As soon as this sentence was said, Kimura Hiroji was stunned, Miyamoto Kojiro was stunned, and even Jia Yanguan was stunned!

Are you - cursing?

They never expected Ruan Bin to shut up Kimura Koji. This sentence is a bit serious.

No matter what, Koji Kimura is also a senior. The other party said those words to remind Ruan Bin, but it was forgot that Ruan Bin didn't appreciate it, but he even asked him to shut up?

"You, what do you mean? I'm kind to help you, you disrespect me!" Kimura's lungs almost burst into anger!

"Apology!" Miyamoto Kojiro said angrily.

Originally, Ruan Bin didn't want to say this, but this old Kimura man never finished it and ignored him and couldn't stand it anymore!

Apologize?

Impossible!

"I didn't plan to adopt your surgical plan from the beginning. Although your surgical plan is adopted, your surgical plan will ultimately not work in the face of this patient. When opening the fully occluded and calcified left anterior descending coronary blood vessel, your cystball calibration technology and the forward and reverse double-arrival method you used can't pierce the completely occluded calcified plaques up to 28mm thick at all!" Ruan Bin said in a deep voice.

"My surgical plan doesn't work? Then you dare to take the surgery!" Kimura Hiroji's nose was crooked. How dare this young man question his surgical plan?

How could he know it? It won’t work!

"Of course, I dare, because I want to use my own surgical plan." Ruan Bin curled his lips.

???

Jia Yanguan on the side was shocked in an instant.

Brother, why didn’t you discuss it with me?

You are driving forcibly!

What if the car fails?

"Is your surgical plan OK?" Kimura Hiroji was stunned and asked back.

How many CTO interventional surgeries have you done?

He seemed to think that a primary school monk was going to force his college entrance examination!

It sounds so ridiculous!

"I won't talk about me first, let's talk about your surgical plan first. The entire direction of the coronary vascular occlusion segment of the left anterior descending branch is unclear, and there is severe closed calcification. The forward guide wire is very likely to enter the false cavity. Since the cto is located at the corner of the first and second sections, it is difficult for the reverse guide wire to pass through the cto! Even if it is pierced by bidirectional piercing, it is impossible to pierce the blood vessel wall with the highest hardness. If it is slightly harder, it cannot be pierced!" Ruan Bin directly pointed out the shortcomings of the Kimura Koji's surgical plan.

"You, how can you know if you don't try it? What if it works!" Kimura Hiroji's face turned a little red. He also knew that his surgical plan had shortcomings, but he was not as strong as he thought about the chance of success and the calcification!

What if it succeeds.

"You can try it." Ruan Bin curled his lips.

“…”

Kimura Koji went to try it without believing in evil, but it was indeed not possible.

Plaques with a total calcification and occlusion that are up to 28mm long cannot be pierced.

Too hard!

"Then what can you do to solve it? You have no choice, right?" Kimura Koji sneered.

"Hmph, learn a little." Ruan Bin smiled faintly and said directly to Jia Yanguan: "Director Jia, give me the gaia3th guide wire! Two!"

"Give it!" Jia Yanguan knew that it was difficult to get on the verge of being a tiger, so he could only let Ruan Bin continue the operation. Judging from the other party's confident look, is there a feasible solution?

"Haha, although the gaia3th model guidewire is good in reverse use, its strength and hardness are not enough." Koji Kimura sneered.

Ruan Bin didn't say anything, and directly sent two gaia3th guide wires in at the same time!

???

"If you want two guidewires to increase the puncture force? It's impossible, it's too dangerous!" Koji Kimura frowned immediately.

Generally speaking, a guide wire enters a blood vessel. Now Ruan Bin has put two of them, so he wants to use two to solve the hardness problem?

This kind of attempt is completely a joke about the patient's blood vessels!

Can it be done?

Ruan Bin did not refute and continued to do what was at hand.

The next step is to send two gaia3th guide wires in again from the positive direction!

Front and reverse direction, a total of four guide wires!

Before he could finish, he pierced the external carotid artery and sent the pilot150 guidewire.

The guide wire is directly pushed from the external carotid artery to the common carotid artery, and then continue to push it towards the aortic arch, directly entering the ascending aorta, and then entering the right coronary artery to push it to the posterior end of the left anterior descending branch...

"What new approach is this?" Kimura Hiroji and the other two were stunned.

Is there any other operation?

"The femoral artery is open in reverse direction, what is the direction of the carotid artery?" Kimura Koji couldn't help asking.

"Front!" Ruan Bin said lightly.

"This...even if there is one more positive and three positive directions, it may not necessarily pierce the calcified plaque." Koji Kimura couldn't help but wonder.

"Those entering from the neck will form a physical arch force in the ascending aorta area, which can form a arch bending force in the right coronary artery. Its penetration function is good." Ruan Bin was in a good mood and explained.

"This..." They haven't heard of it before!

"Three ways, five guide wires!"

The operation is continuing.

I saw that when the wire surfing technology was used to crush the calcified plaques, it was very smooth, and the guide wire was pierced in bit by bit.

Although there was no help from contrast agent, Ruan Bin completed this process with his superb skills.

After ten minutes, Ruan Bin penetrated the calcified plaques that were completely blocked and calcified by the left anterior descending branch, shattering some of the calcified areas.

Then use a microcatheter to pass through...

After opening the left anterior descending branch artery of the left coronary artery, it began to attack the main blood vessels of the right coronary artery again...

Half an hour later.

All punctures and cleaning are complete!

Until the operation was completed, Koji Kimura and others were still in shock.

"What's the operation?"

"What new CTO intervention technology is this?"

“New?”

“Improved?”

"New technique?"

But no matter what, Koji Kimura's face was beaten!

It hurts, so much pain that he feels that he should hug Ruan Bin's thighs tightly.

"Ruan Sang, I apologize to you for all my previous misunderstandings and pride! You, your surgery has really benefited me a lot and allowed me to see the future of CTO interventional surgery! I think your surgery is definitely of great epoch-making significance!" Kimura Koji said excitedly.

He felt that this operation could not be completed at all and could not be done at all.

However, the young Chinese doctor in front of me did it!

It's also done so well!

There was no danger during the operation!

???

The people of the island are so shameless, no, so shameless?

No, it’s a little more civilized, so I should be shameless and want to steal the savage.

Only the word shameless person is suitable for them!

"Is there any?" Ruan Bin curled his lips.

"Ahem, of course, the requirements for the surgical level are too high. It is estimated that this kind of surgery will be difficult to promote!" Kimura Koji said.
Chapter completed!