Did the two of them manage to successfully guide the wire into the heart’s blood vessels?
Coincidentally, the two students exchanged glances.
Do you think I did it right? Student Xie’s eyes were asking Student Pan.
Student Pan’s gaze was a bit awkward: Sorry, my mind needs to think first.
Because of this, his hand almost habitually reached for his pocket to pull out a notebook to quickly sketch and sort his thoughts for review.
Jin Tianyu and the others were also observing and evaluating the exact positioning of the guidewire. They could make a fluoroscopy to check the results.
At this point, Pan Shihua, as a partner, recalled clearly and said, "I think it’s in place. This patient’s artery has anatomical variation, the vessel doesn’t follow the conventional path, wrapping halfway around the arm. It’s highly possible that there’s an unusual direct branching of the axillary artery into the radial and ulnar arteries."
Others listening to him understood what was happening with the bizarre technique of the two. With such a peculiar vascular distribution, no wonder Doctor Fang sent the guidewire directly into a branch.
Doctor Fang felt like crying; the words of the two dical students confird it wasn’t his fault.
"Okay, I’ll take over." Jin Tianyu walked over to take over from his junior.
Xie Wanying decisively gave way to her senior brother.
After delivering the guidewire to the heart, the subsequent operations beca complex, not simply just pushing it in. She didn’t have the experience to handle it.
Standing in her position, Jin Tianyu’s large hands steadily took over the end of the guidewire, feeling the guidewire’s presence in the vessel: "Hmm, it didn’t touch the vessel wall, there’s no impaction, it should be fine. Estimating it’s reached the aortic sinus. No problem, fire up the machine, let’s take a look."
"Smoking" ans starting the machine. People who’ve had X-ray exams might recall the doctor asking them to stay still, hearing a popping sound, smoke, and the shot is taken. That’s why doctors call it "smoking" in slang.
The aortic sinus is located at the root of the ascending aorta, an inner chamber connected to the aorta, anatomically shaped like a bulbous expansion, forming three spherical parts, much like three upward-opening petals. Its strange shape allows blood vortices to be created, reducing the direct impact on the aortic valve when it closes.
The three spherical sections divide the aortic sinus into three parts: the left, right, and posterior sinuses, with the left and right sinuses having openings for the left and right coronary arteries. The posterior sinus has no arterial opening and is called the non-coronary sinus.
With the guidewire reaching the aortic sinus, it’s practically at the doorstep of the coronary artery.
Not easy. The doctors internally marveled, almost having given up earlier.
A rare opportunity to be up close in the intervention room for learning, Xie Wanying and Pan Shihua watched Senior Jin’s skilled hands without blinking.
Thinking of how tense they were earlier, gripping the guidewire and holding the patient’s arm, their hand muscles were tightly strained, afraid to relax even a bit, feeling on the verge of tearing.
Senior Jin’s large hand held the end of the guidewire, with none of their tension in his hand muscles, both large hands in a calm manner, free and easy, like a snake charr handling a snake, seemingly able to play with the guidewire effortlessly. With everything under his control, he neither feared nor needed to be overly tense.
A technical master is indeed a technical master. The students learning from him held great admiration in their hearts.
Senior, as a master, wasn’t frivolously playing with the guidewire; his movents were minimal. He was circling at the base of the aortic sinus to prevent the guidewire from sliding out on its own upon reaching the destination. The skilled senior wasn’t like the inexperienced junior who clumsily held onto the guidewire tightly.
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