I can see health

Chapter 758 Steps to modify academician (third change)
The next day.

Guanghai No. [-] Hospital, Cardiology Cath Lab.

After checking the room, Lu Chen brought Jin Miao to the catheterization room.

"How did you watch the video last night?" Lu Chen asked with a smile.

"Excellent." Jin Miao said, and then patted his head embarrassingly, "It's just that there are too many videos and the time is too short. I haven't finished watching them yet."

"It doesn't matter, take your time." Lu Chen said, "Today's operation, you mainly observe it. I will stop and explain to you the important operation process."

"Well, thank you Director Lu."

This is the first time Lu Chen has come to the catheterization room of Guanghai No. [-] Hospital.

There are a total of ten operating rooms in the catheterization room, even larger than Kyoto and Shanghai.

Really rich!

There are six common operating rooms.

Lu Chen's operation this time was performed in the No. [-] operating room.

The hospital attaches great importance to Lu Chen's operation, which is a "zero" breakthrough for the hospital.

The reporters invited by the hospital were already waiting in the cath lab.

The reporter is mainly responsible for conducting a brief interview with Lu Chen after the operation and taking some pictures related to the operation.

Other interventional doctors in the Department of Cardiology rushed over as long as they were not on duty.

For example, the directors of various departments of the Cardiology Department, Yan Wanfeng of the Second Cardiac Division, and others all came to the scene.

This is a good opportunity to observe TAVR surgery up close!

The hospital has even prepared a podium camera to record all the surgical procedures so that others can learn from them.

……

Putting on brand new surgical gowns and lead clothes, Lu Chen and Jin Miao entered the cath lab together.

Outside the duct, everyone held their breaths and watched Lu Chen's movements silently.

Preoperative preparation, disinfection, draping, and puncture.

These routine operations are not much different from normal coronary intervention and electrophysiology.

While operating, Lu Chen taught, "Actually, academician Guo of the Department of Cardiology at Sun Yat-Sen University summarized 18 steps of TAVR surgery in detail."

"If every operator can master these steps proficiently, analyze the difficulties and crux of them, and avoid the occurrence of complications to the greatest extent, then TAVR will not be difficult."

Jin Miao echoed from the side: "Well, I have also listened to Academician Guo's lectures before, but these 18 steps are a bit cumbersome, and if you don't practice operations often, you will easily forget them."

In fact, clinically, there are very few doctors who can perform surgery by themselves.

The cumbersome surgical steps are easily forgotten.

"So, the next thing I want to talk about is the main point." Lu Chen said in a deep voice, "I will summarize the 18 steps of TAVR surgery into four points of ABCD."

Hearing this, Jin Miao's eyes lit up.

As a beginner of TAVR technique, Jin Miao was very interested in Lu Chen's summary of experience.

Lu Chen smiled, and continued: "The first point, A refers to Access, that is, approach processing."

"This is the first skill to learn in TAVR surgery."

"In previous interventions, the sheath inserted into the artery was only 6-7F, and the treatment was simple. However, TAVR is mostly above 18F, which is complicated and dangerous, and many interventional doctors need to relearn."

"..."

Lu Chen explained while operating.

The movements of his hands were neither too fast nor too slow, and he looked calm and calm.

His words can be heard directly by the people outside the catheterization room through the voice system.

catheter outside.

The onlookers originally just wanted to join in the fun.

See how the hospital's first TAVR procedure was performed.

After all, if you don't observe in the cath lab, you can learn very little.

However, with the deepening of Lu Chen's teaching, everyone was amazed.

This is not just surgery!
Instead, he summed up his surgical experience and passed it on to everyone present.

"You dare to modify the academician's operation procedure, this kid, you really dare!" Director Yan Wanfeng sat outside the catheterization room, sighing not very much.

These people, when they meet an academician, they may not dare to show their air.

Luckily, Lu Chen directly summed up a more concise four-step method based on the surgical steps prescribed by the academician.

The most surprising thing is that Lu Chen didn't hide any secrets, and directly shared all his surgical experience, and even the details of every step of the operation.

In fact, Lu Chen is different from others.

Many directors or deans like to suppress young people.

To put it bluntly, today is to prevent young people from surpassing themselves, so when imparting various knowledge and experiences, they will more or less leave a little behind.

Lu Chen doesn't need it anymore.

He is not afraid of others surpassing him at all!

……

After successfully completing the first step, Lu Chen started the second step.

"B, refers to Balloon, that is, balloon expansion."

"This is also the core step of TAVR surgery, including anterior expansion and posterior expansion."

"Balloon dilatation can not only improve hemodynamics, but also provide an important reference for valve selection and risk judgment of coronary obstruction."

"Of course, if you are not careful, it may also cause some serious complications, such as valve ring rupture and circulatory collapse."

Outside the catheterization room, there are more and more interventional doctors watching.

Many people even took out pens and paper and began to record every word Lu Chen said.

The operation started in less than a quarter of an hour.

Other interventional doctors have already filled up the catheter room.

"Congratulations, I received the thank you value from Jin Miao..."

"Congratulations, I received a thank you from Dai Wansong..."

Lu Chen had already noticed it.

On the system panel, his gratitude value is rising crazily!
The interventional doctors outside the cath room, the youngest ones are also attending doctors, and most of them are assistant assistant physicians and chief physicians!

The higher the title, the more appreciation bonus Lu Chen will get.

In just 10 minutes, he earned hundreds of thank you points.

……

Lu Chen continued: "The third point of the operation, C, refers to Crossing, which means crossing the valve."

"This is the speed-limiting step of TAVR surgery. Sometimes it is still difficult and takes a long time. It is often the step that determines the length of TAVR surgery. This step also requires certain skills."

Lu Chen will also demonstrate the specific skills with Jin Miao.

This made the audience jealous!

How they hoped that they could replace Jin Miao at this very moment!
There are more and more interventional doctors onlookers.

Director Yan Wanfeng reluctantly appeared in person to maintain the order at the scene.

catheter room.

Lu Chen is solving Jin Miao step by step.

"The last step of the operation, that is D, Deployment, is the release of the valve."

"Sometimes it is said that if TAVR surgery is a football game, the release of the valve is the last kick. The front has been paving the way, and the ball has been passed. The last shot determines whether it succeeds or not. It feels a little bit or nothing .”

"It can be seen that this step is very important in TAVR, and it is often completed within 2 minutes. This is also the charm of TAVR!"

ABCD, the four precautions have been explained in detail.

And Lu Chen's operation was successfully completed!
　Originally, there was still a chapter, but it was not revised, and I was too sleepy, so I will post it tomorrow morning.

　　Thank you for your rewards and monthly tickets.

　　
　
(End of this chapter)