Guttural Pouch

Freeman, David E.

doi:10.1016/b978-0-323-48420-6.00047-8

Cited by 14 publications

(18 citation statements)

References 103 publications

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“…This highlights the importance of using radiopaque medical grade implants. Radiopaque balloon catheters that are more flexible such as a Foley catheter (Bladon and Munroe ) may reduce the risks of inadvertent penetration through healthy mucosa but it is proposed that the less rigid catheters may not withstand the systolic pressures on the cerebral side of the ICA from the circle of Willis and may migrate towards and through the arterial defect (Freeman and Hardy ).…”

Section: Discussionmentioning

confidence: 99%

“…); however, fortunately, no complications of the venous thrombectomy catheter removal were encountered in any of the horses in this series. In one report, a horse was reported to develop fatal meningitis after ICA catheter removal 4 years after placement and 1 year after signs of surgical site infection (Freeman and Hardy ). The precise reasons for the failure in this case compared to the success in the five cases in the current report are most likely to be multifactorial, but the prolonged duration of infection prior to implant removal may have predisposed to progression of the surgical site infection into the meninges.…”

Section: Discussionmentioning

confidence: 99%

“…Complications associated with the use of balloon‐tipped catheters include failure of the balloon to remain inflated, catheter breakage, incisional infection and wound breakdown (Freeman and Donawick ; Caron et al . ; Rush and Mair ; Pollock ; Freeman and Hardy ). However, no complications were described in a 2‐year follow‐up study of 31 horses after transarterial coil embolisation (Lepage and Piccot‐Crezollet ; Pollock ; Lepage ).…”

Section: Introductionmentioning

confidence: 99%

“…). Delayed surgical site infection has been described infrequently; one case has been briefly described up to 4 years after occlusion of the ICA with a balloon tipped catheter (Freeman and Hardy ).…”

Section: Introductionmentioning

confidence: 99%

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Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Five cases

Jennings

Lepage

Mair

et al. 2017

Equine Veterinary Education

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Summary Although rare, guttural pouch mycosis is a potentially life‐threatening disease in the horse. The disease is most commonly treated surgically. One surgical option is occlusion of the internal carotid artery with a combination of ligation and use of a balloon tipped venous thrombectomy catheter. Complications of such treatment are rarely reported. This case series of five individuals describes the appearance, diagnosis and management of medium (>2 weeks) and long‐term (>10 years) complications (including abscess formation, draining sinuses and wound dehiscence) of internal carotid artery occlusion with a venous thrombectomy catheter and management of these surgical site infections. The clinical presentations included swelling and/or discharging tracts in the parotid region. In one horse, an osseous reaction of the basisphenoid bone and penetration of the contralateral guttural pouch by the implant were identified by computed tomography. In all five horses, the surgical site infections were successfully resolved following removal of the venous thrombectomy catheter.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Five cases

Jennings

Lepage

Mair

et al. 2017

Equine Veterinary Education

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“…; Lepage and Piccot‐Crezollet ; Delfs et al . ; Freeman and Hardy ). Transarterial coil embolisation and nitinol plugs have emerged as state‐of‐the‐art and appear to resolve most of the limitations so apparent in the earlier techniques.…”

mentioning

confidence: 99%

Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Can this be prevented?

Freeman

2017

Equine Veterinary Education

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Summary Based on available evidence, the embolisation methods guided by fluoroscopy (nitinol plugs and transarterial coil embolisation) are preferred when available to occlude the bleeding artery in horses with guttural pouch mycosis. All attempts should be made to submit suitable candidates to hospitals with the necessary equipment and expertise for these procedures. However, when this opportunity is not available, the nondetachable balloon catheter could still offer a viable and effective alternative. Although the risk of surgical site infection is a delayed complication of this method, risk of infection can be reduced by planned removal at 10–14 days after catheter placement.

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Cytology of the Oral and Nasal Cavities, Pharynx, Guttural Pouches, and Paranasal Sinuses

Fielder¹,

McCourt²

2020

Equine Hematology, Cytology, and Clinical Chemistry

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Guttural Pouch

Cited by 14 publications

References 103 publications

Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Five cases

Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Five cases

Surgical site infection after occlusion of the internal carotid artery with a thrombectomy catheter: Can this be prevented?

Cytology of the Oral and Nasal Cavities, Pharynx, Guttural Pouches, and Paranasal Sinuses

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