Diagnostic cardiac catheterization in a modified cardiac catheterization laboratory: The LASUTH experience
Cardiac catheterization is useful in the diagnosis and treatment of congenital and acquired cardiac diseases. However, it is rarely done in Nigeria because of the limited cardiac catheterization laboratories in the country. Transforming the existing operating theaters to modified catheterization laboratories may bridge the gap of limited cardiac catheterization. This study reviewed the procedures, outcomes, and challenges of a modified catheterization laboratory in Nigeria. A retrospective review of all diagnostic cardiac catheterizations at the modified catheterization laboratory of Lagos State University Teaching Hospital (LASUTH) between January and May 2022 was performed. A total of 8 adult and 4 pediatric patients had cardiac catheterization, and the mean age was 23.7 ± 16.9 (range: 2 – 52) years. The most common lesion was the ventricular septal defect. Complex congenital heart disease was seen in 16% of subjects, whereas pulmonary hypertension was found in 83% (10). The most common complication was transient bradycardia. Good surgical outcome was recorded in the patients who subsequently had corrective surgeries. A modified catheterization laboratory may be a suitable alternative to the standard catheterization laboratory in low-resourced countries.
- Rwebembera O, Aliku T, Kayima J, et al., 2021, Starting and operating a public cardiac catheterization laboratory in a low resource setting: The eight-year story of the Uganda Heart Institute Catheter Laboratory. Global Heart, 16: 11. https://doi.org/10.5334/gh.859
- Animasahun BA, Johnson A, Ogunkunle OO, et al., 2013, The Rejuvenation of Cardiac Catheterization for congenital heart diseases in Nigeria: Profiles, challenges and prospects. Afr J Intern Med, 1: 47–51.
- Ogunkunle OO, Adebayo BE, Famosaya A, et al., 2020, Initial experience with interventional and definitive solutions for structural heart diseases in a resource-challenged setting. Nig J Cardiol, 17: 67–70. https://doi.org/10.4103/njc.njc_31_19
- Wagdy R, 2018, The role of diagnostic cardiac catheterization for children with congenital heart diseases: Local experience. Arch Med Sci Atheroscler Dis, 3: e72–e79. https://doi.org/10.5114/amsad.2018.76824
- Thienemann F, Dzudie A, Mocumbi AO, et al., 2014, Rationale and design of the Pan African Pulmonary hypertension Cohort (PAPUCO) study: Implementing a contemporary registry pulmonary hypertension in Africa. BMJ Open, 4: e005950. https://doi.org/10.1136/bmjopen-2014-005950
- Oludara MA, Nwiloh J, Fabamwo A, et al., 2014, Commencing open heart surgery in resource limited countries: Lessons from the LASUTH experience. Pan Afr Med J, 19: 105. https://doi.org/10.11604/pamj.2014.19.105.4848
- Ibadin MO, Sadoh WE, Osarogiabon W, 2005, Congenital heart diseases at the University of Benin Teaching Hospital. Niger J Paediatr, 32: 29–32.
- Otaigbe BE, Tabansi PN, 2014, Congenital heart disease in the Niger Delta region of Nigeria: A four-year prospective echocardiographic analysis: Cardiovascular topic. Cardiovasc J Afr, 25: 265–268. https://doi.org/10.5830/CVJA-2014-055
- Yilgwan CS, Ige OO, Bode-Thomas F, 2014, Clinical screening for heart disease in apparently healthy Nigerian school children. Niger J Cardiol, 11: 74–79. https://doi.org/10.4103/0189-7969.142085
- Ujuanbi AS, Tabansi PN, Otaigbe BE, 2016, Prevalence of congenital heart diseases among primary school children in the Niger Delta Region of Nigeria, West Africa. Ann Pediatr Child Health, 4: 1116.
- Ejim EC, Anisiuba BC, Oguanobi NI, et al., 2014, Congenital heart diseases in adults: A review of echocardiogram records in Enugu, South-East Nigeria. Ann Med Health Sci Res, 4: 522–525. https://doi.org/10.4103/2141-9248.139297
- Adebayo BE, Ogunkunle OO, Omokhodion SI, et al., 2016, The spectrum of structural heart defects seen in children at the University College Hospital, Ibadan. Niger J Cardiol, 13: 130–135. https://doi.org/10.4103/0189-7969.187712
- Sani MU, Karaye KM, Borodo MM, 2007, Prevalence and pattern of rheumatic heart disease in the Nigerian savannah: An echocardiographic study. Cardiovasc J Afr, 18: 295–299.
- Ajibare AO, Ojo OT, Daniel FA, et al., 2022, Spectrum of adult congenital heart disease and the indications for echocardiography referral in Lagos, Nigeria: A single tertiary institution’s experience. Nig Del Med J, 6: 7–14.
- Bode-Thomas F, Ige OO, Yilgwan C, 2013, Childhood acquired heart diseases in Jos, north central Nigeria. Niger J Med, 54: 51–58. https://doi.org/10.4103/0300-1652.108897
- Stewart S, Mocumbi AO, Carrington MJ, et al., 2011, A not‐so‐rare form of heart failure in urban black Africans: Pathways to right heart failure in the Heart of Soweto Study cohort. Eur J Heart Fail, 13: 1070–1077. https://doi.org/10.1093/eurjhf/hfr108
- Tavakol M, Ashraf S, Brener SJ, 2012, Risks and complications of coronary angiography: A comprehensive review. Glob J Health Sci, 4: 65–93. https://doi.org/10.5539/gjhs.v4n1p65