%0 Journal Article %T Thrombus aspiration in primary percutaneous coronary intervention: still a valid option with improved technique in selected patients! %A Alessandro Sticchi %A Emanuele Barbato %A Fabio Mangiacapra %J Archive of "Cardiovascular Diagnosis and Therapy". %D 2017 %R 10.21037/cdt.2017.05.09 %X Thrombus aspiration during primary percutaneous coronary intervention (pPCI) has been used to improve myocardial perfusion through a reduction of the thrombotic burden eventually resulting into better clinical outcomes (1,2). After the initial enthusiasm derived from the mortality reduction shown in early randomized and observational studies (3-7), disappointing results have been yielded in more recent larger scale trials testing the routine use of thrombus aspiration in pPCI (8-12). As a consequence, this technique has lost its initial appeal such that it is currently often neglected or even considered as a useless hassle by the interventional cardiologists %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5509934/