Chapter 410 Ablation Failed?

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The first stage of the assessment of the Huaxia Electrophysiology Training Class began.

All the students were very excited.

Because as long as they passed this assessment, they could get the electrophysiology intervention certificate awarded by the Huaxia Electrophysiology Society.

If they failed this time, they could only participate in the provincial training class.

The certificates awarded by the national electrophysiology society and the provincial electrophysiology society have different gold content!

The intervention certificate of this training class is universal throughout the country.

No one wanted to give up this rare opportunity.

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

Min Xiaobo smiled and came to Lu Chen, holding Lu Chen's shoulder with one hand.

The two of them spent day and night together, and they were both students from Jinghua, so they had become much more familiar with each other.

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

"I've made up my mind, what about you?" Lu Chen glanced at Min Xiaobo. This guy looked very low-key, but he knew that it would be difficult to survive in the academic circle without strong connections.

"Hehe, my previous boss contacted a professor for me, 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 am lucky."

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

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

This assessment is also clinical practice!

Everyone first drew lots in groups. There are three types of operations, namely pacemaker implantation, arrhythmia radiofrequency ablation, and ICD implantation.

Among them, radiofrequency ablation is further divided into several categories.

Lu Chen drew the radiofrequency ablation of arrhythmia!

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

There were four other people in his group, including Yu Hewei who had been ranked first for a long time!

…

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

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

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

Fang Ruzhang also organized graduate students and residents in the department to watch the game.

"Yao Jie, go to the demonstration room of the catheterization room to watch the game later." Fang Ruzhang smiled and said to Yao Jie who was writing the medical history.

"Teacher Fang, I haven't finished writing my medical history yet." Yao Jie said. In the department, she was still used to calling Teacher Fang.

"Don't you want to watch your senior's game?" Fang Ruzhang asked back with a smile.

Yao Jie was stunned, then reacted and said in surprise: "Brother Lu Chen is here to compete with us?"

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

"Then I will write the medical history quickly." Yao Jie was stunned and immediately sped up the speed of writing the medical history.

...

Enter the catheterization room.

All surgical preparations are ready.

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

Lu Chen was drawn for radiofrequency ablation of ventricular premature beats, and the others were radiofrequency ablation of atrial fibrillation, radiofrequency ablation of ventricular pulsation, radiofrequency ablation of atrial flutter, and radiofrequency ablation of atrial premature beats.

Although they are all radiofrequency ablation surgeries, the patients' physical conditions and electrophysiological states are different, and the difficulty of the surgery is also different.

Before the assessment, everyone got all the patient's information, including electrocardiograms and medical records.

Lu Chen took a look at the electrocardiogram and knew that this was a ventricular premature beat originating from the right ventricular outflow tract.

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

Suddenly, Lu Chen was confident.

He had practiced this kind of ablation surgery hundreds of times in the simulated operating room!

With the examiner's order, all the students, including Lu Chen, walked into their respective catheter rooms at the same time.

This time, five people performed the surgery at the same time.

...

In the demonstration room where they watched the battle, Fang Ruzhang and a group of students also arrived.

"The assessment has begun!"

Yao Jie stared at one of the small screens nervously.

Although she was not the one performing the surgery, she seemed to be more nervous than the one performing the surgery.

"Teacher Fang, is this surgery of Senior Brother Lu Chen difficult?" Yao Jie whispered.

"This..." Fang Ruzhang took a closer look at Lu Chen's operation interface, "It looks like a routine arrhythmia radiofrequency ablation, not too difficult."

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

In the catheter room.

Lu Chen put on gloves and a hat, and began to perform interventional surgery at the instruction of the chief surgeon.

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

Lu Chen nodded, indicating that he understood.

Then, he slowly walked to the patient above his head and began to disinfect and lay a towel.

The first step was still the puncture of the blood vessels.

Lu Chen's actions were very fast. His speed and success rate of puncturing blood vessels far exceeded that of other students present, including Yu Hewei.

In the demonstration classroom.

All the audience were a little surprised.

"This young man in operating room No. 3 is so good at puncture?!"

"Yes, it really hit the nail on the head. Isn't this faster than our director?"

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

…

Hearing everyone's discussion, Fang Ruzhang smiled.

The first time he saw Lu Chen's piercing, he was also shocked.

This technique and speed are like installing an imaging machine on the eye, puncturing the blood vessel in an instant.

It may be good luck once or twice, but if you succeed almost every time, it is not a matter of luck!

At this time, inside the catheter room.

Lu Chen was also very satisfied with his piercing.

As one of the first skills he trained, his skill proficiency in vascular puncture has been infinitely close to 100%.

This is also due to his countless trainings, including various difficult vascular puncture trainings in the simulated operating room!

Whether it's narrow blood vessels or abnormal blood, Lu Chen can get it right in one step!

After the puncture was successful, Lu Chen sent the catheter into the right ventricular outflow tract on one side of the free wall.

This patient's arrhythmia originated from the right ventricular outflow tract.

Therefore, the most basic ablation method is to place the catheter into the right ventricle and perform discharge ablation, so that premature ventricular contractions can be permanently ablated!

After mapping the location, UU reads www. uｕkanshu.net Lu Chen began to perform the ablation operation.

"Ablative discharge!"

After the discharge ablation begins, the ventricular ablation disappears quickly during the continuous discharge process.

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

In the demonstration classroom, the audience was very surprised. The operation in operating room No. 3 was so smooth!

From the beginning of surgical disinfection to the end of discharge ablation, it takes less than half an hour.

"Successful!" Yao Jie showed a bright smile.

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

Less than a minute after he stopped charging, the patient's ECG monitoring showed that the ventricular cavity had recovered again!

Lu Chen was stunned by a series of wide and misshapen QR waveforms. (The pattern of premature ventricular contractions, the qrs waveform is wide and deformed.)

Ablation of premature ventricular contractions failed? !