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An educational rota burr entrapment case. When a burr is stuck, we pull on the burr. If that doesn’t work, then we think of complex manoeuvres: cutting the burr, removing Teflon sheath, guide extensions, parallel wiring/ballooning and ping pong guides etc… But we often forget the simple stuff. The... show more
11,353 views • 1 year ago •via X (Twitter)
11 Comments

Excellent breakdown @DrBIqbal! And quite the gentle ‘zen like’ tug. Mine usually come flying out with this maneuver. 😅 How did you change your strategy the second time round to keep this from happening? Did you change the speed, or the rate of advancement, or both? The final result looks 👌🏼.

Second time round, I appreciated the LMS disease and advanced more carefully this time debulking the distal LMS as I moved into the LAD.

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Why does brake defeat need to be on? Since burr not moving/turned on wouldn’t think it would matter?

Sure. Make sense. Pull rota wire is most effective technique.

Great tip. 👍

When you pull on wire, are you also putting negative traction on device as well while someone else holding guide from diving?

@realarainmd Ty for sharing, makes sense.

Great trick 👌

#SimpleButSmart 👍
