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Peer-reviewed veterinary case report

Thrombosis of the aorta and the caudal arteries in the horse; additional diagnostics and a new surgical treatment.

Journal:
The veterinary quarterly
Year:
1996
Authors:
Brama, P A et al.
Affiliation:
Department of General and Large Animal Surgery · Netherlands
Species:
horse

Plain-English summary

Aortic-iliac thrombosis (TAI) is a serious condition in horses where blood clots form in the aorta and can lead to poor outcomes. However, some horses have shown recovery after being treated with sodium gluconate, a type of sugar solution. This study discusses new ways to check how well the affected leg is getting blood and a surgical method that uses a special catheter to remove the clots and restore blood flow. In the cases studied, one horse made a full recovery and was able to return to its normal activities, while the other horse showed improvement. Overall, the early results from this surgical approach for TAI in horses look promising.

Abstract

The prognosis of aortic-iliac thrombosis (TAI) is usually considered to be poor, although affected horses are reported to have recovered following treatment with sodium gluconate. This paper presents some diagnostic techniques to monitor the development of hypoxemia in the diseased limb and to visualise the extension of the thrombosis into the femoral artery. Also, a surgical technique using a Fogarty thrombectomy catheter for partial or total removal of thrombi to restore blood flow, is described. One horse recovered completely, allowing it to resume its former career, the other horse improved. The preliminary results of surgical interference in horses with TAI are promising.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/8933681/