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Chapter 2736: 【2736】Deadly Threshold



  Others did not expect her words at all.

   The most surprising thing was Dr. Che, who immediately asked Dai Ronghong: "Who is she? Is she your colleague in the hospital? Very young."

   Being very young is the point of suspicion.

  Dai Ronghong thought of the pit he had planted, and said earnestly to Doctor Che: "Don't underestimate some young people today."

   "Young man, I know, it's getting more and more powerful, how dare I underestimate it." Dr. Che said, clearly looking at the young doctor in the rival Guozhi Hospital.

   Shin Woo-hwan was glanced at by the other's star doctor, Doctor Che, a senior doctor, and shrugged his shoulders, thinking that he wouldn't dare to underestimate the young people behind him, such as little junior sister.

   The operating room is all ready. Director Gao is an assistant. There are several field assistants.

  Doctor Che stood at the position of the main surgeon and first performed peripheral femoral vein puncture and catheterization. This step is not difficult for the experienced and skilled boss who has done multiple operations, and it can be done in a few minutes.

   Next is the special point that this operation is different from other interventional procedures. Various test catheters are placed into the heart cavity.

  The main surgeon, pedals, adjusts the angle of the operating table and the c-arm of the machine, and makes various perspective cross-sectional views to ensure that the electrodes of each catheter are accurately placed in the designated position in the heart. Only when the position is accurate, the measured electrophysiological map can be accurate.

  Xie Wanying followed the others to watch in the control room, and saw that Dr. Che's movements were slower than that of Senior Brother Shen, such as slow-motion shots, but he would try to do it in one step as much as possible. This is the characteristic of most older doctors, who pay more attention to keeping the word in the first place.

   Through the photograph, you can see the catheters are placed into the heart chambers one by one. Specifically, the right atrium catheter was placed in the upper part of the right atrium, and the recorded electrogram was displayed on the electrophysiological software analysis screen, codenamed HRA map. The atrioventricular bundle catheter is placed on the anterior inner edge of the right atrioventricular orifice, where the position is closest to the atrioventricular bundle, and the atrioventricular bundle can be recorded most clearly and accurately, codenamed HBE map. The right ventricular catheter is placed in the apex of the right ventricle, codenamed RVA diagram. The coronary sinus catheter is placed at the ostium of the coronary sinus, codenamed CS map.

  The above catheter is placed through the right atrium, mainly to solve the problem of right bundle of heart conduction. If you want to solve the problem of the left bundle, you need to penetrate the atrial septum to place electrodes to the left atrium.

  Wei’s ECG showed that the problem was mainly in the right bundle, so there is no need to go to the left bundle for the time being.

  According to the needs of treatment, the surgeon put all the electrometer catheters in place.

   On the screen of the instrument, the electrophysiological data of each catheter is displayed, and the rows of white lines on a blue background are spectacular.

  The surgeon looked at various graphs for data analysis.

   I mentioned before that the electrophysiological analysis is very important. It is to find the lesions of the patient, which is directly related to the effectiveness of the treatment. Only when this foundation is found can the next step of precise ablation be achieved.

   Seeing this, Xie Wanying remembered that she had accompanied her acquaintances to the interventional surgery in the top three before her rebirth. She had seen with her own eyes that there were cases from the morning to the afternoon, and the surgeon had to give up in the end. On that day, the doctor searched for almost a day and could not find the target. I can't analyze where the target is, and based on that point of experience, I can find out that it has no effect after burning it.

   This is the most fatal technical threshold of this technology.

   (end of this chapter)


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