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this video describes how to cannulate the coronary sinus from the right side utilizing the standard Worley CSG and a modified multi-purpose guide we we start by partially inserting a standard CSG into the right atrium and then removing the die later and the wire at that point we would then withdraw the tip of the Worley sheath until it docHubes the RAS VC Junction the curve of the worldly sheath keeps the tip against the lateral wall at this point a large section of the Worley sheath is hanging out of the right side of the pocket next we need to hand shape a multi-purpose guide into something that looks like a braided core and so you can see here this is a how the guide comes out of the box and this is how it is looks after itamp;#39;s been hand shaped the initial shape of the multi-purpose guide is successful itamp;#39;s critically important in to successful hand shaping I found that several guides can be hand shaped properly based on being in other locations where I didnamp;#39;t h