Doctor of Healing

Chapter 188 Accompanying small blood vessels

Ji Xiang began to over-select again.

Ling Tian watched the micro guide wire go up the artery, higher and higher, farther and farther.

"Which artery do you want to overselect?" Ling Tian asked without doubt.

Although his first feeling was that Ji Xiang had gone off track, Ling Tian still had a bad feeling.

"Under the collarbone."

"!!!" Ling Tian felt that Ji Xiang had gone crazy, the subclavian artery!He actually wanted to overselect the subclavian artery!

The subclavian artery is a large arterial trunk at the root of the neck. It supplies blood extensively, from the top to the intracranial blood supply, and the bottom to the thoracic vertebral body. The subclavian artery has branches.

However, the subclavian artery is separated from the liver by a chest cavity, and it has to branch out into a blood vessel, which travels a long distance through the chest cavity, through the diaphragm to the liver, and then climbs into the liver to supply blood vessels to the tumor.

how can that be!

No, it's still possible.

One branch of the subclavian artery is the internal mammary artery, which runs in the thorax close to the diaphragm.If the liver tumor is close to the diaphragm, it will be supplied by a branch of the internal mammary artery.

Ling Tian knew about this, but the tumor was not close to the edge of the liver, it was far away from the diaphragm.

So he subconsciously ruled out the possibility of internal mammary artery.

Jixiang must have been unable to find any ideas. He felt that the three super-elections would inevitably fail, and he was going to do an operation that other people could not complete, so as to save some face.

The turn from the thoracic aorta to the subclavian artery is extremely difficult and requires great skill.

ridiculous,

Ridiculous!

Ling Tian sneered angrily, "Under the collarbone? You..."

He forcibly endured the countless ridicules in his heart. After all, he was on the operating table and the patient was under local anesthesia.

Ling Tian still has the most basic morals.

In addition, Ji Xiang is just a Gui Peisheng, a surgeon who only performs the surgery because of a coincidence. In the end, no matter what troubles arise, they are all his own.

So he endured it.

Let's see what he has to say when the super selection fails!
Ling Tian thought viciously in his heart.

The guide wire was winding, Ji Xiang gently twisted the guide wire with his right hand, walking not fast, but extremely firm.

All the technical difficulties along the way were overcome by unknown means, as if the road was smooth.

Especially at the turn from the thoracic aorta to the subclavian artery, even if Ling Tian made this extremely difficult turn, it would take at least a few attempts under the premise of concentrating on it.

However, Ji Xiang twisted his wrist, and the guide wire went into the right subclavian artery obediently and docilely, without any difficulty.

Ling Tian was a little jealous when he saw Ji Xiang's surgery.

Such a good technique, at such a young age, it would be great if he didn't have much to do.

It is extremely difficult to cultivate talents in the interventional department, and the difficulty of superselecting level 4 blood vessels is beyond the imagination of most people.

After so many years, the boss has not formed an echelon.

There are other reasons, such as word-of-mouth among doctors.

But the more important reason is that surgical operations can rely on proficiency, while interventional operations need talent to reach the highest level.

Insufficient talent, even if the variation of eating the thread is not up to the first-line level.

But Ji Xiang... It's a pity, Ling Tian hates it as much as he regrets it.

The domineering and domineering Jixiang not only delayed his own future, but also delayed the boss's vision and blueprint, and even delayed his own design for the future of interventional disciplines in the hospital.

Damn!

"Spray medicine." Ji Xiang said softly after the super-selection was completed and the catheter was inserted into the right subclavian artery.

This should be the last time Jixiang stood on the operating table in Shanghai and spoke. Ling Tian didn't question it, but touched the panel with the sterile film and operated the high-pressure syringe to spray medicine.

"Brush~"

A dark image of the contrast material appears in the subclavian artery.

This time Ling Tian was not particularly nervous, he thought it was absolutely impossible for the tumor to be supported by the subclavian artery.

The tumor factor is also very disciplined. With so many blood vessels left unused, how could it summon the subclavian artery from thousands of miles away to branch off one.

He was just beginning to imagine how it would end if he were Ji Xiang, when suddenly a black line appeared in his vision.

It goes from top to bottom, like the water of the Yellow River coming up from the sky, rushing down, passing through the pleura, chest cavity, and diaphragm, and entering the liver.

This is impossible!

Absolutely impossible! !

Ling Tian's pupils shrunk on both sides, their light reflexes disappeared, and they were not equal in size or round.

Is it really a branch of the right subclavian artery?
Although the facts appeared before his eyes, Ling Tian still couldn't believe it.The internal mammary artery, he thought.

But Ling Tian was dumbfounded immediately.

The branches of the internal mammary artery are visualized, and there is a thin shadow accompanying the artery, penetrating the diaphragm.

He tried his best to keep his eyes wide open, and his pupils contracted like needlepoints to watch carefully.

The blood vessel and the internal mammary artery almost overlapped, and there was a double image, which could not be seen clearly without careful observation.But even if you look closely, it's still... hard to tell.

Fortunately, the concept of sterility has already been engraved in the DNA, Ling Tian did not do such a shameful thing as raising his hand to wipe his eyes, but lowered his head and rubbed on Ji Xiang's shoulder.

The stiff orbicularis oculi muscle was relieved with a rub, and Ling Tian's vision returned to normal.

He stared intently.

Sure enough, what I saw just now was not an illusion. There was indeed a branch of the subclavian artery descending, supplying blood to the tumor in the liver.

After a few seconds of delay, as the operative field moved down, half of the tumor in the liver, which had always been a dark area, was "lit up".

!!!

!!!

!!!

Countless exclamation marks floated above Ling Tian's head.

This kind of thing does not exist in his consciousness.

The branch of the subclavian artery supplies blood to liver tumors, which is not medical treatment.

But the truth is in sight.

No matter how unbelievable, it is still true.

Ling Tian was stunned, he looked at the screen of the DSA machine in astonishment, and there was noise in his ears.

That is the sound of blood pressure rising and blood hitting the blood vessels in the pinna.

The whistling noise made Ling Tian extremely irritable.

Whether it's my boss or myself, what I thought was impossible was accomplished by a little guy in a very short time and three super-selections!

If the person standing next to him was his junior brother, the boss's close disciple, Ling Tian would have already shouted excitedly.

but!
Nothing can be undone.

Ji Xiang was very strong, stronger than he expected, so strong that he didn't even know how he found out that the subclavian artery had abnormal branches.

"Crack~"

The hemostatic forceps hit the radial styloid process of Ling Tian's left wrist.

"Mr. Ling, micro spring coil." Ji Xiang said softly.

Ling Tian didn't show any emotional changes after being beaten, the patient's condition was beyond his cognition.

Instead of a branch of the internal mammary artery, an accompanying hyperplastic arteriole supplies blood.It's hard to find this kind of blood vessel!

Ling Tian was at a loss, his muscle memory turned him into a puppet assistant, and the spring coil was passed to Ji Xiang.

(End of this chapter)