Healing Doctor

Chapter 189 Accompanying Small Blood Vessels

Ji Xiang started the Superselection again.

Ling Tian watched as the micro-guidewire ascended along the artery, going higher and higher, farther and farther away.

"Which artery do you want to select?" Ling Tian asked, suppressing his doubt.

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

"Below the collarbone."

"!!!" Ling Tian felt that Ji Xiang had gone mad. Subclavian artery! He actually wanted to use a super-selective subclavian artery!

The subclavian artery is a major arterial trunk at the base of the neck, supplying blood to a wide range of areas, from the intracranial cavity to the vertebral bodies of the thoracic cavity. The subclavian artery has branches in all these areas.

The subclavian artery is separated from the liver by a thoracic cavity. It has to branch out into a blood vessel that travels a long distance through the thoracic cavity and diaphragm to reach the liver, and then climbs into the liver to supply blood to the tumor.

How is that possible!

No, it's still possible.

One branch of the subclavian artery is the internal mammary artery, which runs through the thoracic cavity near the diaphragm. If a liver tumor is located close to the diaphragm, it may be supplied with blood by a branch of the internal mammary artery.

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

Therefore, he subconsciously ruled out the possibility of the internal mammary artery.

Ji Xiang must have been completely stumped and thought that three super-selections would inevitably fail, so he prepared to do something that no one else could do in order to save face.

The maneuver from the thoracic aorta to the subclavian artery is extremely difficult and requires highly skilled technique.

ridiculous,

Utterly ridiculous!

Ling Tian let out a cold laugh, angered. "Below the collarbone? You…"

He forced himself to suppress the countless taunts in his mind, after all, they were on the operating table and the patient was under local anesthesia.

Ling Tian still possesses the most basic principles of ethics.

Furthermore, Ji Xiang was merely a resident trainee, a surgeon who only performed the operation by chance, so in the end, whatever troubles arose would be his own.

So he endured it.

Let's see what he has to say when the super-selection fails!

Ling Tian thought viciously to himself.

The guidewire meandered, and Ji Xiang gently twisted it with his right hand, moving it slowly but with great determination.

All the technical difficulties along the way were overcome by some unknown method, as if the road were smooth.

Especially at the bend between the thoracic aorta and the subclavian artery, this extremely difficult bend would require Ling Tian himself at least several attempts, even with full concentration.

However, with a twist of Ji Xiang's wrist, the guide wire obediently and gently entered the right subclavian artery without any difficulty.

Ling Tian was envious when he saw Ji Xiang's surgery.

Such skillful technique, at such a young age; if only he didn't cause trouble.

Training professionals in interventional radiology is extremely difficult, and the challenge of performing level 4 vascular superselection is beyond most people's imagination.

Over the years, the boss has failed to build up a talent pool.

There are other reasons for this, such as the reputation among doctors.

But the main reason is that surgical procedures can be improved by skill, while interventional procedures require talent to reach the highest level.

If you don't have enough talent, even if you eat a lot of mutated food, you still won't reach the top level.

But Ji Xiang... what a pity. Ling Tian felt as much regret and hatred as he did.

The arrogant and domineering Ji Xiang not only ruined his own future, but also the boss's vision and blueprint, and even more so, his own design for the future of the hospital's interventional department.

Damn!

"Administer the medication," Ji Xiang said softly after completing the superselection and inserting the catheter into the right subclavian artery.

This should be the last time Ji Xiang speaks on the operating table in Shanghai. Ling Tian did not question him, but touched the panel with the sterile membrane and operated the high-pressure injector to administer the medicine.

"Whoosh~"

The black image of the contrast agent appears in the subclavian artery.

This time, Ling Tian wasn't particularly nervous. He believed it was absolutely impossible for the subclavian artery to be supplying the tumor.

Tumor factors are also particularly well-behaved; with so many blood vessels available, why would they go to such lengths to summon a branch from the subclavian artery?

He had just begun to imagine how he would handle things if he were Ji Xiang when suddenly a black line appeared in his field of vision.

It flows from top to bottom, like the Yellow River's waters coming from the sky, surging downwards, passing through the pleura, thoracic cavity, and diaphragm, and entering the liver.

This is impossible!

Absolutely impossible!!

Ling Tian's pupils constricted on both sides, their light reflex disappeared, and they were neither the same size nor the same circle.

Is it really supplied by a branch of the right subclavian artery?

Even though the facts were right before his eyes, Ling Tian still couldn't believe it. "It's the internal mammary artery," he thought to himself.

But Ling Tian was immediately stunned.

The branches of the internal mammary artery are visualized, and a thin shadow accompanies the artery, penetrating into the diaphragm.

He strained to open his eyes wide, his pupils, which were neither large nor round, and narrowed to the size of pinpoints, to look closely.

The blood vessel almost overlapped with the internal mammary artery, creating a double image that was barely visible without close inspection. Even with careful observation, it was still... very difficult to distinguish.

Fortunately, the concept of aseptic technique was already ingrained in his DNA. Ling Tian didn't do anything as shameful as wiping his eyes. Instead, he lowered his head and rubbed against Ji Xiang's shoulder.

The stiff orbicularis oculi muscle was relieved by the rubbing, and Ling Tian's vision returned to normal.

He stared intently at it.

Sure enough, what I had just seen was not an illusion; there was indeed a branch of the subclavian artery descending to supply blood to the liver tumor.

After a few seconds of delay, as the surgical field moved down, the 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.

Such a thing does not exist in his mind.

The idea that a branch of the subclavian artery supplies blood to a liver tumor seems fantastical and is definitely not medical.

But the facts are right before our eyes.

No matter how unbelievable it may seem, it is still the truth.

Ling Tian froze, staring in astonishment at the DSA machine's screen, as if hearing noises.

That's the sound produced by high blood pressure causing blood to rush to the blood vessels in the ear.

The constant rustling noise irritated Ling Tian.

Both his own boss and he himself thought it was impossible, but this little guy accomplished it in a very short time and with three super selections!

If the person standing next to him were his junior brother, the boss's last disciple, Ling Tian would probably have already cheered loudly with excitement.

but!

Everything is beyond repair.

Ji Xiang is very strong, stronger than I expected, so strong that I don't even know how he discovered that the subclavian artery had an abnormal branch.

"Snap!"

The hemostat was struck on the radial styloid process of Ling Tian's left wrist.

"Teacher Ling, micro-spring coils," Ji Xiang said softly.

Ling Tian showed no emotional change despite being struck; the patient's condition was beyond his comprehension.

It's not a branch of the internal mammary artery, but rather a small, enlarged artery that runs alongside it and supplies blood. Finding this type of vessel is incredibly difficult!

Ling Tian was bewildered; muscle memory had turned him into a puppet assistant, and he handed the spring coil to Ji Xiang.

(End of this chapter)