The cardiologists threw up their hands and felt a bit embarrassed to ask their neurosurgery colleagues on the spot. Lin Chenrong walked behind classmate Xie and whispered, "Do you know what's going on now?"
"The first picture is a right aortic arch angiography, which is normal." Xie Wanying communicated with Teacher Lin from the beginning, choosing to start with the cardiovascular angiography that Teacher Lin is most familiar with.
Before Lin Chenrong heard what she said, he really didn't think that extraneural angiography started from the aortic arch, the blood vessel coming out of the heart, and he was a little stunned.
What's even more frightening is that he, a cardiovascular specialist, didn't think of it, but she, an intern, immediately thought of it and was not confused at all.
It's right to ask thank you classmates. Lin Chenrong thought. Younger people or people with insufficient abilities may not be able to think as fast as her.
Deputy Director Lu on the other side turned his head, as if eavesdropping on their conversation. Interventional surgery is a new technology and is something that experienced doctors who are used to traditional surgeries are not good at. It is indeed difficult for an old doctor like Deputy Director Lu to think of him for a while.
"Keep talking." Lin Chenrong said to classmate Xie, standing next to her and listening attentively.
It is not surprising that neurointerventional angiography starts from the aortic arch. Because the aortic arch is the starting point of the systemic arterial system, including the cerebrovascular arterial network. Specifically, the aortic arch gives rise to the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The brachiocephalic trunk branches into the right common carotid artery and the right subclavian artery. The left and right common carotid arteries branch off from the left and right internal carotid arteries, and the left and right subclavian arteries branch into the left and right vertebral arteries.
The important point is that the left and right internal carotid arteries and the left and right vertebral arteries are the arterial trunks that separate the cerebral blood vessels.
Therefore, after examining the aortic arch during neurointerventional vascular examination, the next site to be examined is the left and right internal carotid arteries and the left and right vertebral arteries.
Just like checking the water network system, you must first check whether there are problems at the source, and then further check whether there are problems in various channels of the water network.
"The second step is to check the left and right internal carotid arteries. No abnormalities are found for the time being. There seems to be a section of the right vertebral artery that is slightly narrowed." Xie Wanying continued to talk about the imaging results just obtained from the surgery.
Already found out? Does the patient have some blood vessel problems? The group of people standing behind were surprised. It shows that the surgeons in the operating room operate too fast, and if they are a little careless, the bystanders like them who just watch and do nothing can’t keep up with the rhythm.
Mr. Xie did not miss any details when he talked about each scene, and his fast-paced memory is very impressive.
"Didn't the CT report be written before?" Lin Chenrong asked some questions. He had not seen the patient's medical record and was not clear about some issues.
"The stenosis of the patient's blood vessel segment is not a complete occlusion. After all, the patient has undergone thrombolytic treatment before." Xie Wanying said.
"Oh." Lin Chenrong turned back and waited for her to continue, "They have to deal with the narrow area they discovered now, right?"
"It can be treated. But the main purpose is to find intracranial aneurysms." Xie Wanying did not forget the surgical topic discussed at the previous neurosurgery meeting.
This little bit of narrowness is easy to handle. However, to eliminate emboli in the patient's body in the long term, it is necessary to start from the source so that emboli are no longer produced in the patient's blood vessels. If you have atrial fibrillation, treat it. If you have other diseases such as hyperlipidemia and high blood pressure, you need to take medicine for a long time after the operation. Surgery often solves local symptoms but does not cure them completely.
