Document Detail


Transvenous Coil Embolization of Patent Ductus Arteriosus in Small (≤3.0 kg) Dogs.
MedLine Citation:
PMID:  21092005     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Surgical and interventional therapy for occlusion of a patent ductus arteriosus (PDA) in small dogs is challenging. Interventional closure of a PDA is rarely described in small dogs. Hypothesis: Transvenous single-coil occlusion of a PDA in small (≤3.0 kg) dogs is possible and safe. Animals: Twenty-one client-owned dogs with a left-to-right shunting PDA. Methods: Prospective clinical study. Inclusion criteria were a left-to-right shunting PDA and a body weight ≤3.0 kg. Dogs with additional congenital cardiac diseases were excluded. Without arterial access, a single detachable coil was implanted by a transvenous approach with a 4 Fr catheter. Results: Twenty-one dogs were the study population with Chihuahua and Yorkshire Terrier being the commonest breeds (n = 6 and n = 5, respectively). There were 14 female and 7 male dogs. The age range was 1.9-83.5 months (median, 7.7 months), and the body weight was 1.0-2.9 kg (1.87 ± 0.45). By angiography, the minimal ductal diameter measured 1.2-2.4 mm (median, 1.8 mm) and the PDA ampulla diameter was 2.4-5.9 mm (median, 4.6 mm). Coil implantation was successful in all dogs. After detachment of the coil from the delivery cable, repositioning of the pulmonary loop of the coil became necessary in 1 dog. The prevalence of immediate closure was 76%. The prevalence of cumulative closure was 90%. Conclusion: For an experienced cardiologist, transvenous occlusion of a PDA in small dogs is possible with a 4 Fr catheter and a commercial single detachable coil. Arterial access is not essential. The procedure is safe and successful in experienced hands.
Authors:
E Henrich; N Hildebrandt; C Schneider; E Hassdenteufel; M Schneider
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Publication Detail:
Type:  Journal Article     Date:  2010-11-23
Journal Detail:
Title:  Journal of veterinary internal medicine / American College of Veterinary Internal Medicine     Volume:  25     ISSN:  1939-1676     ISO Abbreviation:  J. Vet. Intern. Med.     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-01-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8708660     Medline TA:  J Vet Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  65-70     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 by the American College of Veterinary Internal Medicine.
Affiliation:
Small Animal Clinic Internal Medicine, University of Giessen, Germany.
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