The relationship between visible thrombus aspiration material with no-reflow and in-hospital mortality ratio in patients with acute anterior ST-elevation myocardial infarction

Abstract

We read the article about the relationship between visiblethrombus aspiration material with no-reflow andin-hospital mortality ratio in patients with anterior STelevationmyocardial infarction treated with primarypercutaneous coronary intervention (PCI) published byŞeker et al.[1] with great interest. The rate of no-reflowor in-hospital mortality was found to be lower in patientswith acute anterior ST-elevation myocardial infarctionand the presence of visible thrombus aspirationmaterial, but there are some points that should be clarified.The infarction time is similar between groups, buta shorter door-to-balloon time and lower Killip classII-IV ratio may be confounding factors. These factorsmay explain the low in-hospital mortality.