ML20212E203
| ML20212E203 | |
| Person / Time | |
|---|---|
| Site: | 07001369 |
| Issue date: | 05/30/1978 |
| From: | Parsons G VETERANS ADMIN. MEDICAL CENTER, BROOKLYN, NY |
| To: | NRC OFFICE OF NUCLEAR MATERIAL SAFETY & SAFEGUARDS (NMSS) |
| Shared Package | |
| ML20212D767 | List: |
| References | |
| 09646, 22160, 9646, NUDOCS 8608120633 | |
| Download: ML20212E203 (27) | |
Text
nm:m::.==== n 7o-BM u
u es VETERANS ADMINISTRATION d (l 3
- f( -i '
..L HosmTAL D
[
la;,
gy.%-
BROOKLYN. NEW YORK 11209 re..no r
May 30, 1978
.u nm.y 527/112 R&RR TOs h
9,
$lV[IQ 1 cOUNj4I976)
~
i 8
U. S. Nuclear Regulatory Commission s.D7',[;e.i.,,
Radioisotopes Licensing Branch d
Division of Fuel Cycle and Material Safety T
d'*E,,,,
<'/
Washington, D.C. 20555 f,
m:_l I. lk -
~
SUBJ: Application for Renewal of Special Nuclear Material License Number SNM-1358 Program Code 22160 1.
The Brooklyn Veterans Administration liospital is applying for renewal of Special Nuclear Material License Number SNM-1358.
Dr.
Vincent A. Piccone, Jr. is the surgeon responsible for implantation of the. nuclear powered cardiac pacemaker authorized by this license.
2.
We regret the delay in requesting renewal of this license.
f~
HAW G
W. PAP. SONS Director
,/z &., r' g% '
S DOCKETED USNRC
'g 3,
97 jun21$.973*[
3 NM55 i
Mall Stct:CN M
DOCKitC.
s
\\
Cv i
N Re8?2f?88e6o720 09M6 SNM-1969 PDR Strow re,*eran's full n sme, VA fle number, and social securir.y number on all correspn lence.
O o
r
/
t ATTACHMENT "B"
LAURENS-ALCATEL MODEL 9000 ISOTOPIC PACEMAKER
O 4AcTSHEET j
Nuclear-powered i
Pacemaker The Medtronic-Alcatel program operates under safety guidelines developed by a committee of the European Nuclear Energy Agency (ENEA).
Nations represented on the ENEA committee are Auntria, Denmark, Germany, France,
.. Spain, Sweden and Switzerland.
Each hno agreed'to permit entry of such patients on a limited and experimental basis and Medtronic will soon
=
supply pacemakers to each country for further.. clinical trials.
The ENEA expects other countries to join in the preparation of international standards, j
i
- *
- The United States currently operates under the Atomic Energy Act of 1954 --
legislation that severely restricts medical use of Plutonium 238 in pacemakers.
Under present licensing restrictions in the U.S.,
large-scale distribution of the device would be impractical, but' limited clinical L
cvaluation could be done.
The only other nuclear-powered pacemakern in humans were implanted at the Nat,ional' Heart Hospital in London, England on July 15 and July 22, 1970.
The first of these British devices, implanted by Dr. Edgar Sowton, is currently in therapeutic use.
The second was removed after several months because of a slight rate change.
The British project is under
~
the auspices of Britain's Atomic Energy Authority.
While the Medtronic-Alcatel program has been we.1 received by the European medical community, the number of devices commercially available is still limited.
Medtronic has exclusive world marketing rights to the Alcatel power. source.
Product Data Designed for long, term bipolar stimulation with mycardial leads, the nuclear-powered pacemaker incorporates the same basic circuitry that is used in the Medtronic Model 5943 Unipolar Pulse Generator.
An electronic convertor is added, however, to increase the power source voltage.
The R-wave inhibited demand pulse generator has a preset rate of 72 pulses per minute and a fixed amplitude of five volts.
The pacemaker has an "es. cape rate" feature that allows sinus rhythm to prevail at rates down to 62 bpm.
However, if the ventricular rate falls belou 62 bpm, the. device will pace the faster rate of 72 bpm.
The unit also contains a built-in switch that at is actuated by an external magnet.
In this way, the pacemaker is converted from demand to asynchronous mode which allows testing of the unit during periods when the patient is in normal sinus rhythm (and the pulse generator's e
output is suppressed).
f
-more-
-in m
/~'
FACT SHEET
\\
(
Nuclear-pownred Pacemaker The capsule containing the power source is made of tantalum with an inner core of platinum for gamma radiation shielding.
S,ufficient space is
-' provided between the two layers for helium buildup as the plutonium
,, disintegrates.
The power source and electronics are encased and hermeticall
- scaled in titanium, shielding it from most sources of magnetic, i
jolectromagnetic, and radio frequency interference.
The Plutonium 238 power source has a half life of 87 years, theoretically
,.providing sufficient power for at least 10 years of pacing.
The fuel capsule has undergone exhaustive testing to determine that the Plutonium 238 is safely contained.
Some of the destructive conditions considered are those of impact, crush, elevated temperature and pressure.
Manufacture of the pacemaker, including placemant of the power source within the pulse generator, is performed at Medtronic's Minneapolis plant.
Specifications Electrical Pacing rate 72 bpm Sensing (escape) rate 62 bpm I
Interference rate 50 bpm Output voltage (o.5 msec., 500-ohm load) 5 volts l
p Output current (o.5 msec., 500-ohm load) 10 ma
-l Pulse width (nominal) 0.9 ms Refractory 250 to 350 ms Sensitivity 1.3 to 1.8 mv Energy output 60 microjoules
[
Physical Diameter 7.0 cm l
Width 2.6 cm j
Weight 170 gm Bipolar myocardial l Electrode system.
Type connector Setscrew External housing Grade 1 titanium j
-more-i e
i
(,
y
(,
f l
e HISTORY OF THE NUCLEAR-POWERED PACEMAKER The first nuclear-powered pacemaker used in a human was implanted in a 58-year-old woman on April 27, 1970.
That historic implant was performed l
i et Broussais Hospital in Paris by a team headed by Drs. Paul Laurens and l
..Armand Piwnica.
To date, more than 50 patients have received the isotopic pacemaker in France, Germany, Belgium and Holland.
Most patients are now leading active lives.
In the U.S.,
the Atomic Energy Commission (AEC) has recently (June 30) granted permission for limited clinical application,of the device at the Veterans' Administration Hospital'in Bu f falo, New York.
The. energy system was developed under a grant from the French Atomic Energy Commission (CEA ), while the pacemaker system was jointly developed by Medtronic, Inc., Drs. Laurens and Piwn'ica, and Alcatel, a French corporation.
The radio-isotopic energy system using Plutonium 238 is manufactured at Alcatel, a company which,has miniaturized the essential thermopile that converts heat to electrical energy.
The plutonium fuel is enclosed in a multi-layer capsule which protects against harmful radiation and container rupture (see illustration).
The human implants in 1970 followed extensive research by the CEA, Alcate'1, Medtronic and the French doctors -- with the entire project under the direction of Dr. Laurens, a cardiologist.
Soon Dr. Piwnica, a heart surgeon, joined the team.
It was through his invitation to Presidsnt Earl Bakken that Medtronic became a part of the program.
After intensive testing, the French Minister of Public Health authorized clinical application of nuclear-powered cardiac pacing.
He acted on the
' safety report of a special committee.
The confectionery store owner who made medical history as the first patiend was suffering from intermittent heart block (when the heart periodically reverts to a slower rate).
The nuclear-powered Medtronic unit was her first pacemaker.
The second patient has been a pacemaker user for many, years.
She is a 49-year-old free-lance photographer living in Paris.
The nuclear-powered pacemaker was implanted in a male patient on March 2,
1971, at Broussais Hospital.
It was his first pacemaker and, like tho,
fi,rst two patiento, he had experienced frequent periods when his pulse
..rcto was very low -- oymptomatic of the heart block condition.
I
-more-4
~~
e m ~ ~ e.
=
s'
-\\
-~
q.
3 f: "-
/['
o...
l F <~ &-j n..
1.
1 1,.,,
I
...i.............
1, n.,-..,,,...
- Il i
CON NECTORS I
r i -,,i....
/4Rn\\_,3R
~
~*K NNh1Mh@3 b
N FUEL CAPSULE A
g
. een 9 N@w (J CG
.,.195_41
-THERMO PILE
{?$
-g/
]I, s
O ' /,y~4.s. r. @d s' 4 W, h"3 x
,c7...u g
')
e CIRCUITRYM('
g DC/DC CONVERTOR O
e s
..g, %e3
'f,f. '
/
dD M
H ERMETICALLY
.@%._j%,3f'{ w /lp [, Yg / %
SEALED CASE
'4'N NOf ['['fW PULSE GENERATOR DEMAND CIRCUITRY ISOTOPIC POWER SUPPLY s ~- -
,O e
G
e
~
o o
ATTACHMENT "C" CURRICULA VITAE Vincent A. Piccone, Jr., M.D.
John M. Fontaine, M.D.
-e n.
m n,.
.e
+.;
o o
CURRICULUM VITAE - VINCENT A. PICCONE,3R., M.D.
PERSONAL:
Date of Birth:
7/24/30 Place of Birth:
Forty-Fort, Pennsylvania Address:(Home) 377 Gansevoort Blvd., Staten Island, N.Y.10314 Tel. (212) 494-7272 (Office) 800 Poly Place, Brooklyn, N.Y.11209 Tel. (212) 836-6600 Marital Status:
Married - wife Colleen (Martin) Piccone Children:
Vincent, John, Louis, Michele, Colleen, Victoria ACADEMIC DEGREES:
B.S. - Franklin & Marshall College,1952 M.D. - McGill University,1957 M.S. - McGill University,1964 (Experimental Surgery)
SPECIALTY BOARD CERTIFICATIONS:
American Board of Surgery,1965 (Certificate No.13602)
The Board of Thoracic Surgery,1967 (Certificate No.1810)
MEDICAL LICENSURE:
New York State (82205)
Pennsylvania MD-031619-E RESIDENCY TRAINING:
Internship - St. Vincent's Hospital, New York, N.Y., 1957-1958 New York School of Psychiatry, 1958-1959 Residency - General & Thoracic Surgery - Royal Victoria Hospital & McGill University,1959-1964 Residency - Thoracic Surgery - Brooklyn Veterans Administration Hospital
& State University of New York, 1964-1965 FELLOWSHIPS & RE3EARCH POSITIONS:
Research Fellow in Surgery - Mc Gill University, 1961-1962 ACADEMIC APPOINTMENTS:
Demonstrator in Human Anatomy - McGill University, 1961-1962 Asst. Instructor in Surgery - State University of New York, DMC 1965 Instructor in Surgery - State University of New York, DMC 1965 Assistant Professor of Surgery - State University of New York, DMC 1967 Associate Professor of Surgery - State University of New York, DMC 1970 to present HOSPITAL APPOINTMENTS:
Chief of Surgery, Brooklyn VA Medical Center - July 1979-July 1980 Chief, Thoracic Surgery, Brooklyn VA Medical Center - 1968-present l
.4 (j
HOSPITAL APPOINTMENTS:
Assistant Chief of Surgery, Brooklyn VA Medical Center 1977-1979 Acting Chief of Surgery - Brooklyn VA Medical Center Nov.1977 to Jan.1978 Attending Surgeon - Downstate Medical Center, SUNY Attending Surgeon - St. Vincent's Medical Center of Richmond Associate Attending Surgeon - The Brooklyn Hospital Consultant, Cardiovascular Surgery - U.S. Public Health Service Hospital Attending Surgeon, the Doctors Hospital of Staten Island Attending Surgeon - Baley-Seton Hospital SOCIETY MEMBERSHIPS:
American College of Surgeons (Fellow)
International Cardiovascular Society Association for Academic Surgery Society of Thoracic Surgeons American College of Cardiology (Fellow)
American College of Chest Physicians (Fellow)
Society for Surgery of the Alimentary Tract American Medical Association American College of Angiology Society of Veterans Administration Surgeons New York Surgical Society New York Society for Thoracic Surgery Brooklyn Surgical Society Staten Island Surgical Society Richmond County Medical Society New York Cardiovascular Surgical Society American Society for Parenteral and Enteral Nutrition, Inc.
Sigma Si (DMC SUNY chapter)
Association for the Advancement of MedicalInstrumentation Society for Clinical Vascular Surgery SOCIETY ADMINISTRATION:
Council Member - New York Cardiovascular Society 1979-84 Nominating Commitiee - N.Y. Society for Thoracic Surgery 1978-79 Vice-President - New York Cardiovascular Society, 1980-1984 i
ADMINISTRATIVE AND GOVERNANCE ACTIVITIES:
Faculty and Professional Staff Committee (DMC, SUNY) 1978-79 Resident Selection Committee, DMC, SUNY. 1978-80 Clinical Executive Committee, BVAMC, 1979-80 Chairman, Surgical Student Teaching Program, BVAMC, 1978-79 VACO, Systematic External Review, Cleveland,1975.
Research and Development Committee, BVAMC, 1979-198#
O.R. Committee, St. Vincent's Medical Center of Richmond,1979-84 l
AWARDS:
{
Hektoen Silver Medal, AMA,1970 AMA Physicians Recognition Award (1977-84)
Who's Who in American Medicine, 1980-84 l
}
CONTINUING EDUCATION COURSE DIRECTORSHIPS I.
Diagnosis and Treatment of Ischemic Heart Disease, V.A. Piccone, Director, September 24,25,1974. Downstate Medical Center and St. Vincents Medical Center of Richmond.
l II.
Ischemic Heart Oisease/1975 V.A. Piccone, Director, Downstate Medical Center and St.Vincents Medical Center of Richmond.
III.
Current Concepts in Cardiology - May 25,26 and 27,1977, V.A. Piccone, Director, Downstate Medical Center and St.Vincents Medical Center of Richmond.
IV.
Current Concepts in Vascular Surgery,1977 V.A. Piccone, Director, St. Vincents Medical Center of Richmond and Downstate Medical Center.
V.
Update in Nephrology, Dialysis and Vascular Access, Directors Di Scala, V. and Piccone, V.A., Downstate Medical Center and St.Vincents Medical Center of Richmond.
GRANTS (1)
Project chairman: V.A. Cooperative multihospital study on Prospective Randomized Comparison of Medical and Surgical Therapy of Asymptomatic Coronary Artery Disease $50,000.
(2)
" Prospective Randomized Study of B.C.G. as an adjunct to Surgical Treatment of Lung Cancer". $29,9311980. Veterans Administration Surgical Oncology Group.
(3)
"Transumbilical Prehepatic Hyperalimentation" Travenol Laboratories, Inc. $10,0001979.
(4)
Prehepatic Hyperalimentation V.A. Project, In Merit Review. $40,000 (5)
Comparison of Combined Surgical-Medical and Medical Treatment of Asymptomatic Triple Vessel Coronary Artery Disease, V.A. Cooperative Studies Division - In Review.
(6)
Prospective Randomized Comparison of Pacemaker Electrodes Thresholds on a long term basis. Siemens Corp $10,000 per annum.
(7)
A Multi-Clinic Randomized Study of Parenteral Piperacillin Sodium and Disodium Carbenicillin in the treatment of hospitalized patients with infections caused by susceptible aerobic and anaerobic Pathogenic Bacteria Lederle Labs, Pearl River, N.Y. $10,0001980.
r
f}
l l
l PUBLICATIONS V.A. Piccone, Jr., M.D.
1.
Piccone, V.A., and McCorriston, J.R.: Gastroesophageal Reflux in Hiatus 1
Hernia. Surgical Forum,. 13:252-54, 1962 2.
Piccone, V.A., Gutelius, J., and McCorriston, J.R.: A Multiphase Esophageal pH Test for Gastrointestinal Reflux. Surgery, 57:638-46, 1965.
3.
Piccone, V.A., White,3.3., Gutelius,3., and Moseley, H. Fred: Problems in Limb Replantation. Moseley, H. Fred: Accident Surgery,3ro Edition Appleton, Century-Crof t,1965.
4.
White,3.3., Piccone, V.A., Webster, D.R., and McCorriston, J.R.: Insulin Secreting Islet Cell Tumores of the Pancreas: 13 cases with long term follow-up. Archives of Surgery, 93:593-97, 1966.
5.
Piccone, V.A., and Leveen, H.H.: Transumbilical Portal Decompression.
Surgical Forum, 17:372-74.
6.
Piccone, V.A., Leveen, H.H., White,3.3., Skinner, G.B., and MacLean, L.D.:
Transumbilical Portal Hepatography: A Significant Adjunct in the Investigation of Liver Disease. Surgery, 61:333-46, 1967.
7.
Piccone, V.A., and Leveen, H.H.: Trans umbilical Decompression - A Preliminary Report. SG&O), 125:66-72, 1967.
8.
Piccone, V.A., Lentino, W., and Leveen, H.H.: Radiological Demonstration of a Patent Ductus Venosus in an Adult. Gastroenterology, 52:263-66, 1967.
9.
Piccone, V.A., Ferrante, J., and Leveen, H.H.: Angial Residue Hepatography Versus Direct Transumbilical Hepatography. A Comparison of two new nethods. The American Journal of Surgery, 115:17, 21, 1968.
10.
Piccone, V.A., Bonanno, P., and Leveen, H.H.: Clinical and Research Uses of the Reopened Adult Umbilical Vein. Surgery, 63.20-37, 1968.
11.
Piccone, V.A.: Transumbilical Portal Decompression. Proceedings of the First International Symposium on Portal Hypertension.1967, Bad Ragaz, Switzerland.
12.
Leveen, H.H., and Piccone, V.A.: Nylon Band Chest Closure. Arch, Surg.
96:36-69, 1968.
13.
Leveen, H.H., Diaz, C., Piccone, V.A., and Falk, G.: A Surgical Approach to Diabetes Mellitus. American Jn. of Surgery, 117:46-54, 1969.
14.
Leveen, H.H., Piccone, V.A., Diaz, C. A Portosystemic Shunt to Selectively Decompress Esophageal Varices. Revista Argentina de Angiologica. Vol.3, p.58, Sept.1969.
l b
o o
15.
Pictone, V.A., and Leveen, H.H.: The Subclavian Steal Syndrome - A Collective Review. Annals of Thoracic Surgery. 9:51, 1970.
16.
Karvounis, P., Smith, M., Piccone, V.A., Falk, G., Douglass, H.O., and Leveen, H.H: Effect of Proteolytic Enzymes in Brain Contusion Af ter Controlled Head Injury. Surgical Forum, 19:416, 1968.
17.
Piccone, V.A., Leveen, H.H., Potter, R., Manoli, A., and Oran, E.: Multiparameter Evaluation of Internal Mammary Artery Implants - An Experimental Study.
Annals of Thoracic Surgery, 8:327, 1969.
18.
Piccone, V.A., Karvounis, P., and Leveen, H.H.: The Subclavian Steal Syndrome.
Angiology. 21:240, 1970 19.
Piccone, V.A., Leveen, H.H., Potter, R., Manoli, A., and Oran, E.: The Effect of MyocardialIschemia on Irternal Mammary Artery Patency - A Controlled Experimental Cineangiograpruc Study. Annals of Surgery, 170-274, 1969.
20.
Leveen, H.H., Piccone, V.A., and Diaz, C.: A Portalsytemic Shunt to Selectively Decompress Esophageal Varices. Jour. of C.V. Surg. 11:21, 1970.
21.
Piccone, V.A., Leveen, H.H., Klopstock, R., and Sika,3.: Malignant Melanoma of the Esophagus. Jour. T. & C.V.S. 59:364, 1970.
22.
Piccone, V.A., Vidal, E., Glass, P., and Leveen, H.H.: The Late Results of Caval Ligation. Surgery. Dec.1970.
23.
Leveen, H.H., Diaz, C., Piccone, V.A., Douglass, H.O., and Falk, G.: Influencing Hormone Inactivation by Surgery. Bull de la Societe Internationale de Chirugie. 6:381, 1970.
24.
Piccone, V.A., Vidal, E., Glass, P., and Leveen, H.H.: Pulmonary Disability i
Af ter Inferior Vena Cava Ligation. Chest. 58:289, 1970.
25.
Vidal, E., Leveen, H.H., Yarnoz, M., and Piccone, V.A.: Lung Abscess Secondary to Pulmonary Infarction. Ann. Thor. Surg. 11:557, 1971.
26.
Piccone, V.A., Thompson, E., and Leveen, H.H.: Shunt Grafts and Aneurysm Resection - Definitive Treatment of Selected Thoracic Aortic Aneurysms.
Jour. T. & C.V.S. 62:250, 1971.
27.
Piccone, V.A., Thompson, E., and Leveen, H.H.: Selected Aortic Aneurysms:
l Treatment by Shunt Graft and Aneurysm Resection. N.Y. State 3. of Med.
71:2651, 1971.
l 28.
Leveen, H.H., Falk, G., Diaz, C., Wynkoop, B.J., Piccone, V., Yarnoz, M.,
Langsam, A., Nelson, J., Pedowitz, W., and Belfasky, R.: Control of Gastrointestinal l
Bleeding. Amer. Jour. of Surg., 123:154-59, 1972.
29.
Piccone, V.A., Sawyer, P., Leveen, H.H., Potter, R., Manoli, A., Thompson,
E., Nacht, R., Lauterstein,3.: Metabolic, Angiographic and Hemodynamic Effects of Direct and Indirect Cardiac Revascularization in the Early and Late Post Operative Period. Journal Cardiovasc. Surgery, 13:350-60, 1972.
30.
Leveen, H.H., Diaz, C., Falk, G., Piccone, V., Yarnoz, M., Wynkoop, B.3.,
. Nelson, J., Pedowitz, W., and Belfasky, R.: A Proposed Method to Interrupt Gastrointestinal Bleeding. Preliminary Report. Ann. Surg., 175:459-65, 1972.
31.
Leveen, H.H., Falk, G., Diaz, C., Piccone, V.A., Wynkoop, B.J., and Borek, B.: Control of Gastrointestinal Bleeding. Bull. de la Societe Internationale de Chirugie, 3:199-205, 1972.
32.
Oran, E., Gupta, S., Yeo, B., Amari, J., Lauterstein,3., Potter, R., and Piccone, V.A.: Surgical Management of Coexisting Coronary Artery Disease and Idiopathic Hypertrophic Subaortic Stenosis. The Annals of Thoracic Surgery, 16:11-18, 1973.
33.
Piccone, V., Leveen, H.H., Sawyer, P.,, Manoli, A., Potter, R., Thompson, E., Oran, E., Sass, M.: Incidence and Mechanisms of MyocardialInfarction Following Coronary Artery Surgery. Angiology, 24:590:602, 1973.
34.
Piccone, V., Sawyer, P., Leveen, H.H., Manoli, A., Thompson, E., Oran, E., Sass, M., Lauterstein, J., and Summers, D.: The Several Mechanism of Anginal Relief Following Direct Cardiac Revascularization. Angiology, 24:520-27, 1973.
35.
Thompson, E., Glass, P., Arora, J., Piccone, V.A., and Leveen, H.H.: Angiologic Assessment of the Hemodynamic Effects of Sustained Released Nitroglycerine in Patients with Angina Pectoris. Angiology, 24:508-14, 1973.
36.
Oran, E., Gupta, S., Yeo, B., Nandi, A.C., Koh, W., Lauterstein,3., Potter, R., and Piccone, V.A.: Idiopathic Hypertrophic Subaortic Stenosis in Patients with Coronary Artery Disease -Importance of Recognition and Principles of Management. Angiology, 24:538-48, 1973.
37.
Leveen, H.H., Piccone, V.A., Diaz, C., Christoudias, G., Slade, W., and Norstrand, I.: A Simplified Correction of Subclavian Steal Syndrome. Surgery, 75:299-304, 1974.
38.
Piccone, V.A., Sawyer, P., Leveen, H.H., Manoli, A., Thompson, E., Oran, E., Sass, M., Lauterstein, J., and Summers, D.: The Mechanism of Anginal Relief Following Direct Cardiac Revascularization. Chest, 64:405, 1973.
39.
Piccone, V.A., Nielsen, E., DiScala, V., Leveen, H.H., Lee, H., Ramos, S.,
Ahmed, N., Harmanci, M., Hsu, P.: Vein Allograf ts for Vascular Access in Hemodialysis. Kidney International, Vol. 6, #6:A84,1974. (Abstract) 40.
Piccone, V., Jr., Nielsen, E., DiScala, V., Leveen, H.H., Lee, H., Ramos, S., Ahmed, N., and Hsu, P.: Preserved Allograf ts for Vascular Access in Hemodialysis - An Initial Experience. Annals of Surgery.182:727-732,1975
^
O O
41.
Leveen, H.H., Larkin, V., Sparandero, F., Piccone, V.A., Jr.: Sterotaxis Biopsy for Pulmonary Surgery. N.Y. State 3. Med. 75 (13) 2365-6, Nov.
1975.
42.
Piccone, V. A.: A Y-Graf t of Reversed Saphenous Vein with Proximal Attachment of Free Radial Artery Graf ts - A New Approach to Coronary Artery Surgery.
Vascular Surgery. Vol.10, No.1, p. 8-12, Feb.1976.
43.
Ahmed, N., Ramos, S., Sika, J., Leveen, H.H., and Piccone, V.A.: Primary Extramedullary Esophageal Plasmacytoma-First Case Report. Cancer.
38:943-947, Aug.1976.
44.
Piccone, V.A., Leveen, H.H., Sawyer, P., Oran, E., and Summers, D.: Postcoronary Surgery Myocardial Infarction: Mechanisms and Incidence. N.Y. State Jour. of Med., 75:3522, 1975.
45.
Ahmed, N., Leveen, H.H., and Piccone, V.A.: Reappraisal of Esopnago-gastrectomy for Esophageal Malignancy. N.Y. Jour. of Med. Vol. 76, No.
11, p.1814-1819, Oct.1976.
46.
Ahmed, N., Leveen, H.H., and Piccone, V.A. Brachial Artery to Brachial Artery to Brachial Vein Preserved Vein Allograf t Fistulas for Hemodialysis.
Jour. of C.V. Surg. Vol.17, No. 6, 483-488, Nov.-Dec.1976.
47.
Leveen, H.H., Wapnick, S., Piccone, V.A., Falk, G., and Ahmed, N.: Tumor Eradication by R.F. Therapy response in 21 patients. JAMA. 235:2198, 1976.
48.
Ahmed, N., Diaz, P., Leveen, H.H., and Piccone, V.A.: Intrathoracic Keloid as a Cause of Solitary Pulmonary Nodule. Annals of Thoracic Surgery.
In Press.
49.
Piccone, V,A,: Vein Allograf ts for Vascular Access. Vascular Grafts: Current Status and Future Trends (Ed. Sawyer, P.N.). Appleton-Century Crof ts, 1978.
50.
Weinsaf t, M., Piccone, V.A., Khan, R.: Teflon Pacemaker Introducer Embolization
& Technique of Succedssful Retrieval. N.Y.S. 3. of Med. 79:925-927, May 1979.
51.
Piccone, V.A., Ip, M., and Leveen, H.H.: Limb Salvage by Inverted "Y" Graf ts to Below-Knee Arteries. 3. Cardiovasc. Surgery. In Print.
52.
Leveen, H.H., Ahmed, N., Sugaar, S., Piccone, V.A., Falk, G., Mazzapica, N.: Basic Considerations of R.F. Thermotherapy & Clinical Experience.
Am. 3. Roentigenology. In Press.
53.
Piccone, V.A., Ip, M., and Leveen, H.H.: Limb Salvage by Inverted Y Vein Graf ts to Below-Knee Arteries. Archives of Surgery. Vol.ll3,p.951-955,1978 l
o o
54.
Weinsaf t, M., Khan, R., Piccone, V, A,: Ischemic Heart Disease in the Setting of Pre-excitation. Accepted Anf > logy. In Print.
55.
Piccone, V.A., Sika, J., Ahmed, N., Leveen, H.H., and DiScala, V.: Preserved Saphenous Vein Allograf ts for Vascular Access. SG&O. 147:385, 1978.
56.
Piccone, V.A., Leveen, H.H., Ahmed, N., and Grosberg, S.: Reappraisal of Esophagogastrectomy for Esophageal Tumors. Amer. Jour. of Surg.137:32,1979 57.
Piccone, V.A., Ahmed, M., Grosberg, S., and Leveen, H.H.: Esophago-gastrectomy for Middle Third Esophageal Malignancies. Ann. Thoracic Surgery. Vol.28,
- 4, Oct.1979, p 369-377.
58.
Piccone, V.A., Leveen, H.H., Berlyne, G., and Lundin, A.P.: Prehepatic Hyperalimentation. Surgery. 87:263, 1980 59.
Imperio, J., Summers, D., Krasnow, N., and Piccone, V.A.: The Distribution Patterns of Biatrial Myxomas. Ann. of Thoracic Surgery. 29:1980 60.
Leveen, H.H., Ahmed, N., and Piccone, V.A.: Radiofrequency Therapy
-Clinical Experience. Annals of New York Academy of Sciences. In Print.
61.
Piccone, V.A., Suarez, F., Imperio,3., Khan, R., and El Sherif, N.: Acute
& Long Term Performance of Small-Tipped Pacemaker Electrodes. Proceedings of VIth world Congress on Cardiac Pacing 21-7, 1980 62.
Piccone, V.A., Leveen, H.H., A Simplified Method for Insertion of a Peritoneal-Jugular Shunt. Arch. Surg: In Press 63.
Piccone, V.A., Schneider, A, Weber, M.E., Conservation of Blood Loss in Cardiac Surgery. In Press.
64 Piccone, V.A., Reduction of Mortality in Surgical Treatment of Lcit Main Coronary Disease. In Press.
65.
Piccone, V.A., Piccone,3.N., and Piccone, C.M., Application of Microcomputors to the Follow-up of Cardiac Pacemaker Patients. In Press.
66.
Piccone, V.A., Ahmed, N. and Patel, S., Primary Malignant Melanoma of the Lung - Case Report. In Press.
67.
Piccone,3.N. and Piccone, V.A., Automated Data Processing for Small &
Medium Pacemaker Clinics. Proceedings of Congress on Medical Information, AAMSI,1983.
68.
Piccone,3.N. and Piccone, V.A., Improved Patient Care & Device Accountability through Automated Pacemaker Monitoring. Proceedings for SYSTED,83.
69.
Piccone, V.A., Leveen, H. Ascites Shunts
l O
g 70.
Leveen, H.H., Piccone, V.A. & Hutto, R. Management of Ascites with Hydrothorax.
Amer. Jour. Surg. 148:210,1984.
1 l
l l
l
~
p q
Q Q
=
PRESENT,ATIONS AT ANNUAL SOCIETY MEETINGS 1.
Surgical Fo:um, innual Meeting or American College of Surgeons,1962.
Gastroesophageal Reflux in Hi?tus Hernia.
2.
Surgical Forum '.naual Meeting of American College of Surgeons,1966.
Transumbilica: P art :.1 Decompression.
3.
Annual Symposium on Current Surgical Practice,1967. Walter Reed Army Medical Center. Problems of Limb Replantaton.
4.
International Symposium on Therapy of Portal Hypertension,1967. Transumbilical Portal Hypertension.
5.
Society for Vascular Surgery,1967 annual meeting. Clinical and Research Uses of the Re-opened Umbilical Vein in the Audult.
6.
Society for Surgery of the Alimentary Tract,1967 annual meeting.
Transumbilical Hepatography Versus Angial Residue Hepatography - A comparison of two new methods.
7.
American Gastroenterological Association,1968 annual meeting.
Umbilical Vein Hepatography.
8.
Society for Surgery of the Alimentary Tract,1968 annual meeting.
A Surgical Approach to Diabetes Mellitus.
9.
Society of Thoracic Surgeons,1969 annual meeting. Multiparameter Evaluation of Internal Mammary Artery implant Function.
10.
Society for Vascular Surgery,1970 annual meeting. The Late Results of Caval Ligation, 11.
International Cardiovascular Society,1971 annual meeting. Metabolic, Angiographic, and Hemodynamic Effects of Direct and Indirect Cardiac Revascularization.
12.
Several Mechanisms of Anginal Relief Following Direct Cardiac Revascularization.
39th Annual Meeting American College of Chest Physicians, Toronto,0ct.1973.
13.
Incidence and Mechanisms of MyocardialInfarction Following Coronary Artery Surgery.19th Annual Meeting, American College of Angiology, Puerto Rico, January 1973.
14.
Invited Discussor, Oldham's paper on " Myocardial Damage During Cardiac Surgery." 1973 annual meeting, Society of Vascular Surgery, Toronto, June 1973.
15.
Surgical Management of Coexisting Coronary Artery Disease and Idiopathic Hypertrophic Subaortic Stenosis, lith International Congress, International Cardiovascular Society, Barcelona, September 1973.
n9 (g
- 16. Stereotaxis Biopsy for Pulmonary Surgery.
N.Y. Society for Thoracic Surgery, May 15,1975.
17.
XII World Congress of the International Cardiovascular Society, Edinburgh, September 20,1975. Preserved Vein Allograf ts for Vascular Access in Hemodialysis.
18.
American College of Surgeons, Second Spring Meeting, Puerto Rico, February 1976. Resection and Esophagogastrectomy for Carcinoma of the Esophagus-A Ten Year Experience.
19.
Preserved Allograf ts of Dilated Saphenous Vein for Vascular Access. First Vascular Graf t Symposium, NationalInstitute of Health, October 1976.
20.
Allograf t Veins for Vascular Access. Thirty-First Annual Meeting of the Society for Vascular Surgery, June 17,1977.
21.
Access in Dialysis. V.A. Picone, Jr., M.D. 31st Annual Meeting Society for Vascular Surgery and International Society for Cardiovascular Surgery, Rochester, N.Y. - 6/16-18/77.
22.
XIII World Congress of the International Cardiovascular Society, September 1,1977. Salvage of Ischemic Limbs by Y-Graf ts to Arteries Below the Trifurcation.
23.
Transumbilical Hyperalimentation. New York Surgical Society, April 12, 1978.
24.
Society for Surgery of the Alimentary Tract. Nineteenth Annual Meeting, Reappraisal of Esophagogastrectomy for Esophageal Tumors. Las Vegas, May 23,1978.
25.
Twelf th Annual Meeting of the Society for Academic Surgery. Prehepatic Hyperalimentation. Cleveland, Ohio, November 13,1978.
26.
Fif teenth Annual Meeting of the Society of Thoracic Surgeons, January 17,1979. The Superiority of Esophagogastrectomy for Mid Third Esophageal Carcinoma.
27.
Symposium on Aortic Dissecting Aneurysms Annual Meeting. N.Y. Cardiovascular Society, May 1983.
ABSTRACTS 1.
Mechanisms and Incidence of Post Coronary Surgery MyocardialInfarction.
Piccone, V.A., Leveen, H.H., Sawyer, P., Oran, E., y Summers. XI World Congress of the International Cardiovascular Society, Barcelona, September 1973. Abstract of Papers, Page 24, 2.
Idiopathic Hypertrophic Subaortic Stenosis in Patients with Coronary Artery Disease - Importance of Recognition and Principles of Management. E.
Oran, S. Gupta, B. Yeo, A.C. Manoli, W. Koh, R. Potter, A. Manoli, V.A.
Piccone, Jr. XI World Congress of the International Cardiovascular Society, Barcelona, September 1973. Abstract of Papers, Page 124.
' '. =.-
3.
Primary Esophageal Neoplasm: A Survey of Race, Blood Group, and Environmental Factors, Schmidt, M, Piccone, V.A., and Grossberg's. The Amer. Jour, of Gastroenterology 72:346,1979.
4.
Esophagogastrectomy for Carcinoma of the Middle Third of the Esophagus, Piccone, V. Ahmed, N. Grosberg, S. and Leveen, H., Modern Medicine.
5.
Esophagogastrectomy for Carcinoma of the Middle Third of the Esophagus, Piccone, V. Ahmed, N. Grosberg, S. and Leveen, H., Current Surgery - In Press.
BOOKS 1.
Cancer of the Lung, Piccone, V.A. in Basic Principles in Surgical Oncology, Appleton Century Crof ts, N.Y.,1980 Alfonso, A. and Gardner, B.
EXHIBITS and FILMS 1.
Exhibit entitled: " Liver, Surgery and Hormone Metabolism" by Dr. Leveen, Diaz, Piccone, Douglass and Mr. Falk presented at the annual meeting of the American College of Surgeons in San Francisco, Calif. - 10/6 - 10/10/69.
2.
Exhibit entitled "The Hepatic Filter: A Surgical Tool" by Drs. Leveen, Diaz, Piccone, Douglass and Mr. Falk presented at the annual convention of the American Medical Association in Chicago, Ill. - 6/21 - 6/25/70.
3.
Motion Picture Film:" Metabolic angiographic and hemodynamic effects of direct and indirect cardiac revascularization in the early and late postoperative periods." Piccone, V.A., Sawyer, P., Potter, R., Leveen, H.H., Dennis, C., Summers, D., Thompson, E., Oran, E., Wechsler, B., presented at 10th International Cardiovascular Congress, Moscow, August 26-28, 1971.
4 4.
Scientific Exhibit ACS Oct.1979. Treatment of Ascites by Peritoneo-Venous Shunt, H.H. Leveen, M.lp, N. Ahmed, G. Falk, V.A. Piccone.
5.
Exhibit entitled " Computerized Data Processing for Small Pacemaker Clinics" by Dr. Piccone, presented at the 52nd Scientific Sessions of the American Heart Association at Anaheim, Calif. - 11/10 - 11/5/79.
. 1.-
O O
Other Presentations 1.
Subclavian Steal Syndrome. V.A. Piccone, Jr., M.D. St. Vincent's Hospital, Staten Island, N.Y. - 5/28/68.
2.
Multiparameter Evaluation of Internal Mammary Implantation. V.A. Piccone, 3r., M.D. Johns Hopkins Hospital - 10/5/68.
3.
Effect of Proteolytic Enzymes in Brain Contusion after Controlled Head Injury. P. Karvounis, M.D., M. Smith, M.D., V.A. Picone, Jr., M.D., G. Falk, B.S., H.O. Douglass, Jr., M.D., H.H. Leveen, M.D. Presented by Dr. Douglass.
Annual Meeting of American College of Surgeons in Atlantic City - 10/17/68.
4.
Surgical Approach to Diabetes Mellitus. H.H. Leveen, M.D., C.A. Diaz, M.D., V.A. Piccone, Jr., M.D., G. Falk, B.S. Surgical Society held jointly with Philadelphia Academy of Surgery, NYC - 3/12/69. Presented by Dr.
Leveen.
5.
Cardiac Revascularization. V.A. Piccone, Jr., M.D. Brooklyn Surgical Society - 4/10/69.
6.
The Subclavian Steal Syndrome. V.A. Picone, Jr., M.D. Brooklyn Surgical Society - 11/6/69.
7.
Primary Malignant Melanoma of the Esophagus Associated with Diffuse Esophageal Melanosis - First Case Report. V.A. Piccone, Jr., M.D. New York Surgical Society - 1/14/70.
8.
Cardiac Revascularization. V.A. Piccone, Jr., M.D. Staten Island Hospital, Staten Island, N.Y. - 4/22/70.
9.
Participation in a discussion on Disease of the Esophagus. V.A. Piccone, M.D.16th Czechoslovak Surgical Congress held in Prague - 9/8-10/70.
10.
Pulmonary Disability from Recurrent Emboli af ter Inferior Vena Cava Ligation.
V.A. Piccone, Jr., M.D. American College of Chest Physicians meeting in Los Angeles, Calif. - 10/29/70.
11.
Bypass of Coronary Artery Obstruction with Saphenous Vein Graf ts. V.A.
Piccone, Jr., M.D. - Sullivan County Medical Society. Monticello, N.Y.
1/5/71.
12.
Coronary Bypass Graf ts. V.A. Piccone, Jr., M.D. - St. Vincent's Medical Center of Richmond, Staten Island, N.Y. - 2/11/71.
13.
Saphenous Vein Graf ts to Bypass Coronary Artery Obstruction. V.A. Piccone, Jr., M.D. - Ridgeboro Medical Society meeting held at the Brooklyn VA Hospital - 2/11/71.
14.
Angiographic and Metabolic Results of Coronary By-Pass Graf ts. V.A.
Piccone Jr.,M.D. Clinical Cardiology Seminar, Brooklyn VA Hospital-10/13/71.
Q 15.
Aorto-Coronary Bypass Grafts. V.A. Piccone, Jr., M.D. Catholic Medical Center, Jamaica, N.Y. - May 1975.
16.
Reappraisal of Esophagogastrectomy for Esophageal Malignancy. V.A.
Piccone, Jr., M.D. N.Y. Society for Thoracic Surgery - February 1975.
17.
The Results of Direct Coronary Artery Surgery. V.A. Piccone, Jr., M.D.
Ischemic Heart Disease Conference of St. Vincent's Medical Center. September 1975.
18.
Improving Myocardial Infarction Problems. V.A. Picone, Jr., M.D. Ischemic Heart Disease Conference of St. Vincent's Medical Center. September 1975.
19.
Experience with Peritoneo-Venous Shunt for Ascites. V.A. Piccone, Jr.,
M.D. Pan American Medical Assn., Hollywood, Florida. 10/26/76.
20.
R.F. Therapy. V.A. Piccone, Jr., M.D. Forest Hospital, Chicago, Ill. 12/8/76.
21.
Parenteral Alimentation. V.A. Piccone, Jr., M.D. Seminar, Brooklyn, VA Hospital - 3/11/77.
22.
Controversies in Medicine - Treatment of Coronary Artery Disease. V.A.
Piccone, Jr., M.D. Grand Rounds, Medical Service, VA Medical Center, Brooklyn, N.Y. - 4/19/78.
23.
Coronary Artery Disease. V.A. Piccone, Jr., M.D. St. Vincent's Medical Center of Richmond, Staten Island, N.Y. - 4/13/78.
24.
Treatment of Ascites. V.A. Piccone, Jr., M.D. 4th Annual Peripheral Vascular-Symposium, Cincinnati, Ohio - 9/13/78.
25.
Champlain Valley Physicians Hospital, Platrtsburgh, New York 12901, November 25,1980, Peritoneo Jugular Shunt, Peritoneovenous Shunt for Treatment of Ascites.
26.
St. Vincent's Medical Center of Rutman, November 20,1980, Coronary Artery Bypass.
27.
Alternatives in Coronary Reconstruction in CME Course.
28.
Advances in Development of Vascular Grafts. DMC, SUNY, March 22,1983.
i
f'%
t kJ CONTINUATION EDUCATION CREDITS SOCIETY PRESENTATIONS AND LECTURES (25 Hours) 1.
Parenteral Alimentation. V.A. Piccone, Jr., M.D. Seminar, Brooklyn, VA Hospital - 3/11/77.
2.
Controversies in Medicine - Treatment of Coronary Artery Disease. V.A.
Piccone, Jr., M.D. Grand Rounds, Medical Service, VA Medical Center, Brooklyn, N.Y. - 4/19/78.
3.
Coronary Artery Disease. V.A. Piccone, Jr., M.D. St. Vincent's Medical Center of Richmond, Staten Island, N.Y. - 4/13/78.
4.
Treatment of Ascites. V.A. Piccone, Jr., M.D. 4th Annual Peripheral Vascular Symposium, Cincinnati, Ohio - 9/13/78.
5.
Champlain Valley Physicians Hospital, Platrtsburgh, New York 12901, November 25,1980, Peritoneo Jugular Shunt, Peritoneovenous Shunt for Treatment of Ascites.
6.
St. Vincent's Medical Center of Rutman, November 20,1980, Coronary Artery Bypass.
7.
Allograf t Veins for Vascular Access. Thirty-First Anr.ual Meeting of the Society for Vascular Surgery, June 17,1977.
8.
Access in Dialysis. V.A. Picone, Jr., M.D. 31st Annual Meeting Society for Vascular Surgery and International Society for Cardiovascular Surgery, Rochest( r, N.Y. - 6/16-18/77.
9.
XIII World Congress of the International Cardiovascular Soc:ety, September 1,1977. Salvage of Ischemic Limbs by Y-Graf ts to Arteries Below the Trifurcation.
10.
Transumbilical Hyperalimentation. New York Surgical Society, April 12, 1978.
11.
Society for Surgery of the Alimentary Tract. Nineteenth Annual Meeting, Reappraisal of Esophagogastrectomy for Esophageal Tumors. Las Vegas, May 23,1978.
12.
Twelf th Annual Meeting of the Society for Academic Surgery. Prehepatic Hyperalimentation. Cleveland, Ohio, November 13,1978.
13.
Fif teenth Annual Meeting of the Society of Thoracic Surgeons, January 17,1979. The Superiority of Esophagogastrectomy for Mid Third Esophageal Carcinoma.
~.
I (5 Hours)
BOOKS 1.
Cancer of the Lung, Piccone, V.A. in Basic Principles in Surgical Oncology, Appleton Century Crof ts, N.Y.,1980 Alfonso, A. and Gardner, B.
(50 Hours)
GRAND ROUND ATTENDENCE
. Downstate Medical Center 1979-1980 St. Vincents Medical Center 1979-1980 NATIONAL SOCIETY MEETINGS (50 Hours) 1.
Society of Thoracic Surgeons,1979 2.
American College of Surgeons,1979 3.
American Heart Association,1979 (20 Hours)
TEACHING MEDICAL STUDENTS AND RESIDENTS 4
q-7 ~.y I
O O
s.
CURRICULUM VITAE
' s o,e' o
JOHN M.
- FONTAINE, M. D.
Personal:
Address:
37 Buffalo Street, ElmOnt, N.Y.
11003 Date of Birth:
April 6, 1954 Martial Status:
Single Education:
College of Medicine and Dentistry of New Jersey; Rutgers Medical School, Piscataway, New Jersey, September 1975 through June 1979.
Certification:
i National Boards I,
II and III Board Certified in Internal Medicine, September 1982 Board Certified in Cardiology, November 1985 Licensure:
New York - 144286 Ohio Experience:
Non-Invasive and Invasive Cardiology.
Emphasis on Cardiac catheterizations, electrophysiological studies and permanent pacemaker implantation.
Angioplasty experience - 80 cases.
Experience with anticachycadia devices (Medtronic and Telectronics products) for the treatment of supraventricular and ventricular tachycardia and the automatic implantable defibrillator.
Hospital and University Affiliation:
Assistant Professor of Medicine Department of Medicine, SUNY, Downstate Medical
- Center, N.Y.
July 1985 -
present Director Electrophysiol'ogy
' Laboratory, Brooklyn Veterans Admi nis t ra t ion Medical Center, July 1985 -
present Cardiac Arrhythmia Clinic, re+-
w,-m u
-,.-.w w--
--y g + ** -
-,-r 5
~
O O
4 VAMC, Brooklyn, July 1985 present Pacemaker Clinic, VAMd,
e**
Brooklyn, July 1985 present Fellowship Third year in Clinical Electrophysiology and Cardiac Pacemakers, The CleveJand Clinic Educational Foundation', July 1984 - June 1985.
Clinical Cardiology, The Clevbl'and Clinic Educational Foundation, July 1982 - June 1984.
Resident Internal Medicine, Nassau j
County Medical Center, July 1979 - June 1980 Residency, July 1980 - June 1982 Society Memberships:
American College of Cardiology American Medical Association Academy of Medicine, State of Ohio Ohio State Medical Society ABSTRACTS:
- Fontaine, J.M.,
- Maloney, J.D.,
- Castle, L.W.,
Morant, V.A.:
Non-invasive assessment of VA conduction and early experience with the tachycardia termination algorithm in pacemaker mediated tachycardia.
PACE 8:297, 1985.
- Fontaine, J.M.,
- Zeiler, R.H, Henkin,R., El-Sherif, N.:
Simultaneous Monophasic Action Potential Recording and Regional Endocardial Refractory Period Determination Using a New Dual Purpose Contact Electrode Catheter. Accepted for presentation to the North American Society of Pacing and Electrophysiology, May 1986, New Orleans, Louisiana.
- Turitto, G.,
El-Sherif, N.,
- Ursell, S.,
- Stavens, C.,
- Fontaine, J. M., Kelen, G.,
- Caref, B.,
Henkin, R.:
Comparison of Programmed E lec trical Stimula tion and the-Signal Averaged Electrocardiogram in Patients with Non-Sustained. Ventricular Tachycardia. Accepted for'presentatibn to the American Federation for Clinical Research, National Me.e t i ng, ' Ma y 1986, Wash.ington, D.C.
PAPERS:
m 7
O O
~'
- Fontaine, J.M.,
- Maloney, J.D.,
- Castle, L.W.,
Morant, V.A.:
Non-invasive assessment of VA conduction and early experience with the tachycardia termination algorithm in pacemaker mediated e,-
tachycardia.
PACE Vol. 9 March-April 1986.
- Fontaine, J.M.,
- Lever, H.M.,
- Ratlif, M. :
Myocardial infarction secondary to coronary embolization in a patient with nonbacterial thrombotic endocarditis.
Submitted for publication to Cleveland Clinic Quarterly.
- Fontaine, J.M..,
Alma,C., El-Sherif, N.:
Pseudo DDD Pacemaker Malfunction During Junc tional Tachyca rdia, Downstate and Veterans Administriaton Medical Center, Brookyn, N'.Y.
(In preparation).
- Fontaine, J.M.,
- Zeiler, R.,
- Henkin, R.,
El-Sherif, N.:
Simultaneous Monophasic Action Potential Recording and Regional Endocardial Refractory Period Determination Using a New Dual Purpose Contact Electrode Catheter.
(In preparation).
Book Review:
Prevention of coronary heart disease and practical management of risk factors.
By Stamler and Kaplan, W.B.
Saunders Co.,
1983.
Cleveland Clinic Quarterly, Fall, 1984.
Adult pulmonary valvular stenosis.
Long Term follow-up.
(In preparation).
PRESENTATIONS:
- Fontaine, J.M.,
- Maloney, J.D.,
- Castle, L.W.,
Morant, V.A.:
Non-invasive assessment of VA conduction and early experience with the tachycardia termination algorithm in pacemaker mediated tachycardia.
PACE 8:297, 1985.
Presented to the Sixth Annual Session of The North American Society of Pacing and E lec t rophysiology, Toronto, Canada, May 1985.
- Fontaine, J.M.,
- Zeiler, R.,
- Henkin, R.,
El-Sherif, N.:
Simultaneous Monophasic Action Potential Recording and Regional Endocardial Refractory Period Determination Using a New Dual Purpose Contact Electrode Catheter. To be presented to the 7th Annual Session to the North American Society of Pacing and Electrophysiology, May 1986, New Orleans, Louisiana.
RESEARCH:
A.
Co-principal Investigator:
- Efficacy of Amiodarone therapy for chronic refractory ve n t ricula r tachycardia.
- Short term and long term comparative study of Indecainide vs Quinidine, Pronestyl and Norpace in the treatment of ventricular tachycardia.
l
. _,. -,,,., 7 o
9 s.
B.
Introduction of a dual purpose sonophasic action potential catheter and its utility, s
4.
C.
Programmed electrical stimulation of the heart and its correlation wth signal averaging in patients with ventricular tachycaria.
.