Once you break the bead you can use a piece of 2x4 lumber to wedge in the bead to hold it open until you finish. You also get more room pushing the opposite side of the tire down off the inner lip of the rim. Get a valve stem tool too. Remove the core before breaking the bead down, makes it easier. Cut the old stem off with a utility knife, being careful not to drop the old sensor into the tire. Use some lubricant on the new stem to help it pop in easier, stick it through the hole, thread on your stem tool and pry it up. I use a pair of cushioned pliers as a pry tool. If you have issues resetting the bead remove the stem core again for more air flow, that will usually do the trick. Lube the tire bead too before seating the bead. Soap and water work fine for this.