ACTIVITY REVIEW OF CORONAROGRAPHY AND ANGIOPLASTY A DEBUTANT CENTER IN SUB-SAHARAN AFRICA

Bodian M; Sangare Z; Mingou JS; Dioum M; Ndiaye MB; Sarr SA; Aw F; Ngaide AA; Beye SM; Mbaye A; Kane Ad; Diao M; Kane A; Ba SA

Volume : VII, Issue : III, March - 2018

ACTIVITY REVIEW OF CORONAROGRAPHY AND ANGIOPLASTY A DEBUTANT CENTER IN SUB-SAHARAN AFRICA

Bodian M, Sangare Z, Mingou Js, Dioum M, Ndiaye Mb, Sarr Sa, Aw F, Ngaide Aa, Beye Sm, Mbaye A, Kane Ad, Diao M, Kane A, Ba Sa

Abstract :

Introduction: Cardiovascular diseases, particularly coronary heart disease are the leading cause of death in the world with 17.5 million victims each year. Interventional cardiology with the advent of coronary angioplasty has quickly become a safe therapy whose indications continue to expand. The overall objective of our work was to take stock of the various coronarography and angioplasty activities at the cardiology clinic of Aristide Dantec hospital in Dakar Senegal.

Patients and methods: This was a single center retrospective and descriptive study over a period of 39 months (1 May 2013 to 1 July 2016) on patients with coronary angiography and / or angioplasty with complete medical records.

Results: Three hundred and ninety seven patients were included. The average age of our patients was 58.6 years with extremes of 21 and 89 years. The sex ratio was 3.3 in favor of men. Among the risk factors found, high blood pressure represented (46.1%), followed by diabetes (29.22%) and sedentary lifestyle 30.22%. At admission 44.6% had anginal pain.

The electrocardiogram was sinusal in 90.5% of cases. Doppler echocardiography showed an impaired LVEF in 27.7%. At angiography, the cumulative dose in scope was on average 1197.36 with extremes of 69 cGy and 10912cCy. A single–site lesion was noted in 43.65% of patients, a bitroncular lesion in 32.1% and tritroncular in a quarter of patients or 24.25%. Type C lesions were found in 17.37% of patients.

In angioplasty balloon predilatation was performed in 55.22%, direct stent apposition in 44.78% of cases. Active stents were the most used (60.6%). Incidents and accidents occurred in 25 patients of whom (10) presented with angina (2.63%), 5 patients had vagal discomfort and 3 had hemodynamic instability. We deplored 2 cases of death (0.53%).

Conclusion: Angioplasty in developing countries is an excellent therapeutic alternative in terms of cost, comfort and post–interventional follow–up. It is booming in sub–Saharan Africa, particularly in Senegal.