Chapter 427: Failed Electrophysiological Surgery

Remember [New] in one second!     Walked out of the outpatient building.

Xiao Fang held the hospitalization certificate in his hand and was about to wait for his father to be hospitalized.

But Fang's father stopped.

"Dad, what's wrong?" Xiao Fang looked at his father in confusion.

"Didn't you say you would explain to me in the clinic?" Fang's father said slowly, "Do I need to be hospitalized for my illness?"

Xiao Fang was silent for a while.

He hadn't figured out how to explain it to his father.

According to Lu Chen and Professor Qin Sifeng, his father's early repolarization syndrome has a high risk of sudden death.

At this time, it is necessary to implant cid in the heart to prevent sudden death.

"Dad, you may need a small operation." Xiao Fang looked up at his father, "It's just a very common interventional operation. It's a small problem, don't worry."

Fang's father frowned and looked at his son, "Fang Yuan, your dad is not stupid. I have to be hospitalized for surgery, or it's a small problem?"

Xiao Fang's tone stagnated, hesitating and unable to speak.

"If you don't say it, then I'll go back to find Professor Qin." Fang's father said and turned back.

Xiao Fang quickly grabbed his father's sleeve, his tone a little bitter, "Dad, if you don't go, I'll tell you."

Father Fang turned around and looked at his son.

The white hair on his temples made Xiao Fang a little stunned.

He graduated from his doctoral program, and his father was already old.

I thought that after I graduated and got a job, my parents would be able to live a good life, but I didn't expect that there would always be many unpleasant things in life.

Many of his classmates, at his age, had already started a family and built a career.

"Son, just say it directly. No matter how big the problem is, I can bear it." Father Fang smiled calmly.

Xiao Fang organized his words and said slowly: "Dad, in fact, there is a problem with the electrophysiological conduction system of your heart, which means that the circuit system of a room is faulty."

"Very serious?" Father Fang said.

Xiao Fang nodded, then shook his head and said, "There are certain risks, but they are not certain. A small device needs to be installed in the heart. The next time you have an attack, this device can automatically identify abnormal ECG."

"Well." Father Fang was silent for a few seconds, then looked at his son, "The surgery fee..."

"Dad, you don't have to worry about these things." Xiao Fang immediately interrupted his father, "Leave the rest to me."

"But you have just started working for a short time..."

"Dad." Xiao Fang said again, "The family has not saved much to support my studies, and we still owe a lot of money. Now that I work, I should take on my own responsibilities."

Father Fang was stunned, and then a smile appeared on his wrinkled face.

Yes, his son has grown up and is no longer the boy who grew up under their wings.

"Dad, let's go, I'll take you to the inpatient department."

"Okay!"

...

In the catheterization room of the Department of Cardiology.

Lu Chen is performing a routine electrophysiological operation - replacing the pacemaker and implanting ICD.

The patient is a patient in his seventies.

Nine years ago, because the heartbeat was too slow, it led to heart failure, so a pacemaker was implanted.

Recently, because the battery was exhausted, the pacemaker often stopped working, so symptoms of heart failure appeared again, such as chest tightness and shortness of breath.

This time, in addition to replacing the pacemaker for the patient, Lu Chen also needed to implant an ICD to play the role of defibrillator.

"Uncle, the operation will be over soon, don't be too nervous." Lu Chen smiled and said to the patient, "If you feel uncomfortable during the process, you must remind me in time."

"Okay."

Lu Chen has a lot of experience in doing this operation.

The implantation of the pacemaker is also one of the projects that cardiac electrophysiology interventional doctors must master.

Disinfection, laying towels, puncture...

Everything went so smoothly.

"Lu Chen, after this operation is over, come out for dinner with me." Xiao Shikang on the side smiled and said, "Take you to meet a few people."

"Okay, thank you Teacher Xiao." Lu Chen smiled.

Xiao Shikang is a deputy chief physician of a top tertiary hospital. The people he knows must have a high status.

In the medical circle, it is always good to know more people.

Lu Chen replied to Xiao Shikang, and then continued to focus on this operation.

After the puncture, the guide wire was inserted.

Lu Chen held the guide wire and entered from the patient's puncture point.

On the display screen in front of the operating table, the guide wire had successfully passed through the subclavian vein.

Next, it was the superior vena cava.

Lu Chen's hand gently pulled the guide wire and sent it into the blood vessel.

As long as the guide wire enters the superior vena cava, it can directly enter the heart.

Suddenly, Lu Chen felt a resistance coming from the guide wire in his hand.

The guide wire passed under the subclavian vein and could not go in anymore!

"What's wrong?" Lu Chen frowned.

The guide wire should be easy to pass from the subclavian vein to the superior vena cava!

Lu Chen has never encountered such a situation before.

He gently turned the direction of the guide wire and exerted a little force to continue to send the guide wire into it.

At this time, you can't use too much force.

If too much force is used, the guidewire is likely to damage blood vessels and even myocardial tissue.

However, Lu Chen tried four or five more times.

The guidewire still stayed where it was and could not enter the superior vena cava.

"What's wrong?" Xiao Shikang also noticed the abnormality during the operation.

"The guidewire seems to be stuck." Lu Chen frowned.

"Ah?" Xiao Shikang looked at the screen of the operating table. Sure enough, the guidewire was in the position of the subclavian vein and could not move forward.

"You can increase the strength of your hands a little bit." Xiao Shikang was afraid that Lu Chen was too cautious, so he reminded him.

Lu Chen shook his head slightly and said, "Teacher Xiao, I have tried hard, but it's not working yet. The guidewire doesn't move at all."

Xiao Shikang was also quite puzzled.

If a novice in electrophysiological intervention performed this operation and encountered such a problem that the guidewire could not pass, he would definitely think that the operator's skills were not up to standard.

But the operator in front of him was Lu Chen!

He even knew how to do dry pericardial puncture. Could he be stumped by this small guidewire operation?

"Let me do it." Xiao Shikang put on gloves and took over Lu Chen's position.

He held the guidewire tightly and pushed it in slowly.

A resistance immediately came from his hand, and no matter how he adjusted the direction and angle of the guide wire, the guide wire remained motionless.

At this time, Lu Chen frowned and said, "Teacher Xiao, could it be that the patient's superior vena cava is blocked?"

Xiao Shikang was shocked when he heard this. If the patient's superior vena cava is blocked, it will be a big trouble!

He immediately adjusted the position of the x-ray vascular machine.

At this time, the patient's superior vena cava was immediately displayed on the screen of the operating table.

This superior vena cava has become abnormally narrow compared to normal blood vessels!

"Oh my god, it's really blocked!"

The two looked at each other and saw the helplessness in each other's eyes. UU Reading wｗｗ.uｕkanshu.ｎet

If the superior vena cava is blocked, it means that the surgical channel is blocked!

"Why not try again?" Lu Chen said slowly.

He has no confidence now. This kind of chronic blood vessel blockage cannot be solved by human power.

Xiao Shikang's expression was very helpless. Now he could only do his best.

Even if the guide wire can pass by luck, can the electrode pass through later?

Seeing that Xiao Shikang did not object, Lu Chen continued to try to push the guidewire in.

…

Ten minutes later.

Lu Chen's right hand was shaking slightly, and sweat even oozed out of his forehead and nose.

However, on the screen of the operating table, the guidewire was still in the position of the subclavian vein, without moving.

"Pull out the guidewire."

With Xiao Shikang's words, the operation was declared a failure.