Transvenous coil embolisation for the treatment of single congenital portosystemic shunts in six dogs

Bussadori, R.; Bussadori, Claudio; Millán, L F Pascual; Costilla, Serafín; Rodríguez-Altónaga, José Antonio; Orden, M. A.; Orden, José Manuel Gonzalo

doi:10.1016/j.tvjl.2007.02.027

Cited by 35 publications

(48 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the size of the shunting vessel and the high blood flow facilitates coil migration described in two 23,24 of 11 19,21–24 dogs with an intrahepatic shunt in the literature and in one dog of this report. To prevent this complication a stent‐supported coil placement into the hepatic vein was used here and has also been described in two other studies 23,31 . Our experience indicated that intrahepatic venous collaterals may occur preventing successful shunt occlusion.…”

Section: Discussionmentioning

confidence: 58%

See 1 more Smart Citation

Intrahepatic Venous Collaterals Preventing Successful Stent‐supported Coil Embolization of Intrahepatic Shunts in Dogs

Schneider

Plassmann

Rauber

2009

Vet Radiology Ultrasound

View full text Add to dashboard Cite

The purpose of the following study was to evaluate stent-supported coil embolization of the hepatic vein in combination with antithrombotic treatment as a method for treatment of intrahepatic shunts, and to describe the complications associated with this procedure. Seven dogs with an intrahepatic shunt were included in a prospective clinical trial. A stepwise procedure was performed. First intervention: transjugular retrograde portography and stent implantation into caudal vena cava; second intervention: hepatic vein embolization combined with an antithrombotic treatment; third intervention in dogs with residual shunting: hepatic vein embolization without antithrombotic treatment. A right shunt was found in one dog and a left shunt in six dogs. Primary intrahepatic venous collaterals were found in one dog and hepatic vein embolization was not performed. Stent implantation into the caudal vena cava was performed in the other six dogs. There was no stent migration or thrombosis. Following the first coil intervention two dogs died due to vessel laceration while removing an oversized or migrated coil. On follow-up the shunt was completely closed in one dog. Secondary intrahepatic venous collaterals developed after the first or second coil intervention in two and one dog, respectively. In conclusion, stent-supported coil embolization of the hepatic vein in combination with an antithrombotic treatment was of limited success because primary or secondary intrahepatic venous collaterals tend to occur.

show abstract

Section: Discussionmentioning

confidence: 58%

“…In this study the isolated reaction to the stent was analyzed, therefore stent and coil procedures were separated. To reduce the number of interventions and the cost involved, it is possible to perform stent implantation and coil embolization in the same procedure 23,24 …”

Section: Discussionmentioning

confidence: 99%

Intrahepatic Venous Collaterals Preventing Successful Stent‐supported Coil Embolization of Intrahepatic Shunts in Dogs

Schneider

Plassmann

Rauber

2009

Vet Radiology Ultrasound

View full text Add to dashboard Cite

show abstract

“…It has been reported that coil embolization using interventional radiology has been performed in some cases of intrahepatic portosystemic venous shunts, but not in cases of patent ductus venosus (20)(21)(22). In addition, coil embolization of patent ductus venosus has been performed in many dogs and cats, but not in human subjects (23)(24)(25). This patient is the first to undergo coil embolization for obliteration of a patent ductus venosus.…”

Section: Discussionmentioning

confidence: 93%

Successful Treatment Using Coil Embolization of a Symptomatic Intrahepatic Portosystemic Venous Shunt Developing through a Patent Ductus Venosus in a Noncirrhotic Adult

et al. 2013

View full text Add to dashboard Cite

The patient was a 60-year-old man with encephalopathy without liver cirrhosis. CT angiography revealed a patent ductus venosus between the anterior segmental branch of the portal vein and the middle hepatic vein. Coils were framed in the patent ductus venosus and then used to fill in the frame. After treatment, transarterial portography showed that the shunt flow of the ductus venosus had decreased significantly. After one day, the patient's disturbance of consciousness disappeared. Our case involved the adult-onset of a patent ductus venosus, which is extremely rare. This case is the first in which coil embolization was successfully achieved in a noncirrhotic elderly patient with a patent ductus venosus.

show abstract

“…The use of a coil was successful in treating a congenital arteriovenous fistula of the saphenous artery in a dog previously, 15 and coils are often used in the treatment of portosystemic shunts (mostly intrahepatic) in dogs. 16 However, the use of coils is controversial in human medicine because the nidus is often not destroyed, resulting in recruitment of more vessels; additionally, future interventions are not generally possible after coil embolization. The delivery of particulate agents needs to be considered thoroughly because recanalization can occur; if blood flow is reestablished, further treatment would be indicated.…”

Section: Discussionmentioning

confidence: 99%

Use of ethylene-vinyl alcohol copolymer as a liquid embolic agent to treat a peripheral arteriovenous malformation in a dog

Culp¹,

Glaiberman²,

Pollard³

et al. 2014

javma

View full text Add to dashboard Cite

Case Description An 11-year-old castrated male Tibetan Mastiff was evaluated because of a visibly enlarged blood vessel and progressively worsening swelling of the right hind limb. Clinical Findings On physical examination, the right hind limb was markedly larger than the left hind limb and the dog was minimally weight bearing on the affected limb. A bruit was auscultated over the affected region. Ultrasonography of the tarsal region of the right hind limb revealed an artery with turbulent flow that communicated with venous drainage. A CT scan confirmed the presence of an arteriovenous malformation (AVM). Treatment and Outcome Embolization of the AVM with a liquid embolic agent (ethylene-vinyl alcohol copolymer dissolved in dimethyl sulfoxide) was elected. An arteriogram was performed prior to treatment and delineated the vessels that were targeted for embolization. The embolic agent was infused into the AVM, and a postinjection arteriogram confirmed complete occlusion of the AVM nidus and normal arterial flow to the paw with subsequent normal venous drainage. The circumference of the abnormal paw was 51 cm before the procedure and 22.9 cm at 4 weeks after the procedure. Additionally, the gait of the dog dramatically improved. No complications associated with the procedure developed. Clinical Relevance Peripheral AVMs in dogs are uncommon, and described treatment options are limited and generally associated with serious morbidity. A liquid embolic agent, ethylene-vinyl alcohol copolymer dissolved in dimethyl sulfoxide, was successfully administered in this case, and no morbidity was observed secondary to the procedure. Clinical success was characterized by substantial improvement in limb swelling and marked improvement in the gait of the dog.

show abstract

Transvenous coil embolisation for the treatment of single congenital portosystemic shunts in six dogs

Cited by 35 publications

References 18 publications

Intrahepatic Venous Collaterals Preventing Successful Stent‐supported Coil Embolization of Intrahepatic Shunts in Dogs

Intrahepatic Venous Collaterals Preventing Successful Stent‐supported Coil Embolization of Intrahepatic Shunts in Dogs

Successful Treatment Using Coil Embolization of a Symptomatic Intrahepatic Portosystemic Venous Shunt Developing through a Patent Ductus Venosus in a Noncirrhotic Adult

Use of ethylene-vinyl alcohol copolymer as a liquid embolic agent to treat a peripheral arteriovenous malformation in a dog

Contact Info

Product

Resources

About