The win by the Islanders leaves Toronto as the only NHL team without a victory this season.
New York opened the season with three straight overtime setbacks before losing three straight in regulation.
The Islanders took a 3-1 lead into the third period against the Hurricanes before Eric Staal and Jussi Jokinen scored in a span of 74 seconds to tie it. Jokinen's goal came with 4:57 to play.
New York was then perfect on its three shootout efforts against Dwayne Roloson, who made 35 saves in regulation and overtime. Carolina lost its fourth straight.
Cam Ward stopped 25-of-28 shots before surrendering a goal to Jokinen in the shootout.
Copyright 2009 by United Press International.
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