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Biomedical subjects

Prasad Shah

Publications and source records attributed to Prasad Shah.

8 recordsLinked to original sources
PubMed2005

Percutaneous treatment of dissection of the ascending aorta occurring as a complication during coronary angioplasty of a saphenous vein bypass graft.

Aortocoronary dissection can occur as a complication of angioplasty of native coronary arteries. This case report is of aortic dissection occurring as a complication of percutaneous coronary intervention of proximal anastomoses of a saphenous vein bypass graft. The aortic dissection that had progressed retrogradely into the ascending aorta was treated percutaneously by stenting in the saphenous vein graft with a membrane-covered stent.

Aortic Dissection↗
PubMed2004

Radiofrequency catheter ablation of a posteroseptal accessory pathway along the morphologic tricuspid valve in a patient with congenitally corrected transposition of the great arteries and complete atrioventricular block.

We report a patient with Congenitally Corrected Transposition of the Great Arteries, complete atrioventricular block and a posteroseptal accessory pathway across the morphologic tricuspid valve. Ablation of the accessory pathway was performed for her symptomatic palpitations.

Abnormalities, Multiple↗
PubMed2004

Inappropriate therapy from a defibrillator complicating transcoronary ablation of septal hypertrophy in a patient with hypertrophic obstructive cardiomyopathy.

This case report describes a patient with obstructive hypertrophic cardiomyopathy who received therapy inappropriately from his implanted defibrillator, subsequent to transcoronary alcohol ablation for septal hypertrophy (TASH). Widening of the intracardiac electrogram postablation resulted in "double counting" of the intrinsic ventricular electrogram by the device and inappropriate tachycardia detection.

Atrial Fibrillation↗
PubMed2004

Spontaneous dissection of the left main coronary artery.

Spontaneous coronary artery dissection remains a rare but important cause of acute coronary syndromes. Presentation depends on the extent of the dissection, the vessels involved and the rate of its development, and can encompass the entire spectrum of coronary syndromes, with some patients being asymptomatic and others presenting with angina, non-ST segment elevation myocardial infarction, ST-elevation myocardial infarction and sudden cardiac death. The authors describe a 33-year-old pregnant woman who presented with a non-ST segment elevation myocardial infarction secondary to a spontaneous dissection of the left main coronary artery.

Adult↗
PubMed2002

Intracardiac echocardiography guided radiofrequency catheter ablation of the slow pathway in atrioventricular nodal reentrant tachycardia.

BACKGROUND: ICE has demonstrated its utility in imaging right atrial structures but its utility in slow pathway (SP) ablation has not been documented in a randomized trial. METHODS: The feasibility of using ICE as a imaging modality to identify the effective site of SP ablation was done in part one of the study comprising 10 patients of typical AVNRT. Subsequently, a prospective randomized study was done comparing the conventional (group A) and ICE guided (group B) ablation of the SP. Each group had 20 patients of typical AVNRT. Ablation in the conventional arm was guided by intracardiac electrograms and fluoroscopy. Group B patients underwent SP ablation guided primarily by ICE imaging; fluoroscopy was used mainly for initial placement of catheters. RESULTS: Reliable & stable ICE images were obtained in all patients. Part I of the study showed that RF pulses given when the ablation catheter was seen to cross the atrioventricular muscular septum (AVMS), always resulted in junctional rhythm. In Group B, RF pulse was delivered only when the ablation catheter was at the AVMS making an obtuse angle with the image of the His-bundle catheter. Consistent junctional rhythm and abolition of SP resulted at this site. Compared to group A, patients in group B required fewer pulses (mean 1.4 +/- 0.6 vs. 4.4 +/- 3.0; p < 0.05, median 1 vs. 5; p < 0.01), achieved a higher temperature (56 +/- 4 degrees C vs. 50 +/- 6 degrees C) and had more frequent junctional rhythm (100% vs. 70%) during RF pulse. CONCLUSIONS: A critical portion of SP exists adjacent to Tricuspid valve overlying the AVMS. ICE imaging consistently and reliably localizes this site and RF applications here result in interruption of antegrade SP conduction.

Adult↗
PubMed2002

Split atrial electrograms recorded during dual chamber pacing.

Split atrial electrograms (AEGs), as a measure of intraatrial conduction delay, have been previously identified during electrophysiological studies and as such, may be related to the development of atrial tachyarrhythmias. This article reports the finding of split AEGs observed in two patients with implanted dual chamber pacemakers. The event marker and the surface electrogram identified these AEGs by using and interpreting the intracardiac AEG derived from the atrial pacing lead.

Aged↗
PubMedDate not supplied

Thromboembolism: a rare complication of cardiac hydatidosis.

A cardiac hydatid cyst is rare. We report a case of cardiac hydatid cyst localized in the atria which was diagnosed by two-dimensional echocardiography following a thromboembolic stroke. Surgical resection of the cyst was performed and histopathologic examination confirmed the diagnosis.

Adolescent↗