"So young?" When Koji Kimura saw Ruan Bin, he was slightly surprised.

Is it reliable to be so young?

He really wanted to know how the other party did this surgery!

"Professor Kimura, this is Dr. Ruan Bin Ruan from our emergency department, this is Professor Koji Kimura, and this is his apprentice Miyamoto Kojiro." Jia Yanguan introduced to both parties.

"Hello Ruan Sang." Kimura Koji greeted him politely.

"Hello Professor Kimura."

Finish the courtesy and get to the topic.

"Ruan Sang, are you sure that surgery is not possible without angiography?" Kimura Koji asked with a hint of doubt.

"Yes, there is still some confidence! Otherwise, I wouldn't agree to Director Jia come for consultation." Ruan Bin said.

This ambiguous answer made Koji Kimura frown deeply.

"I wonder how many zero-angle surgery Ruan Sang has had?" Kimura Koji continued to ask.

"Not many, only 2 units!"

"Only two units? Do you don't know the difficulty and complexity of this operation? I think it's difficult for you to be competent for your experience!" Kimura Hiroji said with a slightly dark face.

He felt that Jia Yanguan was doing something random!

The experience of only 2 units is better for him to come. He has more than 20 zero-angle surgery experience.

"You have to try to know if you can do it." Ruan Bin said expressionlessly.

This island professor is a little skeptical about his skills!

"Professor Kimura, why don't you try it? Last time you said that you had more than 20 zero-angle surgery!" Jia Yanguan looked at Kimura Hiroji.

“…”

"It's so difficult. I refuse to do this surgery. If you want to try it, I can be willing to provide a feasible surgical plan." Kimura Koji shook his head. He didn't want his first-life heroic reputation to be ruined in this surgery.

The most important thing is that you know this surgery is not feasible, and you have to force the surgery. This is an unwise decision.

Anyway, Koji Kimura would not have such meaningless surgery.

Although this surgery is rare!

It is worth practicing!

"Then please ask Professor Kimura to tell Dr. Ruan about the surgical plan you thought was feasible before." Jia Yanguan said regretfully. To be honest, if Professor Kimura dares to take risks, the chance will be greater than Ruan Bin?

"Yes, my surgical plan is to use balloon anchoring technology and combine guidezil catheter. The lateral branches of the spacer can be expanded with a small balloon at low pressure (1.0~1.25 mm @ 2~4 atm), and the threader catheter is reasonably used..." Koji Kimura began to explain in detail.

Jia Yanguan listened carefully.

However, Ruan Bin's thoughts flew to the sky.

He was thinking about the best surgery.

I didn't listen to Koji Kimura at all.

Ruan Bin's sacred tour of Tianwai made Hiroji Kimura frown. Was the other party listening to his surgical plan?

"Ruan Sang, are you listening carefully?" Kimura Koji said with a little unpleasant expression.

Miyamoto Kojiro next to him also felt that the young doctor at this age was similar to his own master.

As famous doctors with such rich experience as their masters, many doctors want to follow and listen to their experience but have no chance.

This guy is so nice, it seems that he doesn't take it seriously!

"I'm listening carefully." Ruan Bin came to his senses and said calmly.

"..." You are clearly lying!

But Koji Kimura was too lazy to pursue it.

Half an hour later.

End the negotiation.

"Ruan Bin, what do you think of this surgical plan? Can the surgery be done?" Jia Yanguan looked at Ruan Bin.

"It's okay, okay." Ruan Bin nodded.

good?

What he said made Kimura Koji, who was proud of his face, feel a little unhappy. His surgical plan was definitely a surgical plan he thought about for a long time, combined with his thirty years of clinical experience, and based on the patient's severe situation.

It can be said that there are probably not many people in China that can reach his level.

But the young man in front of him said a light sentence, but he felt that the weight was too light!

Will you?

Do you have a better solution?

hehe!

OK, proud young man, when the operation is difficult, I hope you don’t ask for help! Kimura Hiroji thought to himself.

"If possible, the surgery will take an hour later?" Ruan Bin didn't want to waste too long time here.

"Don't think about it anymore?" Jia Yanguan was stunned. Will the surgery be so soon?

This This This This...

Too decisive!

"No need!" Ruan Bin waved his hand.

"All right."

I had a preoperative conversation with my family again, and the other party was definitely willing to take a try.

Everything is ready.

One hour later.

Operating room.

Ruan Bin is the chief sword and Jia Yanguan’s assistant.

Koji Kimura and Kojiro Miyamoto were watching.

Although they did not participate in the operation, this operation was of great significance and they also wanted to see if Ruan Bin could succeed. Of course, their inner thoughts were to come to the joke!

This kid is so arrogant, I see how you pretend!

Later, the difficulty of the operation will make you slap yourself in the face!

anaesthetization.

Anesthesia is effective.

Since angiography cannot be performed, it can only be used under ultrasound guidance.

Ruan Bin can only use the original contrast image for on-site reference for surgery!

Under the guidance of ultrasound, puncture in the femoral artery is successful.

After success, put it in the sheath, then use the artery guide wire to open the intravascular ultrasound.

Because Ruan Bin has an innovative level of CTO interventional surgery, coupled with the understanding and manipulation of blood vessels by prehospital Reboa, and his nanoscale operation level.

The road was smooth. Although it was blindly operated and without the guidance of the contrast image, he quickly pushed the arterial guidewire to the proximal end of the coronary artery. Although it was not completely blocked here, it had severe calcification and abnormal stenosis!

This series of operations made Jia Yanguan feel a little relieved. Without the imaging, the push was so smooth, which was indeed awesome.

After seeing it, the two masters and apprentices of Kimura looked at it and Kimura thought to himself: "This Ruan Sang's zero-inverter operation is indeed very powerful! Even if it was him, he would not be able to push it to the proximal end of the right coronary artery so quickly!"

With only 2 experiences, how can I do it?

Then Ruan Bin began to clean up the calcified plaques proximal to the right coronary artery.

Since it is not a completely blocked part, it is still very quick to clean it up.

The next step is to move towards the first vascular segment of the right coronary artery proximal.

Here is a complete occlusion calcification, and the occlusion calcification length reaches 25mm!

After Ruan Bin placed the arterial guide wire proximal, he sent it into the catheter and replaced the suoh 03 guide wire!

"Ruan Sang, the guiding wire of your suoh 03 model is not hard enough, so it cannot penetrate the calcification ward that is up to 25mm!" Kimura Koji frowned, and now he found that the other party had not adopted his surgical plan at all!

"You haven't listened to my surgical plan carefully before, right? Ordinary reverse and positive intervention methods cannot pierce this completely obstructed calcified plaque!" Kimura Koji said in a silence.

"Shut up!" Ruan Bin suddenly raised his head and glared at Hiroji Kimura.
Chapter completed!