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Solving difficulties in transseptal sheath crossing: the shoehorn technique.
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  • JUAN BENEZET-MAZUECOS,
  • ALVARO LOZANO ROSADO,
  • JULIAN CROSA,
  • ANGELICA MARIA ROMERO DAZA
JUAN BENEZET-MAZUECOS
Hospital La Luz

Corresponding Author:[email protected]

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ALVARO LOZANO ROSADO
Hospital La Luz
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JULIAN CROSA
Hospital La Luz
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ANGELICA MARIA ROMERO DAZA
Hospital La Luz
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Abstract

Transseptal sheath crossing sometimes can be challenging. We present the shoehorn technique to solve this situation. This maneuver consists of removing back a tetrapolar electrode previously placed in the left atrium through the transseptal puncture hole while we try to progress the sheath through it as well, expanding the hole and permitting the sheath to cross safely the transseptal puncture.