Mechanical thrombectomy as a bailout therapy for highly resistant coronary thrombus in a young ST-elevation myocardial infarction patient

Mechanical thrombectomy (MT) has emerged as an effective bailout strategy for the management of highly resistant intracoronary thrombi [1].Aspiration-based devices, including the Penumbra system, have demonstrated increasing applicability in coronary interventions, particularly in clinical scenarios where effective thrombus removal is essential to achieve optimal reperfusion, especially after failure of conventional manual aspiration techniques [2, 3].A 44-year-old previously untreated man was urgently admitted to the Cardiology Department with ST-elevation myocardial infarction (STEMI).Electrocardiography performed on