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Catheter Interventions in Congenital Heart Disease Without Regular Catheterization Laboratory Equipment: The Chain of Hope Experience in Rwanda

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Abstract

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.

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Acknowledgments

The authors thank AGA Medical, Ltd. and Cook Medical and Medicor Medical Supplies for their help and continued support for all the missions of Chaîne de l’Espoir realized in Rwanda.

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Authors and Affiliations

  1. Cliniques Universitaires de Kinshasa, Kinshasa, Democratic Republic of Congo

    John Senga

  2. CHU, National University of Rwanda, Butare, Rwanda

    Emmanuel Rusingiza

  3. King Faisal Hospital (KFH), Kigali, Rwanda

    Joseph Mucumbitsi

  4. Minister of Health, Kigali, Rwanda

    Agnès Binagwaho

  5. Pediatric Cardiology, RUG, Ghent University Hospital, Gent, Belgium

    Bert Suys

  6. Pediatric Cardiology, Chain of Hope Belgium, Cliniques Universitaires Saint-LUC, 10, Av Hippocrate, 1200, Brussels, Belgium

    Karlien Carbonez, Caroline Ovaert & Thierry Sluysmans

  7. Brussels, Belgium

    Christine Lys

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  1. John Senga
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  2. Emmanuel Rusingiza
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Correspondence to Thierry Sluysmans.

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Senga, J., Rusingiza, E., Mucumbitsi, J. et al. Catheter Interventions in Congenital Heart Disease Without Regular Catheterization Laboratory Equipment: The Chain of Hope Experience in Rwanda. Pediatr Cardiol 34, 39–45 (2013). https://doi.org/10.1007/s00246-012-0378-5

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  • DOI: https://doi.org/10.1007/s00246-012-0378-5

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