Catheter Interventions in Congenital Heart Disease Without Regular Catheterization Laboratory Equipment: The Chain of Hope Experience in Rwanda
This report describes the feasibility and safety of cardiac catheterization in a developing country without access to a regular cardiac catheterization laboratory. The equipment used for imaging consisted of a monoplane conventional C-arm X-ray system and a portable ultrasound machine using the usua...
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| Veröffentlicht in: | Pediatric cardiology 2013, Vol.34 (1), p.39-45 |
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| container_title | Pediatric cardiology |
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| creator | Senga, John Rusingiza, Emmanuel Mucumbitsi, Joseph Binagwaho, Agnès Suys, Bert Lys, Christine Carbonez, Karlien Ovaert, Caroline Sluysmans, Thierry |
| description | This report describes the feasibility and safety of cardiac catheterization in a developing country without access to a regular cardiac catheterization laboratory. The equipment used for imaging consisted of a monoplane conventional C-arm X-ray system and a portable ultrasound machine using the usual guidewires and catheters for cardiovascular access. In this study, 30 patients, including 17 children younger than 2 years and 2 adults, underwent catheterization of the following cardiac anomalies: patent ductus arteriosus (20 patients) and pulmonary valve stenosis (9 patients, including 2 patients with critical stenosis and 3 patients with a secundum atrial septal defect). Except for two cases requiring surgery, the patients were treated successfully without complications. They all were discharged from hospital, usually the day after cardiac catheterization, and showed significant clinical improvement in the follow-up evaluation. Cardiac catheterization can be performed safely and very effectively in a country with limited resources. If patients are well selected, this mode of treatment is possible without the support of a sophisticated catheterization laboratory. |
| doi_str_mv | 10.1007/s00246-012-0378-5 |
| format | Article |
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The equipment used for imaging consisted of a monoplane conventional C-arm X-ray system and a portable ultrasound machine using the usual guidewires and catheters for cardiovascular access. In this study, 30 patients, including 17 children younger than 2 years and 2 adults, underwent catheterization of the following cardiac anomalies: patent ductus arteriosus (20 patients) and pulmonary valve stenosis (9 patients, including 2 patients with critical stenosis and 3 patients with a secundum atrial septal defect). Except for two cases requiring surgery, the patients were treated successfully without complications. They all were discharged from hospital, usually the day after cardiac catheterization, and showed significant clinical improvement in the follow-up evaluation. Cardiac catheterization can be performed safely and very effectively in a country with limited resources. 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The equipment used for imaging consisted of a monoplane conventional C-arm X-ray system and a portable ultrasound machine using the usual guidewires and catheters for cardiovascular access. In this study, 30 patients, including 17 children younger than 2 years and 2 adults, underwent catheterization of the following cardiac anomalies: patent ductus arteriosus (20 patients) and pulmonary valve stenosis (9 patients, including 2 patients with critical stenosis and 3 patients with a secundum atrial septal defect). Except for two cases requiring surgery, the patients were treated successfully without complications. They all were discharged from hospital, usually the day after cardiac catheterization, and showed significant clinical improvement in the follow-up evaluation. Cardiac catheterization can be performed safely and very effectively in a country with limited resources. If patients are well selected, this mode of treatment is possible without the support of a sophisticated catheterization laboratory.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiac patients</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Catheterization</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Congenital heart disease</subject><subject>Developing countries</subject><subject>Equipment and supplies</subject><subject>Female</subject><subject>Genetic disorders</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Laboratories</subject><subject>Laboratory equipment</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Original Article</subject><subject>Rwanda</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><subject>Young Adult</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdGK1DAUhoso7rj6AN5IwBtvuiZp07TeLXV0FgaEZcDLkKYnM1napJuk6voS-8qb0l1BEAmcQM73_yfJn2VvCb4gGPOPAWNaVjkmNMcFr3P2LNuQsqA5aTh5nm0w4alTlcVZ9iqEG4xxjWv2MjujtCrLklSb7L6V8QQRPLqyqf4AG42zARmLWmePYE2UA9qB9BF9NgFkAPTdxJObI7qG4zxIj54szG-5iNFeds7L6Pwd2t7OZhqT6Sd0OAFqTzIZO412bgK0_TUlEVgFy7jrn9L28nX2QsshwJvH_Tw7fNke2l2-__b1qr3c56okJOZMdlJVDe4bVWlVF5Ri6Dqu-rLiHHTH0uu05hXuKsIxcOgk06RuVKObplHFefZhtZ28u50hRDGaoGAYpAU3B0EoL1gqhCT0_Yoe5QDCWO2il2rBxSUnjNGCsDJRF_-g0uphNMpZ0Cad_yUgq0B5F4IHLSZvRunvBMFiSVes6YqUrljSFSxp3j3eeu5G6P8onuJMAF2BkFopPS9u3Oxt-sj_uD4AjxCwjw</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Senga, John</creator><creator>Rusingiza, Emmanuel</creator><creator>Mucumbitsi, Joseph</creator><creator>Binagwaho, Agnès</creator><creator>Suys, Bert</creator><creator>Lys, Christine</creator><creator>Carbonez, Karlien</creator><creator>Ovaert, Caroline</creator><creator>Sluysmans, Thierry</creator><general>Springer-Verlag</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2013</creationdate><title>Catheter Interventions in Congenital Heart Disease Without Regular Catheterization Laboratory Equipment: The Chain of Hope Experience in Rwanda</title><author>Senga, John ; 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| subjects | Adolescent Adult Cardiac Catheterization - methods Cardiac patients Cardiac Surgery Cardiology Catheterization Child Child, Preschool Congenital heart disease Developing countries Equipment and supplies Female Genetic disorders Heart Defects, Congenital - surgery Heart diseases Humans Infant Laboratories Laboratory equipment Male Medical research Medicine Medicine & Public Health Medicine, Experimental Original Article Rwanda Treatment Outcome Vascular Surgery Young Adult |
| title | Catheter Interventions in Congenital Heart Disease Without Regular Catheterization Laboratory Equipment: The Chain of Hope Experience in Rwanda |
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