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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

CarinaHardyEP

6,032 subscribers

27,717 次观看 • 3 年前 •via X (Twitter)

#EPeeps #WomenInEP

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10 条评论

Dr. Devi G Nair 的头像

Dr. Devi G Nair3 年前

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

CarinaHardyEP 的头像

CarinaHardyEP3 年前

@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.

Eduardo Saad 的头像

Eduardo Saad3 年前

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

CarinaHardyEP 的头像

CarinaHardyEP3 年前

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

Jakub Baran 的头像

Jakub Baran3 年前

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😜

Allen Amorn MD 的头像

Allen Amorn MD3 年前

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.

Tolga Aksu, MD 的头像

Tolga Aksu, MD3 年前

Great with or without ICE

Hicham El Masry 的头像

Hicham El Masry3 年前

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.

Fabricio Vassallo, MD, PhD 的头像

Fabricio Vassallo, MD, PhD3 年前

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

Pablo Sánchez Millán 的头像

Pablo Sánchez Millán3 年前

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

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Little four year-old boy had been eating a hamburger at a barbecue and started complaining about intense pain in his ear . The family took him to the ER. They did x-rays found nothing. Of course the pain continued. About 10 days in they take them again to the emergency room where they finally do a CAT scan and they see a 2 cm wire from a wire barbecue brush lodged in his tissue, which had formed an abscess. He was treated after having the wire removed and he was fine, but here’s the thing.. be very careful when you use wire barbecue brushes because the wires can get mixed in with your food and cause stomach obstructions, or something similar to what happened to this little boy.

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17,543 次观看 • 5 个月前

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167,953 次观看 • 3 个月前

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Wall Street Apes

1,599,402 次观看 • 1 年前

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⚡️🌞 Sol Brah 🌞🐬

28,444 次观看 • 1 年前