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January 11, 2012

Thromboaspiration Before Intra-aortic Balloon Counterpulsation

Author Affiliations

Author Affiliations: Division of Cardiology, Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada (brian.potter@umontreal.ca).

JAMA. 2012;307(2):146-147. doi:10.1001/jama.2011.1986

To the Editor: Dr Patel and colleagues found that the routine use of intra-aortic balloon counterpulsation (IABC) in hemodynamically stable patients with anterior ST-segment elevation myocardial infarction did not lead to a reduction in infarct size as assessed by magnetic resonance imaging.1 I would like to suggest an alternate hypothesis not mentioned in the discussion with implications for future study design.