# One-Year Review of Cardiac Catheterization Procedures at a New Private Cardiac Facility in Nigeria: Indications, Techniques, and Outcomes

## TL;DR

This paper reviews the first year of cardiac catheterization procedures at a new Nigerian hospital, showing high success and low complications.

## Contribution

The study provides new data on cardiac catheterization outcomes in a Nigerian private hospital setting.

## Key findings

- 53 procedures were performed with a 100% success rate and 3.85% minor complications.
- Recurrent chest pain and abnormal stress test results were the most common reasons for procedures.
- Femoral artery access was predominantly used.

## Abstract

Background: Cardiac catheterization is a cornerstone procedure for diagnosing and treating a wide spectrum of cardiovascular diseases globally. This study reports on the establishment and initial outcomes of cardiac and peripheral catheterization services at a newly opened private hospital in Nigeria over a one-year period. The aim is to describe the indications for these procedures, the techniques employed, and the resulting outcomes in this setting.

Methods: A retrospective analysis was conducted on all cardiac and peripheral catheterization procedures performed between the second quarter of 2023 and the second quarter of 2024 at Iwosan Lagoon Hospital. Data regarding patient demographics, the clinical reasons for the procedures, the methods used, and the clinical outcomes were extracted from hospital records and subsequently analyzed and presented as simple frequency tables.

Results: During the study period, a total of 53 procedures were performed. The most frequent reasons for referral were recurrent chest pain and abnormal findings on exercise stress testing. Other indications included cardiomyopathy and claudication. The majority of procedures utilized the femoral artery for vascular access. The overall procedural success rate was 100%, with no major complications reported. A minor complication rate of approximately 3.85% (two complications) was observed.

Conclusion: This initial experience highlights the successful implementation of cardiac catheterization services at a new private facility in Nigeria. The high success rate and low complication rate observed are comparable to international benchmarks. This study contributes valuable data to the growing understanding of cardiac catheterization in the Nigerian context and underscores the importance of ongoing efforts to enhance the quality and accessibility of specialized cardiovascular care in the region.