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During the atrial fibrillation, evidence of skiving was observed.After the needle for the transseptal puncture had been inserted through the dilator of the sheath and withdrawn, the guidewire could no longer be advanced through the dilator.After removing the sheath and dilator from the patient, the physician attempted to force the wire through the dilator again, and small plastic particles emerged.The sheath was replaced and the procedure was successfully completed with no adverse patient consequences.
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