Practicing Medical Skills in a Small Clinic

Chapter 595: Chapter 272: Godlike Prediction, Ultra-High-Difficulty Interventional Surgery (Part 3)

There was no way to get through.

Judging from the length of the guidewire exposed, it should be accessed from the femoral artery.

This is also a commonly used access route.

After many attempts, the surgeon couldn’t get the guidewire through the clogged section of the blood vessel and ultimately had to give up reluctantly.

The contestant had a very high level of skill in placement but still failed.

Everyone couldn’t help but lament the approaching death of the patient.

There are many times when doctors are powerless.

There are far too many diseases that humans have not yet conquered.

Sometimes we can only watch as the patient’s condition worsens, deteriorates, and eventually leads to complications and death.

"It’s a pity that the contestants from the People’s Hospital and Qiaobang Hospital couldn’t clear the blockage in these cardiovascular vessels. Now, only the last contestant remains, Professor Luo Binggang. He is a cardiovascular expert from Huairun Medical College in Beijing, and over four thousand patients have been saved through interventional surgery performed by him."

As the host’s words fell, the screen changed, revealing a new vascular puncture site.

It seems that this time, the choice of access route is no longer the femoral artery, but possibly the radial artery.

What is he trying to do?

Li Jingsheng quickly discovered that the access route was not the radial artery but rather a small artery located near the patient’s neck and collarbone.

Normally, for catheterization procedures, larger arteries are generally selected as the access route.

Yet, Professor Luo Binggang chose to access through a small artery in the patient’s neck, which is the opposite approach.

Li Jingsheng kept his eyes glued to the screen; this learning opportunity was extremely rare.

There was a chorus of discussions in the venue.

Everyone was discussing why Professor Luo, from Beijing, chose a small artery as the access route?

Isn’t he making things difficult for himself?

The femoral artery is the common choice due to its large diameter and the fact that it has few curves along the way, often making it the preferred location for interventional surgery.

Why does no one choose the small artery route?

For example, looking at the blocked cardiovascular, it seems that accessing through a small neck artery brings one very close to the blockage.

However, there are numerous twists and branches along the way.

One might easily get lost in the vascular plexus.

Imagine, every major blood vessel spreads out like tree roots.

Large blood vessels branch out into secondary vessels, which then split into narrower tertiary vessels.

This continues layer by layer as they spread.

Director Luo chose to access from the sixth or seventh-grade vessels, so reaching the blockage point in the major vessel is understandably difficult.

What is the purpose of choosing such a difficult approach?

Surely it’s not for showing off skills.

After pondering this carefully, Li Jingsheng immediately thought of a possibility; because the lower end of the blockage had already been attempted. Whether accessing through the femoral or radial artery, none succeeded in clearing it.

Now choosing the neck artery, the intent is likely to try from the upper end of the blocked vessel segment.

Changing direction might offer a chance at success.

Sometimes, vascular blockages resemble conical plugs.

When accessing from the lower end, attempting to clear it might tighten the blockage even more.

Switching directions might allow smooth passage through the blocked position.

"Wow, so powerful!"

This was Li Jingsheng’s first experience witnessing an interventional surgery expert from Beijing.

Manipulating the fine guidewire within the patient’s blood vessels, it progressed as if navigating, precisely bypassing each bend and branch. Once or twice might not be impressive.

But getting it right every time shows Luo Binggang’s familiarity with this vascular plexus to an extremely detailed level.

This is a true expert.

It’s likely he could even navigate each small blood vessel with his eyes closed.

The guidewire forged ahead, surprisingly swiftly reaching above the blocked blood vessel segment.

A wave of astonished exclamations arose in the venue.

The guidewire inched forward above the vessel, getting stuck again as it approached the central blocked segment.

If this patient could have undergone interventional surgery before being completely blocked, how great that would be!

Now the difficulty level for treatment has increased exponentially.

Li Jingsheng watched with anxiety, so close yet so far.

But it’s this tiny gap that cements the hope of the patient’s survival.

Suddenly, Li Jingsheng stood up and quickly walked toward a staff member.

"Take me to the interventional room; I might be able to help out the contestant in this final shot."

Li Jingsheng’s massage technique has reached a high level, and he has comprehended the essence of ’tendon pulling.’ I can’t guarantee success, but it’s worth a try.

If the experiment succeeds, it might even become an innovation in interventional surgery.

The combination of massage and catheterization might break through severely blocked crucial vessels.

"This..."

The staff hesitated.

Clearly, it’s against protocol, especially after the recent accident; safety measures need to be stricter.

"Don’t be like this, hurry up! Time is of the essence for saving the patient. It’s been so long; after this failure, there might not be another chance for treatment."

"Please wait a moment while I consult the leadership!"

After consulting with the leadership, they agreed.

But they imposed several safety requirements.

Li Jingsheng was not allowed to operate the guidewire or perform any actions that might cause catastrophic consequences to the patient.

Li Jingsheng hurried to the interventional room.