I can see health

Chapter 415 Ablation failed? (first update)
The next day.

The first phase of assessment for the Huaxia electrophysiology training class has begun.

All the students were very energetic.

Because as long as you pass this assessment, you can get the electrophysiological intervention certificate awarded by the Huaxia Electrophysiological Society.

If you fail this time, you can only participate in provincial training courses.

The gold content of the certificates awarded by the National Electrophysiological Society and the Provincial Electrophysiological Society is different!

The intervention certificate for this training class is universal across the country.

None of us want to pass up this rare opportunity.

"Lu Chen, have you decided who to choose?"

Min Xiaobo smiled and leaned in front of Lu Chen, putting one arm around Lu Chen's shoulder.

The two get along day and night, and they are both students from Jinghua, so they have become acquainted a lot.

Lu Chen smiled. What Min Xiaobo was asking was to choose a one-on-one mentor after passing the first-stage assessment.

"Thought it out, what about you?" Lu Chen glanced at Min Xiaobo. This guy looked very low-key, but he knew that it would be difficult to get along without a strong relationship in the academic circle.

"Hey, my previous boss contacted me with a professor, Qin Sifeng." Min Xiaobo grinned.

"Qin Sifeng?" Lu Chen raised his eyebrows and smiled, "Brother Bo, you are not simple. Professor Qin should be one of the best professors in the training class!"

Min Xiaobo smiled and patted Lu Chen's shoulder, "I'm also lucky."

The two chatted for a few minutes before Qin Sifeng walked into the classroom.

He looked around everyone and announced: "The first stage of the assessment has officially started!"

This assessment is also a clinical practice!

All the participants were divided into groups to draw lots. There were three kinds of surgeries, including pacemaker implantation, arrhythmia radiofrequency ablation, and ICD implantation.

Among them, radiofrequency ablation is subdivided into several categories.

What Lu Chen drew was radiofrequency ablation for arrhythmia!

This time, Lu Chen was assigned to the First Affiliated Hospital of Kyoto University.

There are four other people in his group, including Yu Hewei who has been ranked first!

……

Everyone came to the catheterization room of the First Affiliated Hospital of Kyoto University.

This time, not only the training class paid great attention to the assessment, but the Kyoto University also organized students from the Department of Cardiology to watch it.

In the demonstration classroom outside the catheterization room of the Department of Cardiology, a large screen broadcast the entire assessment process.

Fang Ruzhang also organized graduate students and regular trainees from the department to watch the competition.

"Yao Jie, go to the presentation room of the cath lab to watch the game later." Fang Ruzhang smiled and said to Yao Jie who was writing his medical history.

"Ms. Fang, I haven't finished writing my medical history yet." Yao Jie said, she still used to call her Teacher Fang in the department.

"Aren't you going to watch your senior brother's games?" Fang Ruzhang asked back with a smile.

Yao Jie was taken aback for a moment, then realized, and said pleasantly, "Senior brother Lu Chen came to our competition?"

"Yeah." Fang Ruzhang nodded slightly, "It will start in about half an hour."

"Then I'll quickly write the medical history." Yao Jie was startled, and the speed of typing on the keyboard was a little faster.

……

Enter the cath lab.

All the preoperative preparations are ready.

The trainees in the training class are still the first assistants, led by a chief surgeon to perform the operation.

Lu Chen received radiofrequency ablation of premature ventricular contractions, and the others were radiofrequency ablation of atrial fibrillation, radiofrequency ablation of ventricular appeal, radiofrequency ablation of atrial flutter, and radiofrequency ablation of atrial premature beats.

Although they are all radiofrequency ablation operations, the difficulty of the operation varies with the physical condition and electrophysiological state of the patient.

Before the assessment.

Everyone got all the patient's information, including electrocardiograms and medical records.

Lu Chen glanced at the electrocardiogram and knew that it was a premature ventricular contraction originating from the right ventricular outflow tract.

A very common arrhythmia, the method of ablation is also very simple.

Suddenly, Lu Chen had a plan in mind.

He has trained hundreds of times in the simulated operation room for this kind of ablation operation!
Following the examiner's order, all the students, including Lu Chen, walked into their respective cath labs at the same time.

This time, the operation was carried out by five people at the same time.

……

In the classroom where the battle was being watched, Fang Ruzhang arrived with a group of students.

"The assessment has begun!"

Yao Jie stared nervously at one of the small screens, which marked Operating Room No. [-] in the upper right corner.

Although she was not performing the operation, she seemed more nervous than the person performing the operation.

"Teacher Fang, is Brother Lu Chen's operation difficult?" Yao Jie whispered.

"This..." Fang Ruzhang took a closer look at Lu Chen's operation interface, "It seems to be a routine arrhythmia radiofrequency ablation. The premature ventricular ablation originates from the right ventricle, so it's not too difficult."

"Yeah." Yao Jie's nervous mood eased a little. With Lu Chen's ability, there must be no problem. She also prayed silently for Lu Chen in her heart.

catheter room.

Lu Chen put on his gloves and hat, and under the instruction of the chief surgeon, he started the interventional surgery.

At the same time, the chief surgeon also served as the chief examiner, reminding: "If there are any problems during the operation, please report to me at any time. If I find anything wrong, I will stop the operation immediately."

Lu Chen nodded, expressing his understanding.

Then, he walked slowly towards the patient on the head, began to disinfect and spread the drape.

The first step is still the puncture of blood vessels.

Lu Chen's actions were very fast. His blood vessel puncture speed and success rate far surpassed the other students present, including Yu Hewei, who has always been No.1!
shown in the classroom.

All the audience stared at the big screen with some surprise.

"This young man in operating room No. [-] is so good at piercing?!"

"Yeah, it really hit the nail on the head. This speed is faster than our director, right?"

"Maybe it's luck, I can hit the nail on the head sometimes!"

……

Hearing everyone's discussion, Fang Ruzhang smiled.

When he saw Lu Chen piercing for the first time, he was also taken aback.

With this technique and speed, it was like installing a contrast machine on the eyes, and it pierced into the blood vessel in an instant.

It may be good luck once or twice, but if it succeeds almost every time, it is not a matter of luck!
At this time, the catheter room.

Lu Chen was also very satisfied with his puncture this time.

As one of the first clinical skills I trained, the skill proficiency of blood vessel puncture is infinitely close to 100%.

This is also due to his countless times of training, performing various difficult blood vessel puncture training in the simulated operation room!

Whether it is a narrow blood vessel or a malformed blood vessel, Lu Chen's puncture can be done in one step!
After the puncture was successful, Lu Chen inserted the catheter into the part of the right ventricular outflow tract off the free wall.

The arrhythmia in this patient originated from the outflow tract of the right ventricle.

Therefore, the most basic ablation method is to place the catheter into the right ventricle and perform electrical ablation, so that premature ventricular contractions can be permanently ablated!
After mapping the location, Lu Chen started the ablation operation.

"Ablation discharge!"

After the start of discharge ablation, the ventricles can disappear quickly during the continuous discharge process.

On ECG monitoring, the patient's premature ventricular contractions have disappeared, replaced by sinus rhythm (normal heart rhythm).

In the demonstration classroom, the audience was amazed that the operation of operating room No. [-] was so smooth!
From the beginning of surgical disinfection to the end of electrical ablation, it takes less than half an hour.

"Success!" Yao Jie showed a bright smile.

However, Lu Chen on the stage suddenly felt something was wrong.

Less than 1 minute after he stopped the discharge, the patient's ECG monitoring showed that the chamber had recovered again!

A series of wide and deformed QRS waveforms made Lu Chen stunned. (Picture of ventricular premature beats, wide and deformed QRS waveform.)
Ablation of premature ventricular contractions, failed? !
(End of this chapter)