On March 31 this year, the outpatient clinic of the Boao Branch (Cardiovascular and Cerebrovascular Disease Branch) of the Second Hospital of Zhejiang University was officially opened, taking another milestone step.
The Boao Branch of the Second Hospital of Zhejiang University (Cardiovascular and Cerebrovascular Disease Branch) takes "small comprehensive, large specialty" as the concept, cardiovascular medicine as the core, and the pan-vascular concept as an extension, introduces vascular-related departments such as cardiac and large-vessel surgery, neurology, neurosurgery, vascular surgery, etc., and takes general practice, metabolic endocrinology, rehabilitation, imaging, anesthesia, ICU, etc. as the support departments, which will provide more high-quality and efficient medical services for the broad masses of the people.
So far, the Second Hospital of Zhejiang University has two comprehensive campuses of Jiefang Road Campus and Binjiang Branch and a number of specialized hospitals, and another future medical center (Xiaoshan Section, Keqiao Section) is under construction, each campus has distinct characteristics, and has developed rapidly under integrated management to achieve the expansion of high-quality medical resources.
Professor Wang Jian'an, a well-known cardiovascular disease expert in the mainland, vice dean of the School of Medicine of Zhejiang University, secretary of the Party Committee of the Second Hospital of Zhejiang University, and Professor Wang Jian'an, pointed out that the Boao Campus was conceived in the high-quality development of the Second Hospital of Zhejiang University, and had the courage to explore a new system of medical services, focusing on the life engine cardiovascular and cerebrovascular diseases, carrying out a series of "teaching, prevention, treatment and control" measures to solve the health problems of the aging society, so that the public can benefit from health education and secondary prevention in the medical experience, obtain a better quality of life, and let patients with complex cardiovascular and cerebrovascular diseases in innovative treatment. Effective control is revitalized and returns to the track of life.
The Second Courtyard of Zhejiang University is the Boao Branch
Cardiology:
One catheter solves many heart problems
The heart is the most important organ of the human body, and it is like the engine of a car, providing a continuous flow of blood to transport blood to various parts of the body.
Professor Wang Jian'an introduced that the high incidence of cardiovascular diseases and the huge number of patients bring a heavy burden to individuals, families and society. However, with more and more minimally invasive interventional technology innovation applied to the clinic, many cardiovascular disease patients who were originally going to be operated on can solve many heart diseases through a catheter.
For example, the cardiac portal is "in disrepair", the heart valve team can change the valve without opening the chest; the heart is old, the cardiac pacemaker team installs a pacemaker to "charge" it; the coronary artery is blocked, and the cardiac interventional diagnosis and treatment team uses coronary stent implantation to open the coronary vein; when the heart beats irregularly, the arrhythmia diagnosis and treatment team uses radiofrequency ablation to make the irregular heart rhythm regular. Left atrial appendage prevents the shedding of blood clots, causing the risk of cerebral infarction to plummet.
Heart valve disease
The heart gate is "in disrepair", and the valve can be changed without opening the chest
The heart is like a house, it has four rooms, and the "door" of the room is called the valve. They will switch on and off regularly with the contraction and relaxation of the heart, so that the blood flow to the right place at the right time, chest tightness, shortness of breath, fatigue, lower limb edema and other serious symptoms appear, probably because of their "heart gate" problems.
In order to protect the health of tens of millions of patients, the heart valve team of zhejiang university second hospital carried out transcatheter aortic valve replacement (TAVR) in the first batch in China. After nearly 8 years of precipitation, the valve team has accumulated thousands of cases of TAVR surgery experience, becoming one of the single centers with the largest number of surgeries in China.
The center has guided the operation of nearly 100 medical centers in 27 provinces of the mainland and 7 major centers in 4 countries in Europe, South America and Asia-Pacific (including the Hippocratic Heart Center), implementing the international leading early rehabilitation and early discharge program, more than 50% of the transcatheter aortic valve replacement surgery 4 hours after the operation, the second day after the operation can be discharged, more than 80% of the transcatheter mitral valve repair patients can be discharged 3 days after surgery.
Coronary vein blockage
Arrive at the diseased blood vessel and open the life pathway
There are three large arteries in the heart called coronary arteries, which are responsible for transporting blood to the heart muscle to provide nutrients, and the disease caused by coronary artery stenosis is coronary heart disease. When the coronary arteries are suddenly completely blocked, it can cause myocardial infarction or even sudden death.
Coronary heart disease, as a high incidence of cardiovascular disease, is one of the diseases with the highest mortality rate in the world, according to the World Health Organization, China's coronary heart disease deaths have ranked second in the world.
Cardiovascular interventional diagnosis and treatment is the traditional advantage of the Department of Cardiology of the Second Hospital of Zhejiang University, of which the coronary subspecialty ranks among the best: on average, nearly 6,000 coronary artery stent implants (PCI) are performed every year, of which complex lesion surgery accounts for the majority, and the number of surgeries ranks first in the province. Presided over and participated in more than 10 coronary-related clinical studies, actively developed new coronary diagnostic and therapeutic methods such as Accu FFRct, Accu FFRangio, Accu FFR IVUS and AccuIMR, excavated coronary function information from traditional imaging diagnostic methods, effectively improved the diagnostic accuracy of coronary heart disease, and developed the first and second generation of drug-coated balloons to achieve coronary intervention without implantation. The introduction of new technologies such as excimer laser coronary plaque erosion (ELCA), "intravascular shock wave" calcification treatment technology (IVL) and Impella has brought hope to the majority of patients with coronary disease.
Bradycardia, heart failure
The heart is old and tired, and it needs to be "recharged"
The heart is like a pump, constantly pumping blood into the blood vessels to supply blood to the organs of the whole body. If the heart beats too slowly, less blood is pumped, which will lead to insufficient blood supply to various organs, so symptoms such as general weakness, dizziness, chest tightness and so on will occur. If the heart stops beating for more than 5 seconds, it may cause syncope, which in the long run can lead to a larger heart, decreased cardiac function and even sudden death.
When the heart is old and tired, we need to "charge" it in time - the clinical practice is to install a pacemaker.
The pacemaker subspecialty of the Second Hospital of Zhejiang University ranks among the best in China, and the total number of pacemakers including CRT-D surgery from 2020 is leading in the country. Actively carry out and promote the new technology of pacemaker implantation, and successfully implant the first wireless pacemaker Mira in Zhejiang Province on November 23, 2018, opening the era of "wireless" pacemaker in Zhejiang Province. In the laser electrode extraction, CRT-D implantation and other technologies are also at the forefront of the country.
Atrial fibrillation, irregular heart beat
Minimally invasively blocks shedding blood clots
Atrial fibrillation , or atrial fibrillation , is one of the most common arrhythmias. The incidence of atrial fibrillation in the population is about 1-2%, with the increase of age the incidence of atrial fibrillation increased significantly, according to statistics, the number of patients with atrial fibrillation in China exceeded 10 million, and the prevalence rate of people over 80 years old was more than 10%. The proportion of ischemic stroke caused by atrial fibrillation reaches 40-50%, and about 2.6 million strokes caused by atrial fibrillation in mainland China every year, which brings a heavy burden to society, patients and families.
As the level of atrial fibrillation worsens, the number and extent of lesions increases. The long-term presence of atrial fibrillation makes it easier for the atrial systolic function to form blood clots, causing serious complications, especially cerebral embolism, most common. At the same time, the probability of heart failure in patients is also getting higher and higher, posing a certain threat to life.
The Arrhythmia Sub-specialty of the Second Hospital of Zhejiang University is the first batch of atrial fibrillation centers, cardiac stroke centers, the first batch of special ability training bases for comprehensive management of atrial fibrillation, and the demonstration base of China Atrial Fibrillation Center. In the past five years, more than 10,000 cases of arrhythmia catheter ablation, congenital heart disease interventional occlusion, and left atrial appendage occlusion have been completed, and the trend has increased year by year, with an annual growth rate of 10 to 15%. Among them, there are more than 1,000 cases of magnetic navigation ablation of complex arrhythmias, more than 500 cases of left atrial appendage occlusion, left atrial arrhythmia, three-dimensional calibration of complex arrhythmias and magnetic navigation ablation as feature technologies.
Cardiac macrovascular surgery:
The Septuagenarian Uncle has two consecutive aortic dissections
Exquisite "window opening technology" protects the arteries of life
Recently, the cardiac and macrovascular surgery team of the Second Hospital of Zhejiang University successfully relieved the crisis of the patient's aortic dissection rupture for the "window opening" of the aortic stent.
A month ago, 73-year-old Zhang Dabo was sent to the emergency department of the Second Hospital of Zhejiang University by his family after a shock coma at home, and the examination found that the cause was acute A-type aortic dissection, and there had been severe pericardial hemorrhage, and his condition was critical. The Emergency Medicine Department urgently organized emergency surgery to turn him around.
A month later, when Zhang Dabo reviewed, he found aortic dissection in the arch of the aortic, and his condition was still very dangerous. But just after passing away from the ghost gate, his physical condition could not bear the trauma of major surgery again.
Dong Aiqiang, director of the Department of Cardiac and Macrovascular Surgery of the Second Hospital of Zhejiang University, introduced that once the aortic dissection is ruptured, it will cause major bleeding and extremely high mortality, so it is known as the "three major causes of sudden death" with myocardial infarction and acute pulmonary artery embolism.
Zhang Dabo first detected the aortic dissection as a precursor rupture, the second discovery has not yet appeared symptoms, the urgent need to use vascular stents to repair the blood vessels at the lesion site, to ensure the correct direction of blood flow, to avoid aortic dissection rupture.
Considering Zhang Dabo's age, medical history and physical condition, the cardiac and macrovascular surgery team of Zhejiang University Second Hospital decided to use minimally invasive surgery to prevent the rupture of the aortic dissection.
Kong Minjian, deputy director of the Department of Cardiac and Large Vessel Surgery of Zhejiang University Second Hospital, explained that the patient's lesion site is the aortic arch, and from right to left, the three branches of the head and arm trunk (nameless artery), the left common carotid artery and the left subclavian artery are emitted from right to left, which are the main trunk of the artery that supplies blood to the head, neck and upper limbs.
When the aortic stent is placed, if these three branches are blocked, the head, neck and upper limbs will lose blood supply. After 4-6 minutes of brain hypoxia, brain cells begin to be damaged, and brain function is damaged, a process that is almost irreversible.
Therefore, Kong Minjian's team used lasers to drill three holes in the forks of the three branches during the operation, which is equivalent to opening the "window of life" for blood supply, ensuring the normal blood supply of the head, neck and upper limbs, and avoiding them from being damaged during the operation.
With the release of the stent, the risk of Zhang Dabo's aortic dissection rupture was finally lifted, and he regained consciousness that night, and the next day he was transferred to the general ward, where he could already move on the ground.
Kong Minjian said that the traditional open chest surgery takes 5 or 6 hours, intraoperative bleeding, but also to establish cardiopulmonary circulation, while minimally invasive surgery is shortened to 3 hours, there is no blood transfusion during the operation, and the speed of patient recovery is greatly improved.
This kind of "window-opening" surgical case, the Department of Cardiac and Macrovascular Surgery of the Second Hospital of Zhejiang University has implemented more than 100 cases since its introduction in 2016. Follow-up found that the patient had no new hair dissection and a 100% patency rate of branch vessels.
Introduction to the Heart Center of the Second Hospital of Zhejiang University
The Heart Center of the Second Hospital of Zhejiang University is the construction unit of the National Cardiovascular Disease Regional Medical Center, which is composed of cardiovascular medicine, cardiac and macrovascular surgery, cardiovascular imaging and other multidisciplinary disciplines, and is a national engineering unit for improving the diagnosis and treatment capacity of difficult diseases of cardiovascular and cerebrovascular diseases (the only one in Zhejiang Province), a national clinical key specialty, the first batch of national cardiovascular clinical pharmacology bases, the only cardiovascular internal medicine support discipline in Zhejiang Province, cardiovascular health care center, a clinical medical research center for cardiovascular and cerebrovascular diseases and a research center for diagnosis and treatment technology of cardiac and cerebrovascular diseases. Affiliated unit of Zhejiang Provincial Interventional Diagnosis and Treatment Quality Control Center for Cardiovascular Diseases. It can carry out all international cardiovascular interventional technologies, and is well-known in sub-specialties such as transcatheter heart valve disease, complex critical coronary artery disease, interventional treatment of large blood vessel disease, radiofrequency ablation of difficult arrhythmias, various types of cardiac pacing therapy, minimally invasive cardiac surgery, and basic research of cardiovascular diseases.
The "Chinese Hospital's Best Specialist Reputation Ranking" ranked fourth in the country in cardiology, and Zhejiang Province ranked first.
neurosurgery:
A 30-year-old boy has an "untime bomb" in his brain
The tip of the famous doctor's knife "dances quickly", and the millimeter blood vessel saves the brain
Mr. Fang is in his early 30s and has walked through a ghost gate due to acute rupture of an intracranial dissection aneurysm. In the follow-up follow-up, it was found that the aneurysm had relapsed significantly, and there was a risk of secondary rupture and bleeding.
Under great psychological pressure, he even had auditory hallucinations, and always felt that the aneurysm in his head would "detonate" again at any time. After being introduced by a friend, he found Yu Jun, deputy director of the Neurosurgery Ward of the Second Hospital of Zhejiang University.
According to Mr. Fang's situation, Yu Jun believes that surgery is imminent, otherwise the intracranial aneurysm ruptures again, and may not be as lucky as last time. Combining his condition with the failure of previous interventional treatments, the only option now is a high-flow bypass vessel reconstruction with craniotomy.
Neurosurgery is often described as a "dance on the tip of a knife," and only a bold, skilled and skilled doctor can "thread the needle" within complex brain tissue.
The high-flow bypass vascular reconstruction is a complex operation with a very high difficulty coefficient in neurosurgery, which is to take its own radial artery to connect the blood vessels in the neck with the middle cerebral arteries in the brain, so that the blood vessels in the neck can supply blood to the brain, supplement the insufficient blood supply to the blood vessels in the brain, and then rebuild the aneurysm blood vessels, and the whole process should be carefully operated on the 1 mm blood vessels.
To this end, Yu Jun's team equipped Mr. Fang with the highest level of surgical conditions - the composite operating room, also known as the hybrid operating room, because of its variety of advanced equipment, known as the "aircraft carrier" of the operating room.
He said that the compound operating room combines the operation that originally needed to be completed separately in the operating room and the interventional catheter room into a one-time solution, so that the aneurysm blood vessels can be reconstructed after the bridge is clearly bridged, and the accuracy and safety of the operation are improved.
The operation was very smooth, Mr. Fang's postoperative examination showed no nerve function loss, and he was successfully discharged from the hospital a week later, and finally did not have to worry about it anymore.
Introduction to the Brain Center of the Second Hospital of Zhejiang University
The Brain Center of the Second Hospital of Zhejiang University is composed of neurosurgery, intensive brain medicine and psychiatry, etc., which is the leading unit in the field of brain science in our province and one of the few famous brain centers in China. Among them, neurosurgery and surgery are the earliest specialties established in the province, the "cradle of brain doctors in Zhejiang Province", and the first batch of clinical key specialties in the country. It has "Zhejiang Provincial Clinical Research Center for Neurological Diseases", "Zhejiang Provincial Key Laboratory of Medical Neurobiology" and "Zhejiang Provincial Key Laboratory of Accurate Diagnosis and Treatment of Neurosurgical Diseases and Clinical Translation".
The diagnosis and treatment of cerebrovascular diseases composed of neurosurgery and severe brain disease is the most distinctive multidisciplinary cooperation model of the Brain Center. It is the "first batch of national demonstration advanced stroke centers" and the first batch of "National Health Commission Neurointerventional Training and Training Base". He took the lead in organizing the "Zhejiang Stroke Society" and "Zhejiang Stroke Diagnosis and Treatment Technology Research Center". At the same time, it is also the first and only training base for neurosurgery residents in China for cerebrovascular surgery. The research related to cerebrovascular disease has won the first prize of Zhejiang Provincial Science and Technology Progress Award and the second prize of China Medical Science and Technology Award. Presided over and participated in a number of guidelines for the diagnosis and treatment of cerebrovascular diseases and the consensus of Chinese experts. The level and number of diagnosis and treatment of cerebrovascular diseases are leading in China.
Vascular Surgery:
Irregular "bomb" found in the abdomen of the septuagenarian in the new crown epidemic area
The green channel is opened, and the famous doctor does not open the minimally invasive "bomb disposal"
On April 13, the vascular surgery team of the Second Hospital of Zhejiang University successfully completed the extremely difficult intraluminal repair of abdominal aortic aneurysm under the highest level of prevention and control for the ninety-year-old patient Wang Dae (pseudonym) from the Sealing and Control Area of Haining.
During the sealing period, Uncle Wang accidentally fell to the fracture of his right femur, but during the examination, he found that a abdominal aortic aneurysm the size of a "child's head" was hidden in his stomach. Although it is not a malignant tumor, it is like an irregular "bomb" that may burst at any time, in order to urgently "defuse the bomb", the Second Hospital of Zhejiang University has opened a green channel for him.
Chen Bing, director of the Department of Vascular Surgery of the Second Hospital of Zhejiang University, introduced that the traditional abdominal aortic aneurysm open surgery requires "open stomach", large trauma, slow recovery, and many complications, and the abdominal aortic aneurysm intravascular repair surgery used this time is a minimally invasive operation, as long as a simple puncture is carried out in the thigh femoral artery, implanted peritoneal stent according to the lesion, isolating the aneurysm cavity, which is a standard minimally invasive treatment technology and is a world-recognized treatment technology.
But it's easy to say, but it's difficult to do in practice. The old man is 94 years old, accompanied by lung infection, falling pneumonia, the risk of surgery itself is large, his iliac artery is extremely twisted and circling, bilateral iliac artery has multiple 180 degree folding twists, it is simply as winding and twisting as the "difficult to go to the sky" Shu Dao, and even the hardest support guide wire can not be straightened during surgery.
Time passed minute by minute, sweat ticked down like a clock, the protective mask slowly misted, and the vision became hazy and blurred... But Chen Bing and his team's medical care still gritted their teeth and insisted.
Normally, it takes 2-3 hours of surgery, but this time it took 4 hours. At the end of the operation, layer after layer of protective clothing was removed, and the medical staff felt as if they had been fished out of the water, and their bodies were soaked.
The operation was successful, Uncle Wang successfully extected the trachea the next day, people were also awake, and the family breathed a long sigh of relief after learning the news, and they were grateful to the medical staff.
Introduction to the Department of Vascular Surgery of the Second Hospital of Zhejiang University
As a well-known discipline in China and a leading discipline in the province, the scope of diagnosis and treatment includes all vascular lesions except the skull and heart, such as life-threatening aortic dissection, thoracic and abdominal aortic aneurysms, and various chronic vascular lesions in the body. In particular, the diagnosis and treatment of visceral artery disease is leading in China, the success rate of adrenal venous blood collection to diagnose primary hyperaldosteronism, and the minimally invasive technology to open a large arteritis occlusion of carotid arteries, etc., creating a new concept of arterial manometry to guide the treatment of visceral vascular dissection. Established a new strategy of perioperative treatment for minimally invasive treatment of severe lower extremity arteriosclerosis occlusion, significantly improved the long-term patency rate, and led Zhejiang Province in carrying out plantar arterial arch reconstruction for diabetic feet; open surgery, interventional surgery and compound surgery implemented by vascular surgery around the minimally invasive concept effectively reduced the patient's treatment pain, improved the success rate of vascular disease diagnosis and treatment, and established a leading coagulation monitoring system to establish an effective guarantee for patient safety.
These several modes of transportation help you get to the hospital quickly
Zhejiang University Second Academy Boao Branch is located in Xiaoshan District, Hangzhou City, where the river is developed, located in the main battlefield and main position of the Hangzhou Asian Games, located at No. 456 Qidi Road, Xiaoshan District, Hangzhou, adjacent to Boao Road, directly connected to the main venue of the Hangzhou Asian Games.
The transportation around the campus is convenient, you can choose any of the following transportation methods to get around:
subway:
It is about 600 meters from Exit B of Xingxing Road Station of Metro [Line 7], and it can be reached on foot in 8 minutes.
Bus (bus stop within 550 metres):
1. Information Harbor Bus Station: [1515M Road]
2. Information Harbor Town: [713 Road] [725 Road] [730 Road] [762 Road] [771 Road] [1515M Road]
3. Construction of the second road Yangshi intersection: [1515M road]
4. Xingyi Road Construction 3rd Junction: [1515M Road]
5. Xingyi Village: [360 Road] [1515M Road]
passenger transport:
It is surrounded by Hangzhou South Bus Station, Hangzhou Four Seasons Green Bus, Xiaoshan Bus Terminal and Xiaoshan West Station
railway station:
Hangzhou Railway Station, Hangzhou East Railway Station, Hangzhou South Railway Station
aerodrome:
Hangzhou Xiaoshan International Airport
Source | Qianjiang Evening News
Audit | Chen Guozhong
Editor-in-charge | Zhu Junjun