After driving for about half an hour, I saw the huge building of Pinghuai Hospital standing tall in the night.
The two Cao brothers spoke.
"Is there any extension to this building?" Cao Yong asked as he had been visiting less recently and his impression was a bit blurry.
Cao Zhao replied: "I'm not sure. They said they were expanding the emergency building."
The expansion of the emergency building is due to business needs. Like Guozhi, Pinghuai's emergency interventional center has seen an increase in cases and needs to expand its operating room. Hospitals generally place interventional centers on the first floor to facilitate emergency care and place special equipment. The interventional center in Pinghuai is located behind the emergency building.
After saying hello in advance, the patient was sent directly to the entrance of the interventional center, bypassing the emergency room.
The emergency cart rolled out, and a group of people hurriedly transferred the patient to the lathe and sent him to the interventional operating room.
It was Director Gao of the Department of Internal Medicine who was preparing to perform interventional surgery on the patient.
It was a rare opportunity to sneak into someone's operating room, and Shen Youhuan was ready to spy on the information.
Director Gao recognized him immediately: "Dr. Shen from Guozhi is here."
"Hello, Director Gao."
"Would you like to come into the operating room and take a look."
The other party invited him in intuitively, and Shen Youhuan accepted it generously for the sake of his junior brother.
Radiofrequency ablation, like any surgery, has risks. Compared with other cardiovascular interventional procedures, radiofrequency ablation technology generally has a poor reputation among medical circles and ordinary people.
The reason is like the small underarm and chest incision surgery that Dr. Chen Xiang hates. As long as a technique is difficult for ordinary doctors to perform perfectly, it is unlikely to be too popular. This is exactly the case with radiofrequency ablation. It seems that the threshold for ordinary doctors to get started is not high, but the number of complications and cases with poor results is high in the total number of cases. This is reflected in various medical research literature descriptions.
What are the specific difficulties of this technology? We must first talk about how this technology operates.
Using the conventional interventional surgery method, a catheter is used to enter the heart from the peripheral blood vessels, conduct electrophysiological examination of the heart, and then determine the target point for ablation. In the so-called ablation, a special catheter called an ablation catheter is placed into the heart chamber, and electricity is applied to burn the myocardium that can cause ectopic pacemaking points and cause malignant arrhythmias in the heart.
From the above simple description, we can know where the technical risk points of this operation are.
Myocardial burn is no joke. If you burn it wrongly, it may be ineffective at a small scale, worsen the conduction system of the heart and make malignant arrhythmia even more malignant, or directly burn out a hole in the heart with high power. These are the most feared complications, although the chances of them happening are very low.
Cardiac surgery is needed just in case. Different from coronary angiography and stent placement, the basic purpose of cardiac surgery is to repair the hole in your heart. If a coronary stent cannot be used, cardiac surgery can replace it with a bypass. At present, cardiac surgery has very few means of solving the cardiac conduction system.
Less does not mean none at all. For example, the maze surgery, the most famous surgical procedure to solve such problems, is said to have a 95% cure rate for atrial fibrillation, which is higher than catheter intervention. The problem is that this surgery is most effective for isolated atrial fibrillation. Others that are more complicated, such as Mr. Wei's, should be discounted.
Generally doctors do not advocate or recommend it. Maze surgery requires drastic modification of the atrial surface. The atrial surface is thin and cannot withstand modifications.
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