Chapter 496 - 284: Joining Fuwai’s "Sharp Blade Team
Chapter 496: Chapter 284: Joining Fuwai’s "Sharp Blade Team
When Wu Ting suddenly spoke up, the other directors all turned to look at him.
Hu Zhipeng was also surprised. ’Wu Ting actually has another plan?’
He Guangzong also looked over at the young man he had wanted to recruit for his team, but had missed out on due to a twist of fate.
"We can try a method that uses cardiopulmonary bypass to maintain hemodynamic stability while avoiding cardioplegia and aortic clamping."
"On-pump beating-heart coronary artery bypass grafting!"
"The specific plan involves using a bypass grafting technique. We’ll harvest the great saphenous vein and the radial artery and perform the arterial anastomosis with the aid of a stabilizer... Given the patient’s age and current physical condition, we’ll place an intracoronary shunt to prevent bleeding from the anastomotic site. This will also ensure it doesn’t affect the distal blood supply..."
"...Then, we’ll use a carbon dioxide blower to fully expose the anastomotic site, which will reduce surgical bleeding and ensure a good anastomosis..."
"...With the support of cardiopulmonary bypass, we won’t infuse cardioplegic solution or cross-clamp the ascending aorta. We’ll complete the endovascular aortic repair on a beating heart..."
"...Using minimally invasive interventional techniques, we’ll deploy a fourth-generation bioresorbable polymer stent-graft to exclude the aneurysm and carefully clear out the mural thrombus..."
"...Once the entire aortic structure is repaired, we’ll rewarm the patient, transfuse the remaining blood, and wean them from bypass once their circulation is stable. Then we’ll remove the venous cannula, and after neutralizing the heparin, remove the aortic cannula..."
After Wu Ting finished his explanation, the other directors were skeptical. After all, they had never attempted this kind of beating-heart technique before.
"A beating-heart approach combined with Hybrid Technology is theoretically feasible, but the demands of an intra-aortic repair are just too high. This would be the first time anyone’s tried it..."
Director Zhao was worried.
Ren Anyi considered it for a moment. Wu Ting’s plan did make sense, and the approach was quite ingenious. However, it was technically very difficult. In comparison, there was far more clinical experience with off-pump procedures.
While the others were divided, He Guangzong carefully weighed the options.
"It’s feasible."
"Director Ren, Director Zhao, everyone, I believe Wu Ting’s plan is genuinely viable."
"I learned about the concept of beating-heart surgery when I attended an international exchange program at the Cleveland Hospital."
"With this approach, using cardiopulmonary bypass support can effectively stabilize the patient’s hemodynamics. The beating heart helps ensure cardiac blood supply during the coronary anastomosis and effectively avoids the potential myocardial ischemia caused by cold cardioplegia. Cooling to 33°C also allows for rapid rewarming post-op..."
"I had explored and experimented with this concept before, but for technical reasons, I was never able to implement it clinically. This time, with the assistance of Dr. Wu’s bioresorbable polymer vascular stent, a special self-expanding balloon, and the application of Hybrid Technology for the intra-aortic repair, I believe the surgery has a high probability of succeeding."
"Comparing the three plans, I believe Dr. Wu’s beating-heart technique offers the best postoperative recovery and the fewest complications for the patient."
"As for the technical difficulty of the operation, I am confident."
He Guangzong had also spent the last few days looking into Wu Ting, and he’d had the idea of performing this surgery with him.
One, it would build familiarity. Two, it would be a chance to assess Wu Ting’s abilities. And three, it was a perfect opportunity to display his own exceptional skills, laying the groundwork to poach Wu Ting for the First Ward later on.
"Dr. Wu, I understand that you are proficient in both traditional surgical bypass and endovascular repair procedures within the clinical application of Hybrid Technology. Do you dare to complete this operation with me?"
Aside from the most critical steps, He Guangzong was confident in his ability to supervise Wu Ting through the rest of the procedure and operate alongside him.
Of course, Wu Ting wouldn’t miss such a golden opportunity. He already possessed all sorts of hardcore skills, including the aortic surgery techniques of He Guangzong himself, so he wasn’t the least bit intimidated.
"Of course. Thank you for your trust, Director He."
"Director Ren, Director Zhao, you will both assist me. The other doctors will observe."
With the surgical plan decided, things moved with incredible efficiency under He Guangzong’s direction. The patient’s family signed the consent forms, and the surgery began immediately.
Coronary artery bypass grafting is a classic arterial bypass surgery and is internationally recognized as the most effective treatment for coronary heart disease. This time, however, it was being used as one component of a Hybrid Technology procedure.
He had acquired Howard’s Coronary Artery Bypass Grafting (Purple). Although it couldn’t compare to a top surgeon like He Guangzong—Fuwai’s number one scalpel—it was still considered top-tier among ordinary directors. Combined with Wu Ting’s young age, it was truly astonishing.
Wu Ting was performing a great saphenous vein bypass graft from the ascending aorta to the coronary artery.
In the week before the intensive training, Hu Zhipeng had taken Wu Ting around to get familiar with the ward’s medical staff. The scrub nurses were especially enthusiastic and friendly toward a handsome young doctor like Wu Ting.
Taking the scalpel from the nurse’s hand, Wu Ting began his first surgery of the Fuwai intensive training—a joint operation with He Guangzong, no less.
He Guangzong intentionally gave Wu Ting a chance to showcase his skills. At the same time, he was looking forward to the critical part of the operation, when Wu Ting would hit a wall and have to obediently hand over the lead surgeon’s position. Then, he would show the young man exactly why they called him the number one scalpel of the Fuwai Cardiovascular Surgery Center.
’I’ll just keep showing him my charm,’ he thought. ’He’ll abandon the darkness and cross over to the light soon enough!’