is difficult to let only Senior Jin, single-handed, make the Cardiovascular Departnt of Guoxie compete with Guo Zhi Hospital.
"Doctor Jin won’t be troubled by withdrawing the guidewire," said the intervention room nurse, who had been working in tandem with the doctors for a long ti and understood Jin Tianyu’s technical skills well.
Sure enough, after adjusting the direction of the guidewire, Jin Tianyu safely withdrew it.
Doctor Fang breathed a sigh of relief. When encountering resistance, the greatest fear is the guidewire head getting lodged in the vessel which could lead to severe bleeding if forcibly pulled, then surgery would be required.
Yet the subsequent difficulty remained unsolved, unsure of how to address it. The series of ticulous preparations earlier seed useless, as the guidewire faced resistance shortly after entering the puncture point.
Doctor Fang believed he was careful in every step, advancing the guidewire slowly, continuously seeking the right tactile feel before making a move, convinced there shouldn’t be issues in operating errors.
Jin Tianyu turned to talk with Doctor Fang, further verifying the specific operation process just now.
Doctor Fang emphasized again: "It’s done under fluoroscopy, I already foresaw this situation, afraid the guidewire might take a wrong turn into a branch."
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