My suggestion for changing the “rotaburr entrapment algorithm” is to use knuckle wire technique (KWT) to create space and allow release of the burr. I suggest using KWT before “cut-shaft” strategies. Emmanouil Brilakis ROTAMONSTER

@esbrilakis @rotamonster just pull on the darn roto wire it will never break it works almost always the other algorithms are redundant i have never had to resort to any of these shenanigans in 20 years

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@esbrilakis @rotamonster Very nice. I almost want to try it out. Almost but rather not deal with a stuck burr! Haha. To be honest, now I am wondering if there is a rule for contrast modulation proximal to the burr. 🤔

@esbrilakis @rotamonster I agree👍😜👇

@esbrilakis @rotamonster Great save!!

@esbrilakis @rotamonster Good result. Congratulations 👏🏻👏🏻👏🏻

@esbrilakis @rotamonster Great congratulations

@esbrilakis @rotamonster But here i think the burr motion was too slow and the size was 1.25 this carries the risk of burr entrapment

@esbrilakis @rotamonster No problem with burr motion IMO. Still use 1.25 for device uncrossable lesions.

@esbrilakis @rotamonster Nice bailout ! Also the reason why I never use the 1.25 burr - it’s a spear waiting to get entrapped in a hard shelf of calcium.

@esbrilakis @rotamonster For device uncrossable lesion I tend to use 1.25 maybe the last indication for this burr size