Nemanja Mili?evi?Interventional Cardiologist, Bosnia and Herzegovina
Title: Thrombus aspiration during primary percutaneous coronary intervention – Where are we now?
When it comes to thrombus aspiration during PPCI, which belonged to Class IIa, recently published studies, the TOTAL study12 on more than 10,000 patients and the TASTE study13 on more than 7,000 patients, did not show a benefit from routine thromboaspiration, which according to the current guide for STEMI does not recommended (Class III). Thrombus aspiration in acute myocardial infarction, considering the results of large randomized studies, is not recommended as a routine method. It is necessary to define new indications for thromboaspiration in myocardial infarction and conduct appropriate studies in this direction. The aim of this paper is to present a patient in whom, after primary balloon angioplasty, successful aspiration of a large thrombus mass from the right coronary artery was performed, while thinking about which patients this method would benefit from.