Primary PCI with or without thrombectomy

To the Editor:
A typical feature of recent trials on thrombus aspiration is the binary approach, with either thrombectomy or standard percutaneous coronary intervention (PCI) considered to be applicable to every patient. In an ideal trial, PCI alone would be compared with thrombectomy performed at the discretion of an experienced operator. The success of thrombus aspiration (an interventional action) is largely dependent on the skill of the individual operator, and data on the effectiveness of the procedure (e.g., histologic analysis of retrieved material) should ideally be reported.