#EPeeps Modified TSP without Baylis RF wire. Just use an ordinary 0.032 guide wire under iCE view, put some pressure in septum and use cut 25 W (electric scalpel) The wire and dilator will cross the septum gently and safely. Does anyone have experience with this? #WomenInEP

Used to do this before @BaylisMedical NRG needle. Not anymore since data from @DrBradleyKnight on tissue coring with bovie on mechanical needles .

@BaylisMedical @DrBradleyKnight Interesting work but in this case I use a wire and not a needle. I don't know if it can be applied in the same way.

Yes I use that routinely and it does work. Simple and effective.

Amazing Eduardo. Have you ever had any difficulties or complications?

Sometimes we use normal BRK TS needle and ablation catheter. Remember to use wet swabs around meeting point of catheter and needle. Otherwise impedance will limit RF current flow. Have a fun😜

Yes, used to do this with BRK needle in tough septum cases back in the day. @BaylisMedical Versacross is a game changer for those who have access to it.

Great with or without ICE

Used it in the past, my only concern is heat-induced damage to the tip of the dilator/sheath if wire contact is not perfect. Contrary to the Baylis wire, the 0.032 is not insulated.

I use the needle itself starting with 10 W go go up if needed.

It reminds me a case posted by @BrettGidney @DarthAblater. Maybe they could add more info about this technique