Deputy Director Lv was stunned, suddenly feeling like he had fallen into so kind of trap: "No, when I was talking to Doctor Song, Dr. Cao, you didn’t stop —"
"I said, don’t rush."
Everyone could hear the words "don’t rush."
Deputy Director Lv beca even more anxious, feeling utterly embarrassed. He put his hands on his hips and pointed towards the direction of the operating room: "Okay, okay, you said don’t rush. Cao Yong, don’t forget, we are in the middle of a surgery. How can you say don’t rush?"
"The problem is, now even if you take the patient to the third-floor operating room, this surgery can’t be done."
Who said that this ti? Deputy Director Lv peered out, seeing Xie Wanying standing beside Cao Yong.
Everyone else’s eyes also quickly focused on her.
Huang Zhilei imdiately recognized the voice of his junior, thinking: This must be Junior Sister speaking up because she can’t bear to see Senior Cao being reprimanded.
Lin Chenrong smiled silently.
Jin Tianyu looked up at the ceiling: These two juniors...
Zhai Yunsheng glanced at his nephew’s face: Hmm, still pretending to be calm.
"Tell us, what do you an by it can’t be done on the third floor either?" Deputy Director Lv pointed at her, asking for an answer.
Watching Doctor Song and Senior Cao being pressed, she couldn’t help but speak up. Since she had already started, she just said it straightforwardly. Xie Wanying’s tone was gentle yet calm, "The first principle in handling an aneurysm is not whether the aneurysm can be dealt with, but whether this aneurysm can be managed."
Her words were a bit convoluted, leaving the cardiology group present a little bewildered again.
An aneurysm grows on the artery wall, so whether it’s clipped or embolized, it will affect the normal blood supply of the artery where the aneurysm is located. Doctors must calculate this before taking action.
Specifically, Aneurysm Embolization Surgery is divided into embolization and occlusion. For embolization, the accurate dical term should be subtotal embolization preservation, aning the blood flow can continue through this artery to preserve its function.
The thod of occluding an aneurysm is similar to the microsurgical clipping thod. The goal is that due to the shape of the aneurysm, this artery cannot be preserved, a dical term known as the carrier vessel being unsalvageable, with the only option being to reconstruct the blood flow. Helplessly, the doctor completely blocks this artery, completely embolizing the aneurysm while cutting off the artery.
As for borderline wide-neck aneurysms, they’re really not a big issue. Because during surgery, balloons or stents can be used to assist the coil to prevent it from dislodging.
Outsiders who hear that an entire artery is cut off might find it terrifying. Without tubes transporting blood, human tissues relying on blood nutrients would normally be starved to death.
Don’t worry, don’t worry. Cerebral blood vessels are a very rich and dense three-dinsional vascular network, an extensive communication network. It manifests as the unique collateral circulation network we ntioned earlier, the Circle of Willis. This circle is located at the base of the brain; once any blood vessel is blocked, it can adjust through the circle to redistribute blood flow, as much as possible eting the normal blood supply of all brain tissues. This is why microsurgery isn’t afraid of clipping aneurysms to back up aneurysms that can’t be handled with interventional surgery.
The only concern is that before handling this artery, doctors need to ensure whether the collateral circulation that compensates for this artery is unimpeded. If the collateral circulation doesn’t hold after clamping and occluding the blood vessel, a major incident could occur.
User Comments
0 comments from readers