The treatment of thrombosis in STEMI patients is one of the most important tasks. Systematic approach is a key element of the reperfusion therapy success. The approach to the invasive treatment should be differentiated, first and foremost based on angiographic assessment of thrombosis.
The maximum effect thrombotic masses aspiration from the infarct-related vessel is achieved in patients with large, floating thrombi of all ages. Efficient removal of the coronary thrombi using contemporary aspiration catheters is the auxiliary procedure providing timely reperfusion therapy in patients with STEMI, reducing distal embolization and improving myocardial perfusion. Accumulation of experience with these catheters and more detailed assessment of the immediate and long-term postoperative results are necessary to make conclusion about their effectiveness and safety in clinical practice.