When the Doctor Uses A Hack - Chapter 1783
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- Chapter 1783 - Chapter 1783: Chapter 1787: Waiting for the Old Master
Chapter 1783: Chapter 1787: Waiting for the Old Master
The unexpected incident left Liang Xiong absolutely stunned!
Because he discovered that the 4F caliber catheter simply could not penetrate and reach the tethered area.
It was definitely not an issue with the diameter of the brachial artery!
It was because the angle became tricky after the vascular malformation, making it very difficult to pass through this area along the vessel!
But…
With so many years of experience, Liang Xiong shouldn’t have misjudged, right?
How could such a situation arise?
Liang Xiong couldn’t help but frown and murmured, “This angle should be passable!”
Beside him, Zhao Nan couldn’t help but say, “We couldn’t get through at this place back then either.”
“I have a feeling… that it’s a lack of catheter compliance, which makes me feel resistance when pushing the catheter, it should be able to go through according to blood flow!”
Upon hearing this, Liang Xiong was momentarily stunned.
His hand remained very steady, gently maneuvering the catheter back and forth with great caution.
Inside the blood vessel, using the catheter requires extreme care, as the worst mistake is injuring the vessel wall.
Especially for patients who already have vascular diseases or heart problems.
What is compliance?
It is the adaptability of the catheter within the blood vessels.
However, with the advancement of polymer science and technology, materials with better compliance have become more prevalent.
Including the catheter in Liang Xiong’s hand, made of PET material, is considered one of the most flexible materials.
Yet, why can’t it get through?
Liang Xiong suddenly said, “It’s not a problem with the material or the catheter!”
Hearing this, Zhao Nan was instantly dumbfounded, “Then it’s…”
Liang Xiong firmly declared, “It’s the vessel’s issue!”
As soon as he said this, the surrounding atmosphere turned silent, everyone widened their eyes and looked up at Liang Xiong.
In the entire operating room, no one spoke!
Liang Xiong’s eyes were fixated on the image of the blood vessel.
Finally, he said, “It’s not the catheter, it’s the vessel!”
“The vessel wall is very coarse, leading to very low lubrication, and I clearly felt an increase in pushing force and support force, which is very abnormal!”
“This vessel might have been traumatized!”
After saying this, Liang Xiong quickly asked, “Old man, has your arm… been injured before?”
The old man couldn’t help but frown and began to think seriously.
Suddenly…
He Hui recalled, “It seems it was indeed injured!”
“But that was more than fifty years ago, when I was only thirty, fixing houses in Jiangxi, and accidentally fell on my arm!”
“Back then, people were less particular, and accidents at construction sites were too common. I was afraid the foreman would dismiss me, so I told him I was fine and didn’t see a doctor, just recovered on my own!”
“That was fifty years ago…”
“If you hadn’t mentioned, I would have forgotten… sigh!”
After hearing He Hui’s words, everyone was dazed for a moment.
They looked at Shou Weixiang with some admiration, perhaps that’s what makes a great man!
To even guess this!
In fact, vessels can indeed self-heal after being damaged.
However… it’s hard to say how exactly they heal!
Looking at the patient’s blood vessels, Liang Xiong couldn’t help but sigh. This was absolutely not a congenital malformation.
This was… an acquired collateral circulation formation.
After the brachial artery was injured, the injury wasn’t light, but fortunately, collateral circulation was established, preventing ischemic necrosis.
Due to the compressive damage, the brachial artery was forcibly rerouted!
This situation… is extraordinarily rare.
And this old man, after more than fifty years, only now discovered it.
At this point, Liang Xiong felt a bit emotional.
But…
No matter how emotional, the biggest problem now is that the interventional procedure definitely cannot proceed.
The catheter cannot pass through this tortuous vessel, nor can it be advanced along the guidewire.
Considering the concern of vascular injury, the catheters used are not very maneuverable, with low longitudinal strength and anti-twist capability!
As a result, the possibility of advancing the catheter is even lower!
What to do?
Give it a try!
Under the nervous and worried gazes of everyone around.
Liang Xiong began cautiously trying over and over again!
Interventional procedure itself requires very high operability.
And it truly relies on a pair of skilled hands and understanding of the blood vessels in imaging data!
Liang Xiong is proficient in both!
But…
The following attempts did not yield significant results.
The surgery quickly reached an impasse.
What to do?
At this moment, time was ticking by, having reached past seven o’clock.
It had been six hours since He Hui’s old man had fallen ill.
Liang Xiong started to worry!
At this point, the most anxious were not even him, but those watching the surgery on the big screen in the office!
They were utterly panicked!
Among the He family, some already started swearing out of anxiety.
They didn’t understand the surgery but clearly knew something was wrong!
“It’s been six hours!”
“Can you do it or not? If you can’t, just say it earlier!”
“Yeah, if anything happens to my father, can you bear this responsibility?”
“Sigh…”
…
This group of people was genuinely worried to the extreme.
The old man’s hand was more precious than their lifeline!
It was the cash cow for the entire He family.
Peddling something from home every few days was enough for them to live well!
…
…
At this moment, Zhao Nan was also incredibly nervous.
She watched beads of sweat roll down from Liang Xiong’s forehead, understanding the pressure he was under!
But, what to do?
Zhao Nan couldn’t help but ask, “Director Liang… how about… we ask Academician Shou for his opinion?”
Instantly, one sentence awakened everyone!
Right!
Call Academician Shou!
Mr. Shou Weixiang would certainly have a solution.
Liang Xiong nodded. He really had no other options now.
“Okay, go call Mr. Shou!” Liang Xiong said directly, looking at a graduate student to the side.
The graduate student immediately got up and went out.
While Liang Xiong turned to Zhao Nan and said, “Switch the catheter!”
“Let’s try again!”
Upon hearing this, Zhao Nan was initially taken aback, then her eyes lit up, “Switch the catheter!? Good idea, which one?”
Liang Xiong took a deep breath, “Let’s try PVC?”
As soon as he said this, Zhao Nan’s expression changed drastically!
“Isn’t PVC a bit unsuitable?”
PVC catheters have poor compliance and can easily damage the vessel, actually… with the advancement of PTA interventional technology, it’s rarely used anymore.
Moreover, the risk of using it is relatively high.
Liang Xiong really had no other choice!
Zhao Nan couldn’t help but ask, “Or… should we wait a bit longer?”
Liang Xiong took a deep breath.
Wait…
Can only wait for the old man?
Sigh…
Everyone sighed.