Establishment of an interdisciplinary vascular anomalies program in Tanzania, East Africa.
Tanzania
developing countries
health services needs and demand
interventional/education
interventional/pediatrics
radiology
vascular malformations
Journal
Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047
Informations de publication
Date de publication:
2022
2022
Historique:
received:
28
09
2022
accepted:
19
12
2022
entrez:
27
1
2023
pubmed:
28
1
2023
medline:
28
1
2023
Statut:
epublish
Résumé
The aim of this project is the sustainable implementation of a vascular anomalies (VA) program in Tanzania. In 2021 the first interdisciplinary VA program was initiated at Muhimbili National Hospital (MNH), Dar Es Salaam, Tanzania in a stepwise approach. During the planning phase the clinical need for minimally-invasive therapies of VAs and the preexisting structures were assessed by the local Interventional Radiology (IR) team at MNH. During the initiation phase, an IR team from two German VA centers joined the interdisciplinary team at MNH for clinical workup, image-guided procedures and follow-up. VA patients were recruited from existing patient records or seen at clinics as The first interdisciplinary VA program was successfully launched in Tanzania. Minimally-invasive treatments were successfully trained, by performing ultrasound-guided sclerotherapy with polidocanol and bleomycin in twelve patients with slow-flow malformations, one endovascular embolization of a high-flow malformation, and medical treatment of an aggressive infantile hemangioma. Regular online follow-up presentations have been initiated. Follow-up evaluation and required treatment was sustained when appropriate. The presented "hands-on" training set the ground for the first interdisciplinary VA program in Tanzania. This framework is expected to establish comprehensive and sustainable care of patients with VAs in East Africa and can serve as a blueprint for other sites.
Identifiants
pubmed: 36703894
doi: 10.3389/fmed.2022.1056539
pmc: PMC9871613
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1056539Informations de copyright
Copyright © 2023 Puhr-Westerheide, Masthoff, Shah, Krechel, Shemwetta, Naif, Ukweh, Abdul, Sarkar, Baraka, Malecela, Lekasio, Rajab, Mungia, Sianga, Manji, Mbuguje, Khoncarly, Minja, Laage Gaupp and Wildgruber.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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