Transvenous detachable coiling of patent ductus arteriosus in small dogs

Morgan, Keaton RS.; Stauthammer, Christopher D.; Barncord, Kristin; Pinkos, Alyssa; Fundingsland, Stella; Rishniw, Mark

doi:10.1016/j.jvc.2022.06.002

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…This raises concerns because pet owners depend on their veterinarians’ advice for expert guidance, especially when their puppy might be experiencing a health issue such as a potentially serious heart condition requiring surgical intervention. For two of the most common congenital heart diseases in dogs i.e., left-to-right shunting patent ductus arteriosus and severe valvular pulmonic stenosis, catheter-based interventions have been proven to be safe and successful for decades [ 12 , 13 , 46 , 47 , 48 , 49 , 50 , 51 ]. A recent study on interventional closure of patent ductus arteriosus confirmed again that early intervention gave better results; among others the end-systolic left ventricular volume index was significantly lower in dogs that underwent surgery before 6 months of age [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Management of Incidentally Detected Heart Murmurs in Puppies: A Survey among Veterinarians

van Staveren,

Muis,

Szatmári

2024

Animals

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Background: Heart murmurs in puppies can be innocent or pathologic; the latter is almost always related to a congenital heart disease. Differentiating between these murmurs can be challenging for practicing veterinarians, but this differentiation is essential to ensure the best prognosis for puppies having a congenital heart disease. Our study aimed to reveal how veterinarians manage puppies with a heart murmur. Methods: A web-based questionnaire was sent to Dutch and Belgian veterinary practices. Results: Data from 452 respondents were analyzed. Though 88% of the respondents find detecting a heart murmur easy, only 9% find differentiating innocent murmurs from pathologic murmurs in puppies easy. Of the respondents, only 80% recommend immediate additional examination when detecting a loud heart murmur during the first veterinary health check at 6 weeks of age. Most of the respondents are aware that normal growth and the absence of clinical signs do not exclude severe congenital heart disease. Of the respondents, 31% were uncertain whether early surgical intervention could lead to improved outcomes. Conclusions: Veterinarians are aware of the importance of echocardiography for puppies with a loud heart murmur, and recognize their limitations when differentiating an innocent from a pathological heart murmur in a puppy.

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Section: Discussionmentioning

confidence: 99%

Self-Reported Management of Incidentally Detected Heart Murmurs in Puppies: A Survey among Veterinarians

van Staveren,

Muis,

Szatmári

2024

Animals

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“…This device has a minimally invasive controlled catheter-based delivery system, easy deployment, low complication rate, and a broad range of sizes that allow closure of a wide range of PDAs. However, the ACDO delivery system size and the need to use this device via a transarterial approach limits its use in very small dogs, especially when presenting with large-sized PDAs ( Singh et al ., 2012 ; Morgan et al ., 2022 ). In addition, the need for femoral artery ligation or a long period of vessel compression can lead to serious local complications ( Bagardi et al , 2022 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the need for femoral artery ligation or a long period of vessel compression can lead to serious local complications ( Bagardi et al , 2022 ). Consequently, investigators have examined Amplatzer™ vascular plugs II (AVPII) (AGA Medical Corporation, Plymouth, MN), or coils for interventional closure of PDA through a transvenous approach, in dogs where routine ACDO closure is not possible ( Blossom et al ., 2010 ; Bagardi et al ., 2022 ; Belachsen et al ., 2022 ; Hildebrandt et al ., 2022 ; Morgan et al ., 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Transjugular occlusion of large patent ductus arteriosus with an Amplatzer™ muscular Ventricular Septal Defect occluder in a 3-month-old dog

Venco,

Valenti,

Franceschini

et al. 2023

Open Vet J

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Background: Cardiologists close most patent ductus arteriosus (PDA) defects in dogs using the Amplatz® canine duct occluder (ACDO) via a transarterial approach. However, this approach can be problematic in small dogs due the small femoral artery diameter. In such cases, cardiologists have opted to use coils or vascular plugs deployed from a transvenous approach. However, in small dogs with large PDA, risk of device protrusion into the pulmonary artery, incomplete closure, or device embolization, often leads to surgical PDA closure via thoracotomy. Case Description: The present report describes a 3-month-old male 6 kg Border collie with a large, PDA which was was successfully occluded using the Amplatzer™ muscular Ventricular Septal Defect device (mVSD) from a transvenous approach after closure attempts with an Amplatzer™ Vascular Plug II failed. Conclusion: This is the first case report in veterinary medicine of PDA closure with an Amplatzer™ mVSD occluder device. This approach, described in PDA closure in people, could be considered in minimally invasive PDA closure in small dogs with challanging anatomy.

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Transesophageal echocardiography using a microprobe for determination of transcatheter procedural candidacy, device selection, and procedural monitoring in small dogs with patent ductus arteriosus

Wesselowski,

Saunders

2024

Journal of Veterinary Cardiology

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Transvenous detachable coiling of patent ductus arteriosus in small dogs

Cited by 5 publications

References 19 publications

Self-Reported Management of Incidentally Detected Heart Murmurs in Puppies: A Survey among Veterinarians

Self-Reported Management of Incidentally Detected Heart Murmurs in Puppies: A Survey among Veterinarians

Transjugular occlusion of large patent ductus arteriosus with an Amplatzer™ muscular Ventricular Septal Defect occluder in a 3-month-old dog

Transesophageal echocardiography using a microprobe for determination of transcatheter procedural candidacy, device selection, and procedural monitoring in small dogs with patent ductus arteriosus

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