RESUMO
OBJECTIVES: The objective of this study was to report the use of computed tomography (CT) in conjunction with clinical signs to assess the severity of pectus excavatum (PE) in kittens and to guide surgical decision-making; also to report medium-term outcome in a prospective cohort of kittens undergoing surgical correction. METHODS: This was a prospective study of 10-15-week-old kittens (n = 10) diagnosed with moderate/severe PE. RESULTS: CT provides additional information that is useful for selecting patients for surgical correction and for planning the surgery. Traditional radiographic indices (vertebral, frontosagittal) provide reasonable approximations of the CT-determined dimensions but these seem to correlate poorly with the severity of clinical signs. Kittens commonly have lateralised deformities, which are associated with less severe clinical signs, while those with midline deformities are associated with more severe clinical signs. Six of seven kittens with severe PE that had a ventral splint applied for 4 weeks had excellent medium-term outcomes. CONCLUSIONS AND RELEVANCE: Restriction of diastolic filling by midline sternal deviation may be an important cause of exercise intolerance in cats with PE. CT can be used to assess affected kittens and to plan surgery when indicated.
Assuntos
Doenças do Gato/diagnóstico por imagem , Doenças do Gato/cirurgia , Tórax em Funil/veterinária , Animais , Gatos , Estudos de Coortes , Tórax em Funil/diagnóstico por imagem , Tórax em Funil/cirurgia , Estudos Prospectivos , Contenções , Tomografia Computadorizada por Raios XRESUMO
Assessment of renal function by means of plasma clearance of a suitable marker has become standard procedure for estimation of glomerular filtration rate (GFR). Sinistrin, a polyfructan solely cleared by the kidney, is often used for this purpose. Pharmacokinetic modeling using adequate software is necessary to calculate disappearance rate and half-life of sinistrin. The purpose of this study was to describe the use of a Microsoft excel based add-in program to calculate plasma sinistrin clearance, as well as additional pharmacokinetic parameters such as transfer rates (k), half-life (t1/2) and volume of distribution (Vss) for sinistrin in dogs with varying degrees of renal function.
Assuntos
Taxa de Filtração Glomerular/veterinária , Testes de Função Renal/veterinária , Rim/fisiologia , Oligossacarídeos/sangue , Oligossacarídeos/farmacocinética , Software , Animais , Biomarcadores/sangue , Cães , Meia-VidaRESUMO
Clinical records made during routine vaccinations were compared between populations of domestic shorthair cats and Bengal kittens. An increased incidence (12/244) of thoracic wall deformity was detected amongst the Bengal kittens. Deformities detected were: pectus excavatum (five), unilateral thoracic wall concavity (six) and scoliosis (one). Five-generation pedigrees were analysed for the affected kittens that showed a high degree of common ancestry indicating the likelihood of a familial cause.