A multimodality imaging approach for guiding a modified endovascular coil embolization of a single intrahepatic portosystemic shunt in dogs
Intrahepatic portosystemic shunts (IHPSS) in dogs are aberrant vascular anomalies that connect the portal and the systemic venous vessels. In most of the patients, the surgical approach is unfavourable due to the difficulties in isolating the IHPSS, making the option of a percutaneous transvenous co...
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| Veröffentlicht in: | Research in veterinary science 2015-12, Vol.103, p.156-163 |
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| creator | Knapp, Teja Navalòn, Iolanda Medda, Massimo Pradelli, Danitza Borgonovo, Simone Crosta, Cristina Bussadori, Claudio Maria |
| description | Intrahepatic portosystemic shunts (IHPSS) in dogs are aberrant vascular anomalies that connect the portal and the systemic venous vessels. In most of the patients, the surgical approach is unfavourable due to the difficulties in isolating the IHPSS, making the option of a percutaneous transvenous coil embolization (PTCE) one of the safer occlusive procedures. This study describes the treatment of eight dogs with a single IHPSS using a multimodality imaging approach to guide the modified PTCE procedure. This new technique results in a decrease of 71% of the time of the entire procedure with the reduction of 91% in the time required involved the IHPSS identification and in the fluoroscopy exposure time avoiding the need for iodinated contrast agents during the procedure. Moreover, the placement of the catheter before the caval stent ensures its greater stability, enhancing the procedural safety in the phase when the coils are released and avoiding the risk of their dislocation.
•MIA guides the modified PTCE of single intrahepatic portosystemic shunt in dogs.•Procedure was monitored by TEU and the spot use of the fluoroscopy.•TEU gave the qualitative blood flow analysis pre- and post-PTCE attenuation.•Modified PTCE reduced the fluoroscopy exposure time avoiding the contrast agent's use.•MIA enhanced the procedural safety in the coils release phase. |
| doi_str_mv | 10.1016/j.rvsc.2015.09.023 |
| format | Article |
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•MIA guides the modified PTCE of single intrahepatic portosystemic shunt in dogs.•Procedure was monitored by TEU and the spot use of the fluoroscopy.•TEU gave the qualitative blood flow analysis pre- and post-PTCE attenuation.•Modified PTCE reduced the fluoroscopy exposure time avoiding the contrast agent's use.•MIA enhanced the procedural safety in the coils release phase.</description><identifier>ISSN: 0034-5288</identifier><identifier>EISSN: 1532-2661</identifier><identifier>DOI: 10.1016/j.rvsc.2015.09.023</identifier><identifier>PMID: 26679811</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Animals ; Catheters ; Coil embolization ; Diagnostic imaging ; Dog ; Dog Diseases - surgery ; Dogs ; Embolization, Therapeutic - veterinary ; Female ; Intrahepatic portosystemic shunt ; Male ; Multimodal Imaging - methods ; Multimodal Imaging - veterinary ; Portal System - abnormalities ; Portal System - surgery ; Portal Vein - abnormalities ; Portal Vein - surgery ; Stents ; Transesophageal ultrasonography ; Veins & arteries ; Veterinary medicine</subject><ispartof>Research in veterinary science, 2015-12, Vol.103, p.156-163</ispartof><rights>2015 Elsevier Ltd</rights><rights>Copyright © 2015 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Dec 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-c731a739911d5fce10e9225b315c895102c0acfd089b87409a5b7e11e7c21fb53</citedby><cites>FETCH-LOGICAL-c384t-c731a739911d5fce10e9225b315c895102c0acfd089b87409a5b7e11e7c21fb53</cites><orcidid>0000-0002-5294-1449 ; 0000-0002-5471-7547</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0034528815300722$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26679811$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knapp, Teja</creatorcontrib><creatorcontrib>Navalòn, Iolanda</creatorcontrib><creatorcontrib>Medda, Massimo</creatorcontrib><creatorcontrib>Pradelli, Danitza</creatorcontrib><creatorcontrib>Borgonovo, Simone</creatorcontrib><creatorcontrib>Crosta, Cristina</creatorcontrib><creatorcontrib>Bussadori, Claudio Maria</creatorcontrib><title>A multimodality imaging approach for guiding a modified endovascular coil embolization of a single intrahepatic portosystemic shunt in dogs</title><title>Research in veterinary science</title><addtitle>Res Vet Sci</addtitle><description>Intrahepatic portosystemic shunts (IHPSS) in dogs are aberrant vascular anomalies that connect the portal and the systemic venous vessels. In most of the patients, the surgical approach is unfavourable due to the difficulties in isolating the IHPSS, making the option of a percutaneous transvenous coil embolization (PTCE) one of the safer occlusive procedures. This study describes the treatment of eight dogs with a single IHPSS using a multimodality imaging approach to guide the modified PTCE procedure. This new technique results in a decrease of 71% of the time of the entire procedure with the reduction of 91% in the time required involved the IHPSS identification and in the fluoroscopy exposure time avoiding the need for iodinated contrast agents during the procedure. Moreover, the placement of the catheter before the caval stent ensures its greater stability, enhancing the procedural safety in the phase when the coils are released and avoiding the risk of their dislocation.
•MIA guides the modified PTCE of single intrahepatic portosystemic shunt in dogs.•Procedure was monitored by TEU and the spot use of the fluoroscopy.•TEU gave the qualitative blood flow analysis pre- and post-PTCE attenuation.•Modified PTCE reduced the fluoroscopy exposure time avoiding the contrast agent's use.•MIA enhanced the procedural safety in the coils release phase.</description><subject>Animals</subject><subject>Catheters</subject><subject>Coil embolization</subject><subject>Diagnostic imaging</subject><subject>Dog</subject><subject>Dog Diseases - surgery</subject><subject>Dogs</subject><subject>Embolization, Therapeutic - veterinary</subject><subject>Female</subject><subject>Intrahepatic portosystemic shunt</subject><subject>Male</subject><subject>Multimodal Imaging - methods</subject><subject>Multimodal Imaging - veterinary</subject><subject>Portal System - abnormalities</subject><subject>Portal System - surgery</subject><subject>Portal Vein - abnormalities</subject><subject>Portal Vein - surgery</subject><subject>Stents</subject><subject>Transesophageal ultrasonography</subject><subject>Veins & arteries</subject><subject>Veterinary medicine</subject><issn>0034-5288</issn><issn>1532-2661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EotvCC3BAlrhwSfA4cRJLXKoKKFKlXtqz5diTXa-SONjOSssr8NJ42cKBQ-XDyJ7v_-WZn5B3wEpg0Hzal-EQTckZiJLJkvHqBdmAqHjBmwZekg1jVV0I3nUX5DLGPWOsBmhfk4vcb2UHsCG_rum0jslN3urRpSN1k966eUv1sgSvzY4OPtDt6uyfR5o5Nzi0FGfrDzqaddSBGu9GilPvR_dTJ-dn6ocMx6wZkbo5Bb3DJXcMXXxIPh5jwinf4m6dUwao9dv4hrwa9Bjx7VO9Io9fvzzc3BZ399--31zfFabq6lSYtgLdVlICWDEYBIaSc9FXIEwnBTBumDaDZZ3su7ZmUou-RQBsDYehF9UV-Xj2zRP-WDEmNblocBz1jH6NClrB6roV0GT0w3_o3q9hzr87UVXDZT6Z4mfKBB9jwEEtIe8xHBUwdYpK7dUpKnWKSjGpclRZ9P7Jeu0ntP8kf7PJwOczgHkXB4dBReNwNmhdQJOU9e45_9_-K6dN</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Knapp, Teja</creator><creator>Navalòn, Iolanda</creator><creator>Medda, Massimo</creator><creator>Pradelli, Danitza</creator><creator>Borgonovo, Simone</creator><creator>Crosta, Cristina</creator><creator>Bussadori, Claudio Maria</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QG</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7T7</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5294-1449</orcidid><orcidid>https://orcid.org/0000-0002-5471-7547</orcidid></search><sort><creationdate>201512</creationdate><title>A multimodality imaging approach for guiding a modified endovascular coil embolization of a single intrahepatic portosystemic shunt in dogs</title><author>Knapp, Teja ; Navalòn, Iolanda ; Medda, Massimo ; Pradelli, Danitza ; Borgonovo, Simone ; Crosta, Cristina ; Bussadori, Claudio Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-c731a739911d5fce10e9225b315c895102c0acfd089b87409a5b7e11e7c21fb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Catheters</topic><topic>Coil embolization</topic><topic>Diagnostic imaging</topic><topic>Dog</topic><topic>Dog Diseases - surgery</topic><topic>Dogs</topic><topic>Embolization, Therapeutic - veterinary</topic><topic>Female</topic><topic>Intrahepatic portosystemic shunt</topic><topic>Male</topic><topic>Multimodal Imaging - methods</topic><topic>Multimodal Imaging - veterinary</topic><topic>Portal System - abnormalities</topic><topic>Portal System - surgery</topic><topic>Portal Vein - abnormalities</topic><topic>Portal Vein - surgery</topic><topic>Stents</topic><topic>Transesophageal ultrasonography</topic><topic>Veins & arteries</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knapp, Teja</creatorcontrib><creatorcontrib>Navalòn, Iolanda</creatorcontrib><creatorcontrib>Medda, Massimo</creatorcontrib><creatorcontrib>Pradelli, Danitza</creatorcontrib><creatorcontrib>Borgonovo, Simone</creatorcontrib><creatorcontrib>Crosta, Cristina</creatorcontrib><creatorcontrib>Bussadori, Claudio Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Animal Behavior Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Research in veterinary science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knapp, Teja</au><au>Navalòn, Iolanda</au><au>Medda, Massimo</au><au>Pradelli, Danitza</au><au>Borgonovo, Simone</au><au>Crosta, Cristina</au><au>Bussadori, Claudio Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A multimodality imaging approach for guiding a modified endovascular coil embolization of a single intrahepatic portosystemic shunt in dogs</atitle><jtitle>Research in veterinary science</jtitle><addtitle>Res Vet Sci</addtitle><date>2015-12</date><risdate>2015</risdate><volume>103</volume><spage>156</spage><epage>163</epage><pages>156-163</pages><issn>0034-5288</issn><eissn>1532-2661</eissn><abstract>Intrahepatic portosystemic shunts (IHPSS) in dogs are aberrant vascular anomalies that connect the portal and the systemic venous vessels. In most of the patients, the surgical approach is unfavourable due to the difficulties in isolating the IHPSS, making the option of a percutaneous transvenous coil embolization (PTCE) one of the safer occlusive procedures. This study describes the treatment of eight dogs with a single IHPSS using a multimodality imaging approach to guide the modified PTCE procedure. This new technique results in a decrease of 71% of the time of the entire procedure with the reduction of 91% in the time required involved the IHPSS identification and in the fluoroscopy exposure time avoiding the need for iodinated contrast agents during the procedure. Moreover, the placement of the catheter before the caval stent ensures its greater stability, enhancing the procedural safety in the phase when the coils are released and avoiding the risk of their dislocation.
•MIA guides the modified PTCE of single intrahepatic portosystemic shunt in dogs.•Procedure was monitored by TEU and the spot use of the fluoroscopy.•TEU gave the qualitative blood flow analysis pre- and post-PTCE attenuation.•Modified PTCE reduced the fluoroscopy exposure time avoiding the contrast agent's use.•MIA enhanced the procedural safety in the coils release phase.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>26679811</pmid><doi>10.1016/j.rvsc.2015.09.023</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5294-1449</orcidid><orcidid>https://orcid.org/0000-0002-5471-7547</orcidid></addata></record> |
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| ispartof | Research in veterinary science, 2015-12, Vol.103, p.156-163 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Animals Catheters Coil embolization Diagnostic imaging Dog Dog Diseases - surgery Dogs Embolization, Therapeutic - veterinary Female Intrahepatic portosystemic shunt Male Multimodal Imaging - methods Multimodal Imaging - veterinary Portal System - abnormalities Portal System - surgery Portal Vein - abnormalities Portal Vein - surgery Stents Transesophageal ultrasonography Veins & arteries Veterinary medicine |
| title | A multimodality imaging approach for guiding a modified endovascular coil embolization of a single intrahepatic portosystemic shunt in dogs |
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