Chapter 317 - 224: Showing Off at Zijingang Again! He Knows Everything

Chapter 317: Chapter 224: Showing Off at Zijingang Again! He Knows Everything

"Based on our experience, the common complications are stent dislodgement, stent fracture, poor balloon retrieval, or failure of the stent to fully deploy..."

"Given the patient’s current condition, if we can’t find the true cause, it’s highly likely to happen again. The consequences would be extremely severe!"

Director Shao knew full well that if this was an adverse post-stent reaction, it would most likely be fatal. At best, it would cause permanent organ damage.

Furthermore, the longer we wait, the more irreversible it becomes, and the more severe the permanent damage will be!

Following Director Shao’s line of reasoning, the team reviewed all the imaging data, eliminating possibilities one by one.

Shen Guofeng’s brow was furrowed.

"No, no, that’s not it... None of these are the cause... There must be something we’ve overlooked..."

Based on the three directors’ theories and experience, they ran several more tests, but still came up empty.

Soon, it was past five in the afternoon.

The three directors were still trying to find an answer.

"Could it be a non-cardiac issue presenting as a cardiac one? Something like a duodenal ulcer or upper gastrointestinal bleeding..."

Shen Guofeng suggested a few more potential causes.

But before he could run tests to confirm, a new crisis erupted in the patient’s room.

The patient was having another myocardial infarction! And this time, it was far more severe than the one that morning.

"Let’s go!"

Shen Guofeng and Shao Yuqiao’s mouths were dry. They’d only had a few crackers for lunch. The moment they heard there was another emergency with the patient, they immediately rushed over.

As she watched Shen Guofeng and Shao Yuqiao eliminate possibilities one after another, Wu Ting picked up the patient’s file again and studied it closely.

"Professor, the patient received a metal stent, didn’t he? And not a bare-metal one, but a new-generation coated stent!"

Shen Siyuan didn’t understand Wu Ting’s question. She had been involved in the operation, so she was very familiar with the specifics.

"That’s right. It’s the latest mainstream material, made of a nickel-titanium alloy. Because of the patient’s specific circumstances, we used a drug-eluting stent..."

Wu Ting remembered something Lou Musaang had told her while teaching her about risk mitigation—he had described a rare but possible complication.

"Professor, could you find the full specifications for this stent? I want to calculate its radial strength and coverage area..."

Seeing the serious look on Wu Ting’s face, Shen Siyuan realized her student must be onto something. She immediately had Huang Dian assist her.

In the conference room, the other junior doctors kept their heads down, waiting for the two directors to come to a conclusion. The atmosphere was so heavy that no one dared to make a sound.

This made Wu Ting’s actions all the more conspicuous. A moment later, Huang Dian returned with the stent’s specifications.

Wu Ting took the papers and began calculating carefully. SCRITCH, SCRATCH, SCRATCH...

Just as Wu Ting finished her calculations, the two exhausted directors returned.

"We’ve stabilized the patient for now, but his condition is much worse than it was this morning. If we can’t find the true cause before this happens again, the consequences will be unthinkable..."

Shen Guofeng sounded resigned.

’But we have the best from cardiology, Director Shao and Shen Siyuan, plus the head of emergency, myself,’ he thought. ’If we can’t find the cause, then no one can.’

This time, Director Shao returned in silence. He immediately picked up the patient’s file and began poring over it again, determined to find the true cause.

Just then, Wu Ting put down her pen. She looked at the two directors and said, a hint of excitement in her voice:

"Directors, I think I may have found the cause of the patient’s heart attacks."

"It’s a case of in-stent thrombosis, a very rare post-procedural complication. This type of rare blood clot is extremely dangerous for the patient. The clinical presentation is acute myocardial infarction or sudden cardiac death!"

"As for the formation of this in-stent thrombosis, my analysis and calculations point to the physical properties of this specific stent. It’s most likely related to its structure—its radial strength and coverage area—combined with its material and drug-eluting coating."

Wu Ting’s explanation grew clearer as she spoke. She went to the whiteboard and began to draw, diagramming her theory of how the thrombus formed.

"This is why the patient is experiencing acute myocardial infarctions. Of course, I haven’t figured out the deeper pathological mechanism behind the thrombosis yet, but I’m certain it’s related to platelet activation!"

After hearing Wu Ting’s analysis, it was as if a light had switched on for the two directors.

If it was in-stent thrombosis, the immediate solution was straightforward: an arterial thrombectomy. That would solve the short-term problem.

As for the deeper mechanism Wu Ting mentioned—the reason for the platelet activation—they could investigate that later. Stabilizing the patient first would buy them a lot of time!

"Alright, let’s go confirm this with the patient now."

Shen Guofeng and Shao Yuqiao led the way, with Wu Ting, Shen Siyuan, and the others following close behind.

When they arrived at the patient’s room, they found his family members in tears.

Seeing the doctors approach, they immediately crowded around them with questions.

"Director Shao, Director Shen, have you found the cause? You told us the stent procedure was a success! He was supposed to be discharged, so why is he suddenly having another heart attack? Why is he on the verge of death...?"

The family was frantic with worry. The patient himself was lying in bed, his consciousness fading. His condition was critical. There was no doubt that if he had another heart attack or went into ventricular fibrillation, he wouldn’t survive.