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#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

27,717 просмотров • 3 лет назад •via X (Twitter)

Комментарии: 10

Фото профиля Dr. Devi G Nair
Dr. Devi G Nair3 лет назад

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

Фото профиля CarinaHardyEP
CarinaHardyEP3 лет назад

@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.

Фото профиля Eduardo Saad
Eduardo Saad3 лет назад

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

Фото профиля CarinaHardyEP
CarinaHardyEP3 лет назад

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

Фото профиля Jakub Baran
Jakub Baran3 лет назад

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😜

Фото профиля Allen Amorn MD
Allen Amorn MD3 лет назад

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.

Фото профиля Tolga Aksu, MD
Tolga Aksu, MD3 лет назад

Great with or without ICE

Фото профиля Hicham El Masry
Hicham El Masry3 лет назад

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.

Фото профиля Fabricio Vassallo, MD, PhD
Fabricio Vassallo, MD, PhD3 лет назад

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

Фото профиля Pablo Sánchez Millán
Pablo Sánchez Millán3 лет назад

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

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