Scholars@Duke
Victor S. Behar

Victor S. Behar

Professor Emeritus of Medicine
Medicine, Cardiology
Box 3126 Med Ctr, Durham, NC 27710
7412 Hosp North, Durham, NC 27710

Selected Publications

Improved detection of coronary artery disease by stress perfusion cardiovascular magnetic resonance with the use of delayed enhancement infarction imaging.

Journal Article J Am Coll Cardiol · April 18, 2006 OBJECTIVES: We tested a pre-defined visual interpretation algorithm that combines cardiovascular magnetic resonance (CMR) data from perfusion and infarction imaging for the diagnosis of coronary artery disease (CAD). BACKGROUND: Cardiovascular magnetic res ... Full text Link to item Cite

The VB-1 catheter: a novel catheter for peripheral arterial revascularization.

Journal Article Catheter Cardiovasc Interv · August 2003 Despite recent advances in catheter-based technologies for peripheral arterial revascularization, adequate guide catheter positioning and support remains a leading procedural challenge. This report describes the adaptation of the Behar Internal Mammary VB- ... Full text Link to item Cite

The VB-1 catheter: an improved catheter for difficult-to-engage internal mammary artery grafts.

Journal Article Catheter Cardiovasc Interv · July 2003 As patients with prior coronary artery bypass grafting age, internal mammary artery grafts are more frequently encountered in the cardiac catheterization laboratory. Angiography and interventions involving these grafts are often difficult, particularly in ... Full text Link to item Cite

An anomalous left coronary artery originating from the pulmonary artery in a 72-year-old woman: diagnosis by color flow myocardial blush and coronary arteriography.

Journal Article J Invasive Cardiol · February 2002 An anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality often associated with myocardial infarction, congestive heart failure and sudden death. Survival to adulthood in individuals with thi ... Link to item Cite

Treatment of Palmaz-Schatz in-stent restenosis: 6-Month clinical follow-up

Journal Article Journal of Interventional Cardiology · January 1, 2000 To identify predictors of Palmaz-Schatz in-stent restenosis and determine outcomes of treatment, we assessed 6-month outcomes in 402 patients who had coronary intervention with stent placement; 60 (15%) developed angiographic and clinical evidence of reste ... Full text Cite

Lossy (15:1) JPEG compression of digital coronary angiograms does not limit detection of subtle morphological features.

Journal Article Circulation · August 19, 1997 BACKGROUND: Development of the "all-digital" cardiac catheterization laboratory has been slowed by substantial computer archival and transfer requirements. Lossy data compression reduces this burden but creates irreversible changes in images, potentially i ... Full text Link to item Cite

Serial prognostic capabilities of electrocardiographic indices of infarcted and hibernating myocardium in predicting short- and long-term outcome following coronary artery bypass surgery.

Journal Article Cardiology · 1997 The present study was performed to test the hypothesis that patients with a large amount of ischemic (hibernating) myocardium are most likely to develop a perioperative myocardial infarction undergoing coronary artery bypass grafting (CABG). Furthermore, w ... Full text Link to item Cite

Prospective analysis of possible myocardial damage or hemolysis occurring as a result of prolonged autoperfusion angioplasty in humans.

Journal Article J Am Coll Cardiol · September 1992 OBJECTIVES: The purpose of this study was to further explore the procedural safety of prolonged (15-min) dilation using an autoperfusion coronary angioplasty balloon by assessing the degree of myocardial damage or hemolysis, if any, occurring as a result o ... Full text Link to item Cite

Intracoronary ultrasound evaluation of interventional technologies.

Journal Article Am J Cardiol · November 15, 1991 The feasibility and applicability of intravascular ultrasound (IVUS) of the coronary arteries were evaluated in 65 patients undergoing 70 coronary interventional procedures. Morphologic and quantitative analyses were performed with a mechanically rotated I ... Full text Link to item Cite

Myocardial protection during coronary angioplasty with an autoperfusion balloon catheter in humans.

Journal Article Circulation · November 1988 An autoperfusion balloon catheter was developed to allow passive myocardial perfusion during inflation through a central lumen and multiple side holes in the shaft proximal and distal to the balloon. We report its safety and efficacy in 11 patients undergo ... Full text Link to item Cite

Survival and cardiac event rates in the first year after emergency coronary angioplasty for acute myocardial infarction.

Journal Article J Am Coll Cardiol · June 1988 One year survival and event-free survival rates were analyzed in 342 patients with acute myocardial infarction who were consecutively enrolled in a treatment protocol of early intravenous thrombolytic therapy followed by emergency coronary angioplasty. Nin ... Full text Link to item Cite

Evaluation of a QRS scoring system for estimating myocardial infarct size. VI: Identification of screening criteria for non-acute myocardial infarcts.

Journal Article Am J Cardiol · April 1, 1988 Each of the 54 criteria in the Selvester 32-point QRS scoring system for estimation of myocardial infarct (MI) size has attained greater than or equal to 95% specificity in normal subjects. This study was performed to identify a subset of those criteria wi ... Full text Link to item Cite

The risk for systemic embolization associated with percutaneous balloon valvuloplasty in adults. A prospective comprehensive evaluation.

Journal Article Ann Intern Med · April 1988 STUDY OBJECTIVE: To prospectively investigate the evidence for embolic phenomena associated with percutaneous mitral and aortic valvuloplasty. DESIGN: Prospective, consecutive case series before and after balloon valvuloplasty. SETTING: Referral center hos ... Full text Link to item Cite

Late restenosis after emergent coronary angioplasty for acute myocardial infarction: comparison with elective coronary angioplasty.

Journal Article J Am Coll Cardiol · April 1988 The late restenosis rate after emergent percutaneous transluminal coronary angioplasty for acute myocardial infarction was assessed by performing outpatient follow-up cardiac catheterization in 79 (87%) of 91 consecutive patients who had been discharged fr ... Full text Link to item Cite

Coronary perfusion during acute myocardial infarction with a combined therapy of coronary angioplasty and high-dose intravenous streptokinase.

Journal Article Circulation · January 1988 Two hundred and sixteen patients with acute myocardial infarction were treated with immediate infusion of high-dose (1.5 million units) intravenous streptokinase followed by emergency coronary angioplasty. The infarct lesion was crossed and dilated in 99% ... Full text Link to item Cite

An unusual variant of familial preexcitation.

Journal Article Am J Cardiol · February 1, 1987 Full text Link to item Cite

Predicting outcome in coronary disease. Statistical models versus expert clinicians.

Journal Article Am J Med · April 1986 To study the accuracy with which long-term prognosis can be predicted in patients with coronary artery disease, prognostic predictions from a data-based multivariable statistical model were compared with predictions from senior clinical cardiologists. Test ... Full text Link to item Cite

The effects of coronary revascularization on left ventricular function in ischemic heart disease.

Journal Article J Thorac Cardiovasc Surg · December 1985 Although it is well established that coronary revascularization can reverse exercise-induced ischemic dysfunction, the effects on resting ventricular performance are controversial. From a group of 183 patients receiving surgical therapy for ischemic heart ... Link to item Cite

Central retinal artery occlusion during cardiac catheterization.

Journal Article Am J Ophthalmol · May 15, 1985 A massive embolus of the central retinal artery occurred during cardiac catheterization and selective coronary angiography. Anterior chamber paracentesis and coughing resulted in restoration of retinal blood flow and vision within two hours. In two other c ... Full text Link to item Cite

Prognostic value of a coronary artery jeopardy score.

Journal Article J Am Coll Cardiol · May 1985 The prognostic value of a coronary artery jeopardy score was evaluated in 462 consecutive nonsurgically treated patients with significant coronary artery disease, but without significant left main coronary stenosis. The jeopardy score is a simple method fo ... Full text Link to item Cite

"Left main equivalent" coronary artery disease: its clinical presentation and prognostic significance with nonsurgical therapy.

Journal Article Am J Cardiol · June 1, 1984 The clinical characteristics and nonsurgical prognosis of 55 patients with "left main (LM) equivalent" coronary artery disease (CAD) were evaluated and defined as: (1) greater than or equal to 75% diameter reduction of the left anterior descending coronary ... Full text Link to item Cite

Functional improvement of jeopardized myocardium following intracoronary streptokinase infusion in acute myocardial infarction.

Journal Article J Clin Invest · July 1983 The effect of reperfusion on regional left ventricular performance following acute myocardial infarction in man was determined. Intracoronary streptokinase was administered in 24 patients within 6 h of the onset of symptoms. 15 patients (62%) were successf ... Full text Link to item Cite

Outcome in one-vessel coronary artery disease.

Journal Article Circulation · February 1983 We analyzed the clinical outcomes in 688 patients with isolated stenosis of one major coronary artery. The survival rate among patients with disease of the right coronary artery (RCA) was higher than that among patients with left anterior descending (LAD) ... Full text Link to item Cite

Prognostic implications of ventricular arrhythmias during 24 hour ambulatory monitoring in patients undergoing cardiac catheterization for coronary artery disease.

Journal Article Am J Cardiol · July 1982 The prognostic importance of ventricular arrhythmias detected during 24 hour ambulatory monitoring was evaluated in 395 patients with and 260 patients without significant coronary artery disease. Ventricular arrhythmias were found to be strongly related to ... Full text Link to item Cite

Survival in single vessel coronary disease

Journal Article The American Journal of Cardiology · March 1982 Full text Cite

Aneurysm of a saphenous vein bypass graft associated with aneurysms of native coronary arteries.

Journal Article Cathet Cardiovasc Diagn · 1982 Aneurysm formation in saphenous vein aortocoronary bypass grafts is an extremely rare complication of coronary artery bypass surgery. Aneurysms of native coronary arteries are found in a small percentage of patients at autopsy. Reported is a case with mult ... Full text Link to item Cite

Prognostic significance of left main equivalent stenosis

Journal Article The American Journal of Cardiology · February 1981 Full text Cite

The diagnostic and prognostic significance of coronary artery calcification. A report of 800 cases.

Journal Article Radiology · December 1980 The significance of coronary artery calcification was assessed in 800 patients who underwent cardiac fluoroscopy and selective coronary cineangiography. Calcification was shown by fluoroscopy in 250, of whom 236 (94%) had greater than or equal to 75% steno ... Full text Link to item Cite

Outcome in medically treated coronary artery disease. Ischemic events: nonfatal infarction and death.

Journal Article Circulation · October 1980 In this study we extended the characterization of outcome in 1214 medically treated patients with coronary disease by considering nonfatal infarction and death together as ischemic events. At 7 years, the cumulative event rate was 47% (18% for nonfatal inf ... Full text Link to item Cite

Left bundle branch block: angiographic segmental wall motion abnormalities.

Journal Article Am J Cardiol · November 1979 Ventricular wall motion as studied with contrast ventriculography has been judged normal in the few previously reported cases of patients with left bundle branch block who have neither coronary artery disease nor diffuse cardiomyopathy. However, recent ech ... Full text Link to item Cite

Detection and exclusion of interatrial shunts by two-dimensional echocardiography and peripheral venous injection.

Journal Article Circulation · February 1979 Two-dimensional echocardiography (2-D echo) was used with peripherally injected contrast material to detect interatrial shunts in 33 patients. Group 1 consisted of 11 patients having classic clinical findings of atrial septal defect. Group 2 consisted of 1 ... Full text Link to item Cite

Relationships among ventricular arrhythmias, coronary artery disease, and angiographic and electrocardiographic indicators of myocardial fibrosis.

Journal Article Circulation · April 1978 This study was performed to determine the relationships among angiographic, hemodynamic, clinical, and electrocardiographic data and premature ventricular contractions (PVCs). Arrhythmias were analyzed by 24 hour Holter monitor in 244 patients evaluated fo ... Full text Link to item Cite

Detection of tricuspid regurgitation with contrast two-dimensional echocardiography

Journal Article The American Journal of Cardiology · February 1978 Full text Cite

Detection of tricuspid regurgitation with two-dimensional echocardiography and peripheral vein injections.

Journal Article Circulation · January 1978 "Contrast echocardiography", utilizing a two-dimensional ultrasound system and peripheral venous injections, was used for the detection of tricuspid regurgitation in 30 patients. The appearance of contrast in the inferior vena cava and the back and forth m ... Full text Link to item Cite

The role of the exercise test in the evaluation of patients for ischemic heart disease.

Journal Article Circulation · January 1978 A cohort of 1472 patients who underwent both exercise stress testing and coronary angiography within six weeks was examined. The data indicated that a combination of exercise parameters is both diagnostically and prognostically important. Almost all patien ... Full text Link to item Cite

Two-dimensional echocardiographic findings in atrial septal defect.

Journal Article Circulation · September 1977 Two-dimensional echocardiographic findings in a group of 24 patients with atrial septal defects were correlated with findings obtained by cardiac catheterization and M-mode echocardiography. The prevalence of mitral prolapse was 95% by two-dimensional echo ... Full text Link to item Cite

A comparison of real-time, two dimensional echocardiography and cineangiography in detecting left ventricular asynergy.

Journal Article Circulation · January 1977 Left ventricular wall motion was assessed in 105 consecutive patients both invasively, using biplane cineangiography, and noninvasively, by a real-time, phased-array, two-dimensional echocardiography system. Ventricular wall motion in five anatomic areas o ... Full text Link to item Cite

Does coronary surgery prolong life in comparison with medical management?

Journal Article Postgrad Med J · December 1976 This analysis attempts to utilize natural history controls to answer the question as to whether coronary surgery prolongs life in comparison to medical management. Selected natural history studies are compared and contrasted in an effort to obtain an avera ... Full text Link to item Cite

Mitral valve prolapse. Two-dimensional echocardiographic and angiographic correlation.

Journal Article Circulation · November 1976 In order to define baseline descriptive criteria for the diagnosis of mitral valve prolapse with cross-sectional echocardiography, 49 patients undergoing catheterization were examined by a real-time, two-dimensional phased array echocardiographic imaging s ... Full text Link to item Cite

Echocardiographic evaluation of tricuspid valve endocarditis: an M mode and two dimensional study.

Journal Article Am J Cardiol · October 1976 Standard M mode echocardiography and a new real time two dimensional echocardiographic imaging system were utilized to follow the progressive anatomic destruction of the tricuspid valve in a patient with bacterial endocarditis. The initial two dimensional ... Full text Link to item Cite

Analysis of secondary pauses following termination of rapid atrial pacing in man.

Journal Article Circulation · September 1976 The first ten cycles following cessation of atrial pacing were evaluated in 44 control subjects (mean age 52.9 +/- 14.88 yr) and 39 patients (mean age 62.9 +/- 15.41 yr) suspected of having sinus node dysfunction (SND). The maximal cycle length for each po ... Full text Link to item Cite

Spectrum of coronary artery disease in idiopathic hypertrophic subaortic stenosis.

Journal Article Am J Cardiol · July 1976 The spectrum of coronary arterial involvement is described in 42 patients with hemodynamically proved idiopathic hypertrophic subaortic stenosis. Of nine patients with significant coronary arterial involvement, six had atheromatous disease and three had co ... Full text Link to item Cite

Aortocoronary bypass surgery: Correlation of angiographic symptomatic and functional improvement at 1 year.

Journal Article Am J Cardiol · March 4, 1976 Angiographic changes in the coronary circulation were evaluated in 60 patients 1 year after aortocoronary bypass surgery, and their relation to the postoperative clinical status was examined. Of 124 grafts implanted, 26 were closed, 7 stenotic and 91 (74 p ... Full text Link to item Cite

Vectorcardiographic criteria for the diagnosis of anterior myocardial infarction.

Journal Article Circulation · February 1976 Frank lead vectorcardiograms (VCG) from four carefully selected patient subgroups (226 patients) were analyzed to develop optimal criteria for the diagnosis of anterior myocardial infarction. Specificity was evaluated using 100 healthy volunteers under age ... Full text Link to item Cite

Evaluation of vectorcardiographic criteria for the diagnosis of myocardial infarction in the presence of left ventricular hypertrophy.

Journal Article Circulation · February 1976 Vectorcardiograms (VCG) from a consecutive group of 77 patients with significant aortic valve disease were analyzed. All of the patients had complete left and right heart catheterization with normal coronary arteriograms and normal left ventricular contrac ... Full text Link to item Cite

Electrocardiographic and hemodynamic correlations in patients with idiopathic hypertrophic subaortic stenosis.

Journal Article Am Heart J · January 1976 The ECG and Frank VCG were compared to the hemodynamic findings in 33 patients with idiopathic hypertrophic subaortic stenosis in whom cardiac catheterization had excluded concomitant valvular heart disease, congenital heart disease, or occlusive coronary ... Full text Link to item Cite

The hemodynamic simulation of mitral regurgitation in ventricular septal defect after myocardial infarction.

Journal Article Cathet Cardiovasc Diagn · 1976 The development of a ventricular septal defect (VSD) following myocardial infarction is an uncommon complication which clinically can be confused with mitral insufficiency due to infarction of a papillary muscle. The clinical and hemodynamic records of six ... Full text Link to item Cite

Sudden death due to coronary artery disease. A clinical, hemodynamic, and angiographic profile.

Journal Article Circulation · December 1975 The authors followed 536 medically managed patients with angiographically documented coronary artery disease for up to 4 years, and examined antemortem clinical, anatomical, and hemodynamic characteristics of the 29 patients who died suddenly during the fo ... Link to item Cite

A reassessment of the echocardiogram in mitral stenosis.

Journal Article Circulation · October 1975 Echocardiographic and cardiac catheterization findings were compared in 61 patients with mitral stenosis without other significant lesions in an attempt to determine the clinical usefulness of echocardiography in the assessment of such patients. There was ... Full text Link to item Cite

Vectorcardiographic diagnosis of anterior myocardial infarction

Journal Article The American Journal of Cardiology · January 1975 Full text Cite

Reply

Journal Article The American Journal of Cardiology · January 1, 1974 Full text Cite

Pulmonary wedge catheter.

Journal Article Am J Cardiol · March 1973 Full text Link to item Cite

Echocardiographic diagnosis of a left atrial myxoma found attached to the free left atrial wall

Journal Article Journal of Clinical Ultrasound · January 1, 1973 The echocardiographic diagnosis of a left atrial myxoma is described. This was later confirmed by cardiac catheterization and the tumor removed at operation. The myxoma was found to arise from the free left atrial wall and no such case diagnosed by echocar ... Full text Cite

Correlation of roentgen findings with hemodynamic data in pure mitral stenosis.

Journal Article Am J Roentgenol Radium Ther Nucl Med · February 1968 Full text Link to item Cite