Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S6.E002
Himanshu Chawla
The renal arteries are paired arteries that supply the kidneys with blood. Each is directed across the crus of the diaphragm, so as to form nearly a right angle. The renal arteries carry a large portion of total blood flow to the kidneys. Up to a third of total cardiac output can pass through the renal arteries to be filtered by the kidneys. Intense renal dead tissue (ARI) is an uncommon sickness with atrial fibrillation being its fundamental driver. The conceivable laterality of ARI is disputable. This investigation planned to assess the relationship between anatomical highlights of the renal courses and ARI.
{"title":"Aligning Orifice of the Renal artery: Editorial","authors":"Himanshu Chawla","doi":"10.35248/2329-6925.21.S6.E002","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S6.E002","url":null,"abstract":"The renal arteries are paired arteries that supply the kidneys with blood. Each is directed across the crus of the diaphragm, so as to form nearly a right angle. The renal arteries carry a large portion of total blood flow to the kidneys. Up to a third of total cardiac output can pass through the renal arteries to be filtered by the kidneys. Intense renal dead tissue (ARI) is an uncommon sickness with atrial fibrillation being its fundamental driver. The conceivable laterality of ARI is disputable. This investigation planned to assess the relationship between anatomical highlights of the renal courses and ARI.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91146607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.9.37.405
rashekar Anagavalli Ramswamy, V. Jayaprakash, P. AdharshKumarMaruthu, Ian, S. Desai, Rajendra P Basavanthappa, A. Gangadharan, R. An, Asu, N. Mitta, H. Choudary
Background: Despite advances to prevent and better manage patients with established Peripheral Arterial Disease (PAD), the incidence of PAD continues to increase and morbidity remains high, especially as the population ages. For physicians treating PAD cases, an understanding of the various treatment options, along with their benefits and limitations is crucial. Endovascular treatment with Turbo hawk atherectomy device has promising technical and clinical success rates. Objective: To consider Turbo hawk directional atherectomy as an important and safer endovascular modality for treatment of long segment Femoro-popliteal occlusive disease. Methods: This is a retrospective study which included 40 patients diagnosed with PAD (long segment occlusion of Femoro-popliteal arteries), who came to Ramaiah medical college hospital, Bangalore from June 2014 to June 2018 and fit into specified inclusion criteria with mean age of the patients being 61.5 years. All these patients underwent endovascular therapy with turbo hawk atherectomy device and post intervention was followed for a period of one year. Results: Primary technical success rate was 97%. Pre-operatively mean ABI was 0.27 and post–operative mean ABI was 0.64. An average length of corrected lesion was 10.5cms. Post-operatively one patient had an episode of distal embolization, two patients had dissection and three had puncture site hematomas, all of which were managed conservatively. No vessel perforation was observed in our study. Patients were followed up at 1 month, 6 months and 12 months postoperatively. Primary vessel patency rates at 6 and 12 -months were 96% and 85%. Conclusion: Directional atherectomy using turbo hawk device is safe, effective at 12 months for medium and long segment femoro-popliteal lesions in claudicants as well as in patients with critical limb threatening ischemia and has a primary patency rates of 85 % over 1-year period. Further, complication rates that warrants a treatment is also very low with Turbo hawk as seen with our study.
{"title":"RAVS Study: A Single Center Experience with Turbo hawk Directional Atherectomy Device to analyze it as an Emerging Modality for Treatment of Long Segment Femoro-Popliteal Occlusive Disease","authors":"rashekar Anagavalli Ramswamy, V. Jayaprakash, P. AdharshKumarMaruthu, Ian, S. Desai, Rajendra P Basavanthappa, A. Gangadharan, R. An, Asu, N. Mitta, H. Choudary","doi":"10.35248/2329-6925.9.37.405","DOIUrl":"https://doi.org/10.35248/2329-6925.9.37.405","url":null,"abstract":"Background: Despite advances to prevent and better manage patients with established Peripheral Arterial Disease (PAD), the incidence of PAD continues to increase and morbidity remains high, especially as the population ages. For physicians treating PAD cases, an understanding of the various treatment options, along with their benefits and limitations is crucial. Endovascular treatment with Turbo hawk atherectomy device has promising technical and clinical success rates. Objective: To consider Turbo hawk directional atherectomy as an important and safer endovascular modality for treatment of long segment Femoro-popliteal occlusive disease. Methods: This is a retrospective study which included 40 patients diagnosed with PAD (long segment occlusion of Femoro-popliteal arteries), who came to Ramaiah medical college hospital, Bangalore from June 2014 to June 2018 and fit into specified inclusion criteria with mean age of the patients being 61.5 years. All these patients underwent endovascular therapy with turbo hawk atherectomy device and post intervention was followed for a period of one year. Results: Primary technical success rate was 97%. Pre-operatively mean ABI was 0.27 and post–operative mean ABI was 0.64. An average length of corrected lesion was 10.5cms. Post-operatively one patient had an episode of distal embolization, two patients had dissection and three had puncture site hematomas, all of which were managed conservatively. No vessel perforation was observed in our study. Patients were followed up at 1 month, 6 months and 12 months postoperatively. Primary vessel patency rates at 6 and 12 -months were 96% and 85%. Conclusion: Directional atherectomy using turbo hawk device is safe, effective at 12 months for medium and long segment femoro-popliteal lesions in claudicants as well as in patients with critical limb threatening ischemia and has a primary patency rates of 85 % over 1-year period. Further, complication rates that warrants a treatment is also very low with Turbo hawk as seen with our study.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75452889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S6.001
Botcha Venkata Sai Sravani
{"title":"Editorial on Cardiac Surgery in India during the COVID Period","authors":"Botcha Venkata Sai Sravani","doi":"10.35248/2329-6925.21.S6.001","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S6.001","url":null,"abstract":"","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91551974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S7.003
Xiaolang Jiang, W. Fu, Z. Dong
Penetrating Aortic Ulcer (PAU) is a kind of Acute Aortic Syndrome (AAS). Compared with PAUs without IMH, PAUs with Intramural Hematoma (IMH) presented significant differences in history of acute coronary syndrome, pleural effusion, emergency admitted, aortic diameter at the PAU level, and the occurrence of Stent-Induced New Entry (SINE). The cumulative survival rates of patients undergoing endovascular repair during the first hospitalization were significantly higher than those having delayed repair during the follow-up.
{"title":"Commentary on \"Outcomes of Endovascular Stent Graft Repair for Penetrating Aortic Ulcers with or without Intramural Hematoma\"","authors":"Xiaolang Jiang, W. Fu, Z. Dong","doi":"10.35248/2329-6925.21.S7.003","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S7.003","url":null,"abstract":"Penetrating Aortic Ulcer (PAU) is a kind of Acute Aortic Syndrome (AAS). Compared with PAUs without IMH, PAUs with Intramural Hematoma (IMH) presented significant differences in history of acute coronary syndrome, pleural effusion, emergency admitted, aortic diameter at the PAU level, and the occurrence of Stent-Induced New Entry (SINE). The cumulative survival rates of patients undergoing endovascular repair during the first hospitalization were significantly higher than those having delayed repair during the follow-up.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84783474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S6.002
R. Khalil
An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slowly, or with an irregular rhythm. When a heart beats too fast, the condition is called tachycardia. When a heart beats too slowly, the condition is called bradycardia
{"title":"Arrhythmias: Symptoms and Treatment","authors":"R. Khalil","doi":"10.35248/2329-6925.21.S6.002","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S6.002","url":null,"abstract":"An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slowly, or with an irregular rhythm. When a heart beats too fast, the condition is called tachycardia. When a heart beats too slowly, the condition is called bradycardia","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86406337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.9.422
Matt Rackemann, N. Katib, Shannon D. Thomas
{"title":"Commentary on Dynamic Banding (DYBAND) Technique for Symptomatic High-Flow Fistulae","authors":"Matt Rackemann, N. Katib, Shannon D. Thomas","doi":"10.35248/2329-6925.21.9.422","DOIUrl":"https://doi.org/10.35248/2329-6925.21.9.422","url":null,"abstract":"","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89790979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.9.37.404
A. Feghali, Stephanie L. Rakestraw, A. Crawford, B. Abai, D. Salvatore, P. Dimuzio
Introduction: Peripheral Arterial Disease (PAD) affects over 200 million people worldwide, with 30%-40% of patients presenting with intermittent claudication. Smoking is the most important modifiable risk factor in treating PAD. Smoking cessation is currently recommended before surgical intervention for intermittent claudication, but interventions are offered and conducted on a physician-specific basis. Our study aimed to identify global trends in surgical intervention for intermittent claudication in active smokers. Methods: A 14-question survey was sent to members of the Society of Vascular Surgery (SVS) to collect information on demographics of the respondent and their intervention strategy in active smokers. A total of 729 interventions lists responded from every geographic region. Survey results were compiled and analyzed to determine trends in surgical intervention by geographic region, specialty, and years in practice. Results: Physicians in North America were less willing to perform open (56.7% vs. 69.9% in Asia, 67.6% in Europe, and 66.7% of other regions, p=0.024) or endovascular surgery (68.4% vs. 77.1% of Asian physicians, 75.0% of European physicians, 74.2% of other regions, p=0.24) on actively smoking claudicants than physicians in other geographic regions. Asian and North American physicians were more likely to insist on one-month of smoking cessation prior to intervention (57.1% in Asia, 56.6% in North America vs. 34.9% in Europe and 40.1% in other regions, p=0.0003). Physicians with more years in practice (over 10 years) had an impact on open surgeries offered to active smokers (57.7% for 20 years, p=0.017), but did not significantly impact the offering of endovascular intervention (77.8% for 10-20 years vs. 69.5% for <10 years and 71.9% for >20 years, p=0.13). Conclusion: Surgical interventions offered to actively-smoking claudicants vary by geographic region and physician years in practice. Physicians in regions of lower tobacco use prevalence are less willing to offer intervention to active smokers. Physicians with more years in training are more willing to offer open intervention to active smokers. Additional studies should be conducted as tobacco use trends change and to further evaluate the variations in provider specialty.
外周动脉疾病(PAD)影响全球超过2亿人，其中30%-40%的患者表现为间歇性跛行。吸烟是治疗PAD最重要的可改变的危险因素。目前建议在间歇性跛行手术干预之前戒烟，但干预措施是在医生特定的基础上提供和实施的。我们的研究旨在确定活跃吸烟者间歇性跛行手术干预的全球趋势。方法:向血管外科学会(SVS)会员发送一份包含14个问题的调查问卷，收集调查对象的人口统计学信息以及他们对活跃吸烟者的干预策略。每个地理区域共回复了729份干预措施清单。对调查结果进行汇编和分析，以确定按地理区域、专科和实践年限划分的手术干预趋势。结果:与其他地区的医生相比，北美的医生更不愿意对积极吸烟的患者进行开放手术(56.7%对亚洲的69.9%，欧洲的67.6%，其他地区的66.7%，p=0.024)或血管内手术(68.4%对亚洲的77.1%，欧洲的75.0%，其他地区的74.2%，p=0.24)。亚洲和北美的医生更倾向于在干预前坚持戒烟一个月(亚洲57.1%，北美56.6%，欧洲34.9%，其他地区40.1%，p=0.0003)。从业时间较长的医生(10年以上)对主动吸烟者接受开放式手术有影响(20年57.7%，p=0.017)，但对血管内介入治疗没有显著影响(10-20年77.8% vs 20年69.5%，p=0.13)。结论:对主动吸烟患者的手术干预因地理区域和医生执业年限而异。在烟草使用流行率较低的地区，医生不太愿意为活跃吸烟者提供干预。受过多年培训的医生更愿意为活跃吸烟者提供公开干预。随着烟草使用趋势的变化，应进行更多的研究，并进一步评价提供者专业的变化。
{"title":"Physician Practice Habits Treating Claudicants who Smoke","authors":"A. Feghali, Stephanie L. Rakestraw, A. Crawford, B. Abai, D. Salvatore, P. Dimuzio","doi":"10.35248/2329-6925.9.37.404","DOIUrl":"https://doi.org/10.35248/2329-6925.9.37.404","url":null,"abstract":"Introduction: Peripheral Arterial Disease (PAD) affects over 200 million people worldwide, with 30%-40% of patients presenting with intermittent claudication. Smoking is the most important modifiable risk factor in treating PAD. Smoking cessation is currently recommended before surgical intervention for intermittent claudication, but interventions are offered and conducted on a physician-specific basis. Our study aimed to identify global trends in surgical intervention for intermittent claudication in active smokers. Methods: A 14-question survey was sent to members of the Society of Vascular Surgery (SVS) to collect information on demographics of the respondent and their intervention strategy in active smokers. A total of 729 interventions lists responded from every geographic region. Survey results were compiled and analyzed to determine trends in surgical intervention by geographic region, specialty, and years in practice. Results: Physicians in North America were less willing to perform open (56.7% vs. 69.9% in Asia, 67.6% in Europe, and 66.7% of other regions, p=0.024) or endovascular surgery (68.4% vs. 77.1% of Asian physicians, 75.0% of European physicians, 74.2% of other regions, p=0.24) on actively smoking claudicants than physicians in other geographic regions. Asian and North American physicians were more likely to insist on one-month of smoking cessation prior to intervention (57.1% in Asia, 56.6% in North America vs. 34.9% in Europe and 40.1% in other regions, p=0.0003). Physicians with more years in practice (over 10 years) had an impact on open surgeries offered to active smokers (57.7% for 20 years, p=0.017), but did not significantly impact the offering of endovascular intervention (77.8% for 10-20 years vs. 69.5% for <10 years and 71.9% for >20 years, p=0.13). Conclusion: Surgical interventions offered to actively-smoking claudicants vary by geographic region and physician years in practice. Physicians in regions of lower tobacco use prevalence are less willing to offer intervention to active smokers. Physicians with more years in training are more willing to offer open intervention to active smokers. Additional studies should be conducted as tobacco use trends change and to further evaluate the variations in provider specialty.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79717868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cerebral arteries play a crucial role in the regulation of blood flow to the brain to satisfy the demand of oxygen and glucose for proper function of the organ. Physiological cerebral blood flow (CBF) is maintained within a normal range in response to changes in blood pressure a mechanism named Cerebral Blood Flow Auto Regulation (CBFAR). Structure and function of cerebral arteries have an important impact on CBFAR. Several studies in human and animals have showed significant morphological and functional changes in cerebral vessels of aged brain associated with a reduced CBF which is also impaired in cerebrovascular pathology linked to brain diseases. Interestingly, one new emergent aspect is the lifelong Calorie Restriction (CR) as a potential intervention to prevent age-related cerebral artery changes and preserve the health of aging brain. This review summarizes the recent literature on the effects of aging on cerebral artery structure and function and the potential of CR as opportunities for prevention and treatment.
{"title":"Aging-Related Structural and Functional Changes in Cerebral Arteries: Caloric Restriction (CR) Intervention.","authors":"Maurizio Mandalà, Marilyn J Cipolla","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cerebral arteries play a crucial role in the regulation of blood flow to the brain to satisfy the demand of oxygen and glucose for proper function of the organ. Physiological cerebral blood flow (CBF) is maintained within a normal range in response to changes in blood pressure a mechanism named Cerebral Blood Flow Auto Regulation (CBFAR). Structure and function of cerebral arteries have an important impact on CBFAR. Several studies in human and animals have showed significant morphological and functional changes in cerebral vessels of aged brain associated with a reduced CBF which is also impaired in cerebrovascular pathology linked to brain diseases. Interestingly, one new emergent aspect is the lifelong Calorie Restriction (CR) as a potential intervention to prevent age-related cerebral artery changes and preserve the health of aging brain. This review summarizes the recent literature on the effects of aging on cerebral artery structure and function and the potential of CR as opportunities for prevention and treatment.</p>","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39783299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.9.E419
Botcha Venkata Sai Sravani
{"title":"Editorial on Atherosclerosis Cause and Complications","authors":"Botcha Venkata Sai Sravani","doi":"10.35248/2329-6925.21.9.E419","DOIUrl":"https://doi.org/10.35248/2329-6925.21.9.E419","url":null,"abstract":"","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72569229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S4.002
I. Nwafor, Eze Jc, K. Osemobor
Background: Unlike in developed countries, the delivery of cardiovascular services to patients born with CHD in Nigeria is grossly inadequate. There are problems at both pediatric and adult ages with high morbidity and mortality. We aim to highlight the status of the patients born with CHD, and the challenges of their surgical management. Materials and Methods: In the last 6 years, Foreign Cardiac Surgery missions were reinstituted at NCTCE/UNTH, Enugu, Nigeria. The participants performed cardiac interventions on a variety of patients with CHD. We performed a retrospective review of this endeavor. Patient demographics, number of patients, age ranges, types of CHD and clinical evaluation methodology were obtained from our hospital information technology department. We assessed the types of cardiac interventions, the outcome and the challenges including the impacts of the foreign cardiac surgery missions. Results: During the study period, a total of 113 patients with CHD were evaluated. They were 61 males and 52 females with a ratio of 1.2:1. We studied both simple and complex anomalies. The highest age range affected was 1.1- 2 years followed by 2.1-3 years. A VSD was the commonest anomaly (n=32, 24.6%), followed by tetraology of Fallot (n=25, 19.2%). One of the commonest challenges is inadequate educational program for the local team. Conclusion: Large burden of diseases on limited health care resources and lack of trained personnel have made Nigeria to rely on Foreign Cardiac Missions. However inadequate educational program for the local team has created lack of independence of the local to treat CHD after 6 years.
{"title":"The Status of Congenital Heart Defects in Nigeria and Challenges of Surgical Treatment: 6 Year Review","authors":"I. Nwafor, Eze Jc, K. Osemobor","doi":"10.35248/2329-6925.21.S4.002","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S4.002","url":null,"abstract":"Background: Unlike in developed countries, the delivery of cardiovascular services to patients born with CHD in Nigeria is grossly inadequate. There are problems at both pediatric and adult ages with high morbidity and mortality. We aim to highlight the status of the patients born with CHD, and the challenges of their surgical management. Materials and Methods: In the last 6 years, Foreign Cardiac Surgery missions were reinstituted at NCTCE/UNTH, Enugu, Nigeria. The participants performed cardiac interventions on a variety of patients with CHD. We performed a retrospective review of this endeavor. Patient demographics, number of patients, age ranges, types of CHD and clinical evaluation methodology were obtained from our hospital information technology department. We assessed the types of cardiac interventions, the outcome and the challenges including the impacts of the foreign cardiac surgery missions. Results: During the study period, a total of 113 patients with CHD were evaluated. They were 61 males and 52 females with a ratio of 1.2:1. We studied both simple and complex anomalies. The highest age range affected was 1.1- 2 years followed by 2.1-3 years. A VSD was the commonest anomaly (n=32, 24.6%), followed by tetraology of Fallot (n=25, 19.2%). One of the commonest challenges is inadequate educational program for the local team. Conclusion: Large burden of diseases on limited health care resources and lack of trained personnel have made Nigeria to rely on Foreign Cardiac Missions. However inadequate educational program for the local team has created lack of independence of the local to treat CHD after 6 years.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79677019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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