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187 Accompanying small vessels

Ji Xiang started to super-select again.

Ling Tian watched the micro guidewire go up along the artery, going higher and higher, and going further and further.

"Which artery do you want to choose?" Ling Tian asked without any doubt.

Although his first feeling was that Ji Xiang had gone astray, Ling Tian still had a bad feeling.

"Subclavian."

“!

!” Ling Tian felt that Ji Xiang was crazy, the subclavian artery! He actually wanted to choose the subclavian artery!

The subclavian artery is a major artery trunk at the base of the neck, and provides a wide range of blood, from the upper to the intracranial and to the lower to the thoracic vertebrae, and the subclavian artery has branches.

However, the subclavian artery is separated from the liver by a chest cavity. It needs to divide a blood vessel, travel thousands of miles through the chest cavity, pass through the diaphragm to the liver, and then crawl into the liver to provide support to the tumor blood vessels.

How is this possible!

No, it is still possible.

There is a branch of the subclavian artery that is the internal mammary artery, which walks in the chest and approaches the diaphragm. If the liver tumor is close to the diaphragm, blood will be supplied to the internal mammary artery branches.

Ling Tian knew about this, but the tumor was not close to the edge of the liver and was very far from the diaphragm.

So he subconsciously ruled out the possibility of the inner mammary artery.

Ji Xiang must not find any idea. He felt that three super selections would inevitably fail. He was preparing to do an operation that others could not complete, so he could save some face.

The turning of the thoracic aorta to the subclavian artery is extremely difficult and requires extremely advanced techniques.

ridiculous,

Extremely ridiculous!

Ling Tian sneered in anger, "Under the collarbone? You..."

He forcibly endured countless ridicule in his heart. After all, he was on the operating table and the patient was in a state of numbness.

There are still some basic ethics.

In addition, Ji Xiang is just a regular trainee, a surgeon who takes the lead by chance. In the end, no matter what trouble he has, he will be his own.

So he endured it.

When the super selection fails, it depends on what he says!

Ling Tian thought viciously in his heart.

The guide wire was winding, and Ji Xiang gently twisted the guide wire with his right hand. He didn't walk fast, but he was extremely firm.

All the technical difficulties along the way were overcome by unknown methods, as if they were smooth.

Especially the turning point between the thoracic aorta and the subclavian artery, even if Ling Tian does it himself, he will need at least a few attempts with the premise of concentrating on it.

However, Ji Xiang twisted his wrist and walked into the right subclavian artery obediently and gentlely, without any difficulty.

Ling Tian was a little jealous when he saw Ji Xiang's surgery.

Such a good technique and such a young age, it would be great if he didn't have much trouble.

It is extremely difficult to cultivate talents in the interventional department, and it is difficult to do level 4 vascular superselecting beyond the imagination of most people.

Over the years, the boss has not formed a team.

There are other reasons here, such as the reputation of the doctor.

But the more important reason is that surgical procedures can be proficient, while interventional surgery must be at the highest level and will definitely take talent.

Not talented enough, even if the mutated eating line cannot reach the first-line level.

But Ji Xiang... It's a pity that Ling Tian feels as sorry, as he hates him.

The arrogant and domineering Ji Xiang not only delayed his own future, but also delayed his boss's conception and blueprint, and also delayed his design of the future of the hospital's interventional discipline.

Damn it!

"Preparing medicine." Ji Xiangchao finished selecting and sent the catheter into the right subclavian artery and said softly.

This should be the last time Ji Xiang stood on the operating table in the Magic City and spoke. Ling Tian did not question it, but touched the panel with a sterile membrane and operated the high-pressure syringe to spray medicine.

“Brush ~”

Black images of contrast agent appear in the subclavian artery.

Ling Tian was not particularly nervous this time. He thought it was absolutely impossible for the subclavian artery to provide support to the tumor.

The tumor factor is very lawful. If you put so many blood vessels without using it, how could you summon the subclavian artery from afar?

He had just begun to imagine how he would end if he was Ji Xiang, and suddenly a black line appeared in his field of vision.

It comes from top to bottom, as if the water of the Yellow River comes from the sky, rushing downward, passing through the pleura, chest cavity, diaphragm, and entering the liver.

This is impossible!

Absolutely impossible!

The two sides of Lingtian's children's holes shrink, and the reflection on light disappears, and they are different in size and circles.

Is it really a branch of the right subclavian artery to provide for?

Although the facts appeared in front of him, Ling Tian still couldn't believe it. It was the internal breast artery, he thought to himself.

But Ling Tian was stunned.

The branches of the internal mammary artery are developed, and there is a thin shadow next to the artery that penetrates into the diaphragm.

He tried hard to open his body, not even big or round, and looked at the boy's hole that was shrinking like a needle tip.

The blood vessel and the internal papillary artery almost overlap, and there was a ghost. If you didn’t have to observe carefully, you would not be able to see clearly. But even if you observe carefully, it would still be... it would be difficult to distinguish.

Fortunately, the concept of sterility has been engraved in DNA. Ling Tian did not do the embarrassing thing like raising his hand to wipe his eyes, but instead lowered his head and rubbed Ji Xiang's shoulder.

The stiff orbicularis muscle of the eyelid was relieved as he rubbed, and Ling Tian's vision returned to normal.

He looked at it intently.

Sure enough, what I just saw was not an illusion. There was indeed a branch descending from the subclavian artery, supplying blood to the tumors in the liver.

After a few seconds of delay, as the surgical field moved downward, half of the tumor in the liver that had been in a dark area was "lit up".

!

!

!

!

!

!

Countless exclamation marks floated above Ling Tian’s head.

This kind of thing does not exist in his consciousness.

The subclavian artery branches supply blood to liver tumors. It is absolutely not a medical treatment.

But the facts are right in front of you.

No matter how incredible it is, it is still true.

Ling Tian was stunned. He looked at the screen of the DSA machine in surprise, and there was a noise in his ears.

That is the sound of blood pressure rising and blood hitting blood vessels in the auricle.

The noises made Ling Tian extremely irritated.

Whether it is your own boss or yourself, what you think is impossible is done is completed in a very short time by a little guy, and three super selections are completed!

If the person standing beside him was his junior brother and his boss's closed disciple, Ling Tian would have been excited and cheered loudly.

but!

Nothing can be saved.

Ji Xiang was very strong, stronger than he expected, so strong that he didn't know how he discovered that the subclavian artery had abnormal branches.

"Ba~"

The hemostatic forceps hit the radial styloid process of Ling Tian’s left wrist.

"Teacher Ling, slightly pop the yellow circle." Ji Xiang said softly.

Ling Tian was beaten without any emotional changes. The patient's condition exceeded his cognition.

It is not the branch of the internal mammary artery, but a hyperplastic artery accompanied by the small artery is responsible for blood supply. It is difficult to find such blood vessels than climbing to the sky!
Chapter completed!
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