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Global Translational Medicine Modified cardiac catheterization

contribution and collaboration to our open heart surgery
program to tackle the increasing cases of cardiac lesions
that require interventions and/or open heart surgery.

5. Conclusion
A modified catheterization laboratory is a good alternative
to a standard catheterization suit for diagnostic cardiac
catheterization. The idea could be employed as a temporary
alternative to standard catheterization suits in low-resource
settings while the quest to establish a standard cardiac
catheterization laboratory continues. The collaborative
partnership that brings specialists from within and
outside the country could also help in establishing these
laboratories and propagate local training.

Acknowledgments
Figure 3. Outcome of patients.
We wish to acknowledge the effort of all the support staff
sinus venosus atrial septal defect (SVC type). Cardiac in the cardiology unit and the LASUTH main operating
catheterization has been shown to have higher sensitivity theater.
in the diagnosis of cardiac lesions . A comparison of the Funding
[1]
results of cardiac catheterization in two of our subjects
with the earlier result from a privately owned standard None.
catheterization suit showed similarities. Conflict of interest
Irreversible elevated pulmonary vascular resistance
was found in two of our patients, probably due to delayed The authors declare that there are no conflicts of interest
presentation, making them inoperable. This is similar to regarding the publication of this paper.
the findings of a previous study . Delayed presentation of Author contributions
[13]
patients with congenital heart disease is still a problem of
concern in our locale [15,16] . Bradycardia and severe metabolic Conceptualization: Alaba Busola Oladimeji, Oluwaseye
acidosis were the only complications encountered in one of Michael Oladimeji, Adeola Olubunmi Ajibare, Ramon
our patients, which was corrected by the administration of Kolade Moronkola.
atropine and sodium bicarbonate. Arrhythmias have been Format analysis: Oluwafemi Tunde Ojo, Ayo Raheem,
reported as complications of cardiac catheterization . Abdulazeez Olanrewaju, Damilare Adewale Olusanya,
[17]
Finally, three of our patients (two with high but reversible Onomen Oluwaseyi Ehizojie, Oluwaseyi Ajimotokan,
pulmonary vascular resistance) have had a surgical Abdulrahman Idris, Adenike Olufunke Akalakini.
correction and are presently stable. Investigation: Oluwaseye Michael Oladimeji, Adeola
Our experience showed that diagnostic catheterization Olubunmi Ajibare, Ramon Kolade Moronkola,
using the modified option is feasible in a state-owned Moriam Omolola Lamina, Oluwaseun Oyeyemi
teaching hospital where there may be multiple needs Okunuga, Alaba Philips Adebola, Folashade Adeola
for the available scarce resources. The diagnostic Daniel.
catheterization was termed “modified” because it was Writing – original draft: Oluwaseye Michael Oladimeji,
carried out in the operating theater using a C-arm machine Adeola Olubunmi Ajibare, Ramon Kolade Moronkola,
and an invasive blood pressure monitor with a transducer Oluwarotimi Ireti Akinola, Adetokunbo Olusegun
as against the standard cardiac catheterization laboratory. Fabamwo.
Our catheterization laboratory was under construction Writing – review & drafting: Adeola Olubunmi Ajibare,
at the commencement of the modified option; however, Oluwafemi Tunde Ojo, Oluwaseye Michael Oladimeji,
it is now completely installed and fully functional. The Ramon Kolade Moronkola.
experience with the modified catheterization was precious Ethics approval and consent to participate
and helped medical personnel transition into the new
catheterization suit quickly. Consequently, interventional Ethical approval was sought and obtained from the Health
cardiology procedures are expected to make a remarkable Research Ethics Committee of Lagos State University

Volume 2 Issue 2 (2023) 5 https://doi.org/10.36922/gtm.249