Coronary Angioplasty in a Low Income Sub-Saharan Country: Situational Analysis - World Journal of Cardiovascular Diseases

WJCD > Vol.8 No.12, December 2018

Coronary Angioplasty in a Low Income Sub-Saharan Country: Situational Analysis ()

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DOI: 10.4236/wjcd.2018.812053 1,119 Downloads 2,121 Views Citations

Author(s)

Mouhamed Cherif Mboup¹, Djibril Marie Ba^2*, Modou Jobe¹, Massamba Thiam³, Khadidiatou Dia¹, Pape Diadie Fall¹

Affiliation(s)

¹Hopital Principal de Dakar, Dakar, Senegal.
²Military Hospital of Ouakam, Dakar, Senegal.
³Clinique Du Golf, Dakar, Senegal.

ABSTRACT

Introduction: Coronary angioplasty is not widely conducted in sub-Saharan Africa in general and Senegal in particular. The objective of this work was to describe the indications, techniques, results and difficulties of coronary angioplasty in Senegal. Patients and Methods: We prospectively included all patients who underwent coronary angioplasty between July 2012 and November 2014. We evaluated the clinical characteristics, techniques used, and the peri-procedural complications. Results: 110 coronary angioplasties were performed at the cardiac catheterisation unit of the Clinique du Golf in Dakar. The average age of patients was 60.41 ± 10.93 years. A male predominance was noted with a sex ratio of 6.3. Hypertension was found in 57% of patients. The principal indications for coronary angioplasty were for the management of acute coronary syndromes with or without ST elevation, in 29 and 39 patients respectively. The femoral artery was the puncture site in 104 patients. The lesions treated were type A/B1 or B2/C in 53 and 57 cases respectively. The success rates of coronary angioplasties and 30-day mortality were 91% and 0.9% respectively. Conclusion: In sub-Saharan Africa, Senegal in particular, the practice of coronary angioplasty is low. Indeed, many factors linked to socioeconomic status limit the development of coronary angioplasty in Senegal.

KEYWORDS

Coronary Angioplasty, Acute Coronary Syndrome, Interventional Cardiology

Share and Cite:

Mboup, M. , Ba, D. , Jobe, M. , Thiam, M. , Dia, K. and Fall, P. (2018) Coronary Angioplasty in a Low Income Sub-Saharan Country: Situational Analysis. World Journal of Cardiovascular Diseases, 8, 539-544. doi: 10.4236/wjcd.2018.812053.

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