Document Detail


Surgical and interventional radiographic treatment of dogs with hepatic arteriovenous fistulae.
MedLine Citation:
PMID:  17461943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report outcome after surgical and interventional radiographic treatment of hepatic arteriovenous fistulae (HAVF) in dogs.
STUDY DESIGN: Retrospective study.
ANIMALS: Dogs (n=20) with HAVF.
METHODS: Medical records of dogs with HAVF were reviewed. Referring veterinarians and owners were contacted by telephone. History, clinical signs, biochemical and hematologic variables, ultrasonographic and angiographic findings, surgical findings, techniques used to correct the HAVF, survival time, and clinical follow-up were recorded.
RESULTS: Canine HAVF often appeared to be an arteriovenous malformation rather than a single fistula. Multiple extrahepatic portosystemic shunts were identified in 19 dogs. Surgery (lobectomy or ligation of the nutrient artery) and/or interventional radiology (glue embolization of the abnormal arterial vessels) was performed in 17 dogs. Thirteen dogs were treated by surgery alone, 4 dogs by glue embolization alone, and 1 dog by glue embolization and surgery. Three dogs treated by surgery alone died <1 month later, and 3 dogs were subsequently euthanatized or died because of persistent clinical signs. None of the dogs treated by glue embolization died <1month after the procedure and all were alive, without clinical signs, at follow-up (9-17 months). Overall, 9 of 12 (75%) dogs with long-term follow-up required dietary or medical management of clinical signs.
CONCLUSION: HAVF-related death occurred less frequently after glue embolization than after surgery.
CLINICAL RELEVANCE: Glue embolization may be a good alternative to surgery for treatment of certain canine HAVF.
Authors:
Guillaume Chanoit; Andrew E Kyles; Chick Weisse; Elizabeth M Hardie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  36     ISSN:  0161-3499     ISO Abbreviation:  Vet Surg     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-05-15     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-209     Citation Subset:  IM    
Affiliation:
Department of Small Animal Surgery, National Veterinary School of Lyon, Lyon, France.
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MeSH Terms
Descriptor/Qualifier:
Animals
Arteriovenous Fistula / radiography,  surgery,  veterinary*
California
Dog Diseases / radiography*,  surgery*,  ultrasonography
Dogs
Embolization, Therapeutic / utilization,  veterinary*
Female
Hepatic Artery / abnormalities*
Male
North Carolina
Pennsylvania
Portal Vein / abnormalities*
Records as Topic / veterinary
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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