Peer-reviewed veterinary case report
Comparing surgery and catheter treatment for patent ductus arteriosus
By Goodrich, Kimberly R et al.·Published in Veterinary surgery : VS·2007·Veterinary Medical Teaching Hospital, United States·View original on PubMed →
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Original publication title: Retrospective comparison of surgical ligation and transarterial catheter occlusion for treatment of patent ductus arteriosus in two hundred and four dogs (1993-2003).
- Species:
- dog
Plain-English summary
A group of 204 dogs with a heart condition called patent ductus arteriosus (PDA) underwent two different treatments: surgical ligation (SL) or transarterial coil occlusion (TCO). While both methods were effective, SL had a higher initial success rate of 94% compared to 84% for TCO, but it also came with a greater risk of major complications (12% for SL versus 4.3% for TCO). On the other hand, TCO had more minor complications (26% compared to 12% for SL). Overall, both treatments had similar mortality rates, making them both viable options for treating PDA in dogs.
People also search for: dog patent ductus arteriosus treatment · surgical ligation for PDA in dogs · transarterial coil occlusion for dogs
Abstract
OBJECTIVE: To compare procedure time, complications, mortality, and short-term outcome in dogs with patent ductus arteriosus (PDA) treated by surgical ligation (SL) or transarterial coil occlusion (TCO). STUDY DESIGN: Retrospective study. ANIMALS: Dogs with PDA (n=204). METHODS: Medical records of dogs treated for PDA were reviewed. Dogs treated by SL when it was the primary method used for PDA treatment (1993-1998) were compared with dogs treated by TCO when it was the primary method used for PDA treatment (1999-2003). Dogs treated during the transition between techniques, dogs treated with SL (1999-2003) and dogs treated with TCO before 1999, as well as dogs with pulmonary hypertension, or bidirectional or reversed (right-to-left) flow through the PDA were excluded from analysis. RESULTS: Age, weight, gender distribution, and procedure times (P=.43) were similar for both groups. Major complications were more common with SL (12% versus 4.3%; P=.035) whereas minor complications were more common with TCO (12% versus 26%; P=.015). Initial success rate was higher for SL (94%) compared with TCO (84%; P=.027). There was no significant difference in mortality between SL (5.6%) and TCO (2.6%; P=.27). CONCLUSIONS: Both SL and TCO are acceptable PDA treatments with comparable mortality; however, SL was associated with a higher risk of major complications and TCO was associated with a lower initial success rate.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17214819/