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Peer-reviewed veterinary case report

Minimally invasive catheter treatment to close heart duct in dogs

By Nguyenba, T P & Tobias, A H·Published in Journal of veterinary internal medicine·2008·Veterinary Clinical Sciences Department, United States·View original on PubMed

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Original publication title: Minimally invasive per-catheter patent ductus arteriosus occlusion in dogs using a prototype duct occluder.

Species:
dog
Breathing & coughDogs

Plain-English summary

An 18-month-old mixed-breed dog was diagnosed with a patent ductus arteriosus (PDA), a heart condition where a blood vessel fails to close properly after birth. The dog underwent a minimally invasive procedure using a specially designed duct occluder, which successfully blocked the abnormal blood flow. While one dog needed a second device due to the first one moving out of place, overall, the treatment worked well, with most dogs showing complete closure of the PDA even a year later. This method is promising for dogs of different sizes and shapes with this condition.

People also search for: dog heart murmur treatment · patent ductus arteriosus in dogs · minimally invasive heart surgery for dogs

Abstract

BACKGROUND: Per-catheter patent ductus arteriosus (PDA) occlusion in dogs with devices intended for humans is associated with technical difficulties, high rates of procedure abandonment, device migration, and residual ductal flow. HYPOTHESIS: Use of a custom-made canine duct occluder (Amplatz Canine Duct Occluder, ACDO) would be feasible in dogs of varying weights and somatotypes and effective in occluding a wide range of PDA shapes and sizes. ANIMALS: Eighteen client-owned dogs of various breeds with PDA. Weights ranged from 3.8 to 32.3 kg (median, 17.8 kg), and angiographic minimal ductal diameters ranged from 1.1 to 6.9 mm (median, 3.7 mm). Ductal morphologies included types IIA, IIB, and III. METHODS: Per-catheter PDA occlusion with the ACDO was performed in all dogs. Persistent or recurrent ductal flow was assessed at the end of the procedure by angiography and at 1 day, 3 months, and >or=12 months after the procedure by echocardiography. RESULTS: Successful ACDO placement was achieved in all 18 dogs. One dog required a 2nd procedure with a larger ACDO after the 1st device migrated to the pulmonary vasculature. Complete occlusion was confirmed in 17 of 18 dogs during the procedure, as well as at 1 day and 3 months after the procedure, and in 12 of 13 dogs evaluated at >or=12 months after the procedure. CONCLUSIONS AND CLINICAL IMPORTANCE: Per-catheter PDA occlusion in dogs with the ACDO is feasible and effective in dogs of a wide range of weights and somatotypes and with PDAs of varying shapes and sizes.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/18289299/