Clinical presentation and short-term outcomes of dogs ≥15 kg with extrahepatic portosystemic shunts.
Vet Surg
; 53(2): 277-286, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-37846027
ABSTRACT
OBJECTIVE:
To describe demographics, clinical presentation, shunt anatomy, clinical progression, and complications in large dogs ≥15 kg with single extrahepatic portosystemic shunts (EHPSS) treated with or without surgery. STUDYDESIGN:
Multicenter retrospective (10 university hospitals, one private referral institution). ANIMALS Dogs ≥15 kg (n = 63).METHODS:
Medical records of dogs ≥15 kg diagnosed with EHPSS between January 01, 2005 and December 31, 2020 were reviewed. Dogs had a minimum follow-up of 90 days. Signalment, clinical signs, diagnostics, shunt anatomy, treatment interventions, and perioperative complications were assessed.RESULTS:
Median age was 21.9 months (IQR 9-36.8). The breed most represented was the Golden retriever (17/63 dogs). Portocaval (17/63) and splenocaval (15/63) shunt configurations were most common. Portal vein hypoplasia was noted in 18 imaging reports. Of the surgically treated dogs, 14/45 (35.6%) had short-term complications, and 3/45 (6.7%) had shunt-related deaths. Medical management was discontinued in 15/40 and reduced in 9/40 of surviving dogs who had surgical attenuation. All medically managed, nonattenuated dogs (18/18) were maintained on their original shunt-related medication regimens.CONCLUSIONS:
Clinical presentation of dogs ≥15 kg with extrahepatic portosystemic shunts was similar to the more commonly reported small breed dogs. Surgical management of single EHPSS in large dogs ≥15 kg had similar clinical short-term outcomes as small breed dogs. CLINICALSIGNIFICANCE:
Clinicians should be aware that large breed dogs with EHPSS share similar characteristics and clinical outcomes to small breed dogs. The significance of the presence of a hypoplastic portal vein warrants further research. Surgical treatment is a viable option for large breed dogs with EHPSS.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivação Portossistêmica Transjugular Intra-Hepática
/
Doenças do Cão
Limite:
Animals
/
Humans
Idioma:
En
Revista:
Vet Surg
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos