Returning to ’90s, She Became Famous in Major Surgical Fields

   Chapter 2010 [2010] High Risk

  Yes, at most, the catheter for interventional surgery can only be placed at the proximal end of the ophthalmic artery for drug injection or stent placement. If these places are blocked, needless to say, there are opportunities to place catheters and stents here, and the effect of thrombolysis is better.

   Catheters and stents are limited by the diameter of the blood vessels and cannot be sent to the terminal blood vessels of the retina, and the remaining thrombolytic drugs can accurately reach the blocked position of the retinal arteries through the ophthalmic artery and dissolve, perhaps. It's just that if the thrombolytic drug is feasible, why do this interventional operation, it is the same as directly hitting the veins of the whole body.

   Dr. Hu's attending ophthalmologist, as a leader in the industry, knows the fundamentals of these operations and will not deceive colleagues like Dr. Hu. After preliminary examination, it was judged that the possibility of emboli like Dr. Hu is at the end is very high, and the stent for embolectomy may not be successful.

   Any surgery has risks.

  People have done research abroad earlier, and there is no difference in the therapeutic effect of intravenous thrombolysis and interventional local thrombolysis. This is the first. The second is that the risk of this interventional surgery in ophthalmology is very high, which is tens of percent higher than the adverse incidence of intravenous thrombolysis.

  This interventional surgery in the ophthalmology department is not performed by an ophthalmologist, but an ophthalmologist on the spot to assist, and an interventional physician of internal medicine is required to do it. It can be seen from the above-mentioned incidence of adverse surgery that this operation has a very high technical level for interventional surgeons.

   Think about it, domestic interventional surgery is still catching up with foreign countries, and the training of interventional surgeons can be said to have not reached the foreign standard. There are very few truly ophthalmic interventional techniques. Foreign experts have done this, but there are very few experts and doctors who you want to find such a guarantee in China. What's more, Dr. Hu is an extremely rare occurrence of binocular seizures, not one eye, and the risk of interventional surgery is higher.

   Finally, Dr. Hu's previous intravenous thrombolysis treatment proved that it was correct not to do interventional surgery. Because the emboli in the central retinal artery of Dr. Hu cannot be completely dissolved by thrombolytic drugs. It is equivalent to saying that you have a high risk of local thrombolysis in interventional surgery and it is also useless.

   Mr. Liu lowered his head after listening to the doctor's words, indicating that the information he asked for his wife was invalid.

  I am not an insider. The fragmented information from hearsay must be biased, which is normal.

   Maybe his wife Dr. Hu almost gave up because he knew this.

With a worried face, Mr. Liu asked the doctor earnestly: "Last night, many doctors suggested that I come to see you, Dr. Cao. Are you unable to do anything about my wife's disease? In fact, what their doctors said last night. , I don't understand it very well. Is there any way to find a way out of the nerves for ophthalmological diseases?"

"I just told you about the ophthalmic treatment. Your wife was put on a thrombolytic drug within a few hours, and some of the emboli were removed, which bought herself precious delay time, so that the doctor can think of more ways to treat you. My wife is sick. At first glance, the rest of your wife's emboli should be calcified or cholesterol, so they can't be dissolved. If they can't dissolve, you can only find a way to get this embolus out." Cao Yong He said, "Diseases like your wife often occur together with stroke, which has shown that the two are closely related. Dr. Hu's disease belongs to ophthalmology, yes, from the perspective of anatomy, the arterial system that supplies blood can be said to belong. In the extraneural realm. The ophthalmic artery itself is a blood vessel that goes into the brain."

   (end of this chapter)

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