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Unique presentation of Twiddler's syndrome

World Journal of Cardiology 2013年第6期5卷 207-209页

作者： Valay Parikh Emad A Barsoum Rewais Morcus Basem Azab james lafferty Jeffrey Kohn Department of Medicine Staten Island University HospitalStaten IslandNY 10305United States Department of Surgery Staten Island University HospitalStaten IslandNY 10305United States Department of Cardiology Staten Island University HospitalStaten IslandNY 10305United States Department of Cardiology New York University Langone Medical CenterNew YorkNY 10016United States

We present a rare case of Twiddler's syndrome diagnosed in an asymptomatic patient on a routine follow *** case reiterates the need for frequent monitoring of the implanted *** addition,it was detected 4 years after i... 详细信息

关键词： Twiddler’s syndrome Defibrillator Complication Malfunction Lead dislodgement

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Rare case of coronary to pulmonary vein fistula with coronary steal phenomenon

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World Journal of Cardiology 2014年第7期6卷 682-684页

作者： Emad A Barsoum Faisal B Saiful Deepak Asti Rewais Morcus Georges Khoueiry james lafferty Donald A McCord Department of Medicine Staten Island University HospitalNew YorkNY 10305United States Division of Cardiology Staten Island University HospitalNew YorkNY 10305United States

Coronary artery fistulas are abnormal connections between coronary artery territories and cardiac chambers or major vessels,most of them are *** with coronary artery fistula can be asymptomatic or present with different symptoms like *** computed tomography(CT)is one of the best modalities for *** present an elderly patient that presented with angina symptoms,non invasive stress test was positive for ischemic heart disease,coronary angiogram could not reveal any obstructive lesions,but an abnormal branch of the left descending coronary artery(LAD),cardiac CT showed fistula that connect left anterior descending coronary artery to left superior pulmonary *** case is extremely rare as most of the reported cases were fistulas between LAD and pulmonary artery,but in our case the fistula between LAD and left superior pulmonary *** addition,our patients’symptoms resolved with anti-ischemic medical treatment without any surgical intervention.

关键词： Coronary artery fistula Coronary artery anomalies in adult Coronary artery disease

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Biodegradable polymer stents vs second generation drug eluting stents:A meta-analysis and systematic review of randomized controlled trials

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World Journal of Cardiology 2016年第2期8卷 240-246页

作者： Bhavi Pandya Sainath Gaddam Muhammad Raza Deepak Asti Nikhil Nalluri Thomas Vazzana Ruben Kandov james lafferty Department of Internal Medicine Staten Island University Hospital Department of Cardiology Staten Island University Hospital

AIM: To evaluate the premise, that biodegradable polymer drug eluting stents(BD-DES) could improve clinical outcomes compared to second generation permanent polymer drug eluting stents(PP-DES), we pooled the data from all the available randomized control trials(RCT) comparing the clinical performance of both these ***: A systematic literature search of Pub Med, Cochrane, Google scholar databases, EMBASE, MEDLINE and SCOPUS was performed during time period of January 2001 to April 2015 for RCT and comparing safety and efficacy of BD-DES vs second generation PP-DES. The primary outcomes of interest were definite stent thrombosis, target lesion revascularization, myocardial infarction, cardiac deaths and total deaths during the study period. RESULTS: A total of 11 RCT's with a total of 12644 patients were included in the meta-analysis, with 6598 patients in BD-DES vs 6046 patients in second generation PP-DES. The mean follow up period was 16 mo. Pooled analysis showed non-inferiority of BD-DES, comparing events of stent thrombosis(OR = 1.42, 95%CI: 0.79-2.52, P = 0.24), target lesion revascularization(OR = 0.99, 95%CI: 0.84-1.17, P = 0.92), myocardial infarction(OR = 1.06, 95%CI: 0.86-1.29, P = 0.92), cardiac deaths(OR = 1.07, 95%CI 0.82-1.41, P = 0.94) and total deaths(OR = 0.96, 95%CI: 0.80-1.17, P = 0.71).CONCLUSION: BD-DES, when compared to second generation PP-DES, showed no significant advantage and the outcomes were comparable between both the groups.

关键词： Stent design Drug eluting stent Zotarolimus eluting stent Cobalt-chromium stent Biodegradable drug eluting stent

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