VRI revealed no evidence of portosystemic communication on the level of a cellophane band and caudal to the cellophane band. Follow-up single-phase CTA with VRI was obtained 10 weeks after surgery. Surgery was performed using cellophane banding without attenuation. CTA revealed a 3.66 mm-diameter shunt measured at the level of the termination of the shunt and a 3.79 mm-diameter portal vein measured at the level between the origin of the shunt and the porta of the liver. VRI revealed a portocaval shunt originating just cranial to a tributary of the gastroduodenal vein and draining into the caudal vena cava at the level of the epiploic foramen. Single-phase contrast-enhanced computed tomography angiography (CTA) with volume-rendered imaging (VRI) was obtained. Preprandial and postprandial bile acids were 44.2 and 187.3 µmol/ℓ, respectively (reference ranges 0-10 and 0-20 µmol/ℓ, respectively). Urinary calculi were composed of ammonium biurate. IVDepartment of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, 1 Hwayang-dong, Gwangjin-gu, Seoul 143-701, KoreaĪ 4-year-old, 1.8 kg, male, castrated Maltese was presented for evaluation of urolithiasis. ![]() IIIDepartment of Physics and Astronomy and Center for Theoretical Physics, Seoul National University, Seoul 151-747, Korea IIVIP Animal Hospital, Seoul 130-840, Korea IDepartment of Veterinary Surgery, College of Veterinary Medicine, and the Veterinary Science Research Institute, Konkuk University, Seoul 143-701, Korea H Yoon I Y Choi II H Han III S Kim II K Kim IV S Jeong IV, * 2013 42(8):951-957.CLINICAL COMMUNICATION KLINIESE MEDEDELINGĬontrast-enhanced computed tomography angiography and volume-rendered imaging for evaluation of cellophane banding in a dog with extrahepatic portosystemic shunt Long-term outcome after surgical ameroid ring constrictor placement for treatment of single extrahepatic portosystemic shunts in dogs. Evaluation of ameroid ring constrictors for treatment for single extrahepatic portosystemic shunts in dogs: 168 cases (1995-2001). Prognostic implications of the degree of shunt narrowing and of the portal vein diameter in dogs with congenital portosystemic shunts. Treatment of extrahepatic congenital portosystemic shunts in dogs-what is the evidence base? J Small Anim Pract. Tivers MS, Upjohn MM, House AK, Brockman DJ, Lipscomb VJ. Long-term survival and quality of life in dogs with clinical signs associated with a congenital portosystemic shunt after surgical or medical treatment. Greenhalgh SN, Reeve JA, Johnstone T, et al. © 2019 The American College of Veterinary Surgeons. Treatment of CPPS by placement of an AC rather than TFB seems more reliable for shunt attenuation and prevention of revision surgeries. Persistent shunting requiring revision surgery was more common when CPSS were treated with TFB than with an AC, but both treatments achieved favorable long-term outcomes. Median long-term outcome scores were good in both groups nine of 14 revision surgeries led to favorable outcomes. ![]() Revision surgery for persistent shunting was performed in 14 (29%) dogs treated initially with TFB and in no dogs treated initially with AC (P =. Long-term follow-up was available in 41 of 56 dogs at a median of 55 months (range, 15-89). Postoperative complications occurred in 15 (28%) dogs with TFB (9% mortality, n = 5) and 8 (35%) dogs with an AC (4% mortality, n = 1). The rates of complications, mortality, and revision surgery were compared between the treatment groups. Long-term outcomes were obtained via an owner-directed health-related quality of life questionnaire. ![]() Records were reviewed for signalment, preoperative, intraoperative, and postoperative management and short-term outcomes. Seventy-six client-owned dogs with CPSS treated with TFB (n = 53) or AC (n = 23). To compare the outcomes of dogs treated at a single institution for single extrahepatic congenital portosystemic shunts (CPSS) by thin film banding (TFB) or by placement of an ameroid constrictor (AC).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |