When clinical experiences clashes against evidence based medicine: the case of aspiration thrombectomy in primary percutaneous coronary intervention (PCI)

Deciding when to apply a procedural technique, during a primary percutaneous coronary intervention (PCI) in the setting of a ST-elevation myocardial infarction (STEMI) is a matter of “know how” for the interventional cardiologist, from decision of correct antiaggregant/anticoagulation to choice of complete vs. not revascularization and, among the most debated, thrombus aspiration (1-3).