The radial artery is punctured, the arterial sheath is placed, and the guide wire enters.

Dr. Miyamoto did not let his assistant do these routine steps, but was done by him himself from the beginning.

It has been many years since I personally took the pre-steps. Dr. Miyamoto was not sad or happy about this, and he focused all his attention during the operation without distraction.

Super-select guidewire, insert catheter, and radiography.

When I arrived near the coronary artery and was about to put the laser catheter in, the operation time was only 12′12″.

Everything went smoothly, and the local infiltration anesthesia did not make Her Majesty feel any discomfort. Dr. Miyamoto observed carefully and confirmed that Her Majesty had no sign of allergies.

This is also expected.

But before getting the results, Dr. Miyamoto wasn't sure if this was the case.

Behind him is the rescue team of Wellington Hospital, who are ready to participate in the rescue at any time and do everything possible to avoid accidents.

Dr. Miyamoto spent 32″ to confirm that there was no problem, and then he put the laser catheter without hesitation.

After all previous examination data were calculated, the reference blood vessel diameter of the Queen's anterior descending branch was 3mm.

Dr. Miyamoto first used a 1.4mm laser catheter to release energy of 40mj square millimeters.

Everything was ready. Dr. Miyamoto determined the position after typing the line while stepping on the wire to release the laser.

He was concentrating and even entered a state of slight importance, and could "see" the high-energy lasers emitted, killing the enemy and removing those damn blood clots like laser weapons in science fiction films.

In response to Dr. Huang’s doubts before the operation, Dr. Miyamoto did not choose the best right crown surgery as if he was breathing, but directly chose the anterior descending branch that Dr. Huang said was "unbeautiful" for laser ablation.

However, the first accident... appeared without any surprise.

The energy of 40mj square millimeters seems to be insufficient, and the toughness of the thrombus in the anterior descending branch of the Queen exceeded Dr. Miyamoto's expectations.

This energy did not make any progress, as if a laser was illuminating a hard, stubborn meteorite. The meteorite was completely unscathed, quietly mocking Dr. Miyamoto in his blood vessels.

Dr. Miyamoto was stunned for a moment.

According to his speculation, the energy of 40mj square millimeters is enough.

But the facts were right in front of me, and Dr. Miyamoto's mind suddenly echoed the voice of Mr. Huang's speech at the medical record seminar yesterday.

It looks unbeautiful, excimer laser ablation cannot be completed...

Dr. Miyamoto's mouth, which had been slightly raised under the sterile mask, was pursed tightly, and at the same time his eyes narrowed.

"Doctor." The assistant called out softly when he saw that Dr. Miyamoto had not moved for a long time.

"Enhance the energy, 50mj square millimeters!" Dr. Miyamoto said calmly.

It's just a thrombus, what's the difficulty?

Since the energy of 40M Joule is not enough, it becomes 50M Joule.

I don't believe it is a stone!

Even if it is a stone, it must be melted!

Dr. Miyamoto's assistant regulates energy and try again.

One minute later.

Dr. Miyamoto looked at the stubborn Shuanzi on the screen, with a hint of anger in his eyes.

What a damn thing, is the queen cared for so well?! Why is it different from the emboli in the coronary blood vessels of ordinary patients?!

Countless question marks and exclamation marks were flying in Dr. Miyamoto's mind.

The energy of 50mj square millimeters is already a medium-to-high energy. If it is high, it may cause side effects, especially the patient's vascular endothelium will be affected by energy, resulting in unexpected consequences.

But the damn purge was unmoved at all under the energy of 50mj square millimeters.

Blessed by the great god Amaterasu, Dr. Miyamoto said silently in his heart and said softly, "The energy is increased, 60mj square millimeters."

"PhD!"

"I said, improve your energy!" Dr. Miyamoto said coldly.

"yes."

60mj square millimeters are almost the upper limit energy of excimer laser ablation surgery. Dr. Miyamoto's assistant has undergone surgery at 40-50mj square millimeters to successfully open the thrombus in the coronary blood vessels.

And the Queen's age...

Dr. Miyamoto also knew that it was dangerous to increase the energy to 60mj square millimeters, but the damn blood clot was actually different from what he had encountered before!

Is Dr. Huang right again?!

Dr. Miyamoto could not believe this fact.

In his best field, Dr. Huang obviously has never been exposed to it. Even his description is so monotonous and boring - unbeautiful! Is this what a doctor said?!

60mj square millimeters made Dr. Miyamoto's hands start to tremble.

Such a large amount of energy burns blood clots in the coronary artery, even if it can be successful, it will have a great impact.

Dr. Miyamoto had no expectation at all whether the coronary blood vessels could withstand it.

Various complications of excimer laser ablation—including coronary dissection, coronary spasm, thrombosis, no reflux, embolism, and coronary perforation—both appear in Dr. Miyamoto’s mind.

He took a deep breath and calmed himself down.

There is no problem with the surgery, the energy must be improved, otherwise it will always be an unsolvable problem.

As a doctor, Dr. Miyamoto comforts himself.

After a few seconds, his emotions stabilized, and he tried hard to forget what Dr. Huang, who was still echoing in his ears, said yesterday, and pressed the energy button hard.

60mj square millimeter irradiation, laser catheter...passed failed.

Dr. Miyamoto was speechless.

No matter how high the energy is, he dare not try it easily.

In animal experiments, the energy of 60mj square millimeters is the upper limit, and who knows what will happen beyond the energy threshold of 60.

Dr. Miyamoto tried it again, but unfortunately it still didn't improve at all, and the laser catheter could not pass through the thrombus.

This means that the highest threshold energy of 60mj square millimeters is of no use for the thrombus.

"Dr. Miyamoto." Experts at Wellington Hospital had long discovered something was wrong and whispered behind Dr. Miyamoto.

"It's okay, I have other ways." Dr. Miyamoto turned his head, but no one knew what he meant.

"Damn sweat!" Dr. Miyamoto began to roar in a irritable voice, "The staff in your operating room don't even know such a simple thing?"

"Doctor, what should I do if the operation is done?" asked an expert at Wellington Hospital, using sterile single-aid Dr. Miyamoto to wipe off the sweat that had been penetrated with the sterile cap.

"Using a thinner laser catheter, the 1.4mm catheter is still too thick." Dr. Miyamoto roared and tried to calm down his emotions.

This is not Shuntian, and I am not facing a subordinate doctor.

The management of Wellington Hospital is not as strict as that of Shuntiantang Hospital. The key is that... my surgery cannot continue.

The image looks unsightly...Surgery treatment is recommended...

This damn word kept echoing around Dr. Miyamoto's ears like a curse.
Chapter completed!