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Vet Surg. 2007 Jan;36(1):21-30.

Surgical management of left-divisional intrahepatic portosystemic shunts: outcome after partial ligation of, or ameroid ring constrictor placement on, the left hepatic vein in twenty-eight dogs (1995-2005).

Author information

  • 1Department of Surgical and Radiological Sciences, the Veterinary Medical Teaching Hospital, University of California-Davis, Davis, CA 95616, USA. mmehl@ucdavis.edu

Abstract

OBJECTIVES:

To evaluate outcome in dogs with left divisional intrahepatic portosystemic shunts (PSS) treated by partial ligation (PL) or ameroid ring constrictor (ARC) placement on the left hepatic vein.

DESIGN:

Retrospective study.

ANIMALS:

Dogs (n=28) with left divisional intrahepatic PSS.

METHODS:

Retrieved data from medical records of dogs with left divisional intrahepatic PSS that had PL (n=17) or ARC (n=11) were signalment, history, clinical signs, preoperative blood work, portal pressure measurements, ARC size, complications and postoperative technetium scintigraphy. Outcome assessed by owner interview 6 months-10 years after surgery was classified as excellent, good or poor. Differences were tested by exact chi2 test.

RESULTS:

Major complications occurred in 3 dogs: coagulopathy (1 PL dog died), ascites (1 PL dog survived) and seizures (1 ARC dog died). Eight PL dogs had technetium portal scintigraphy; 1 dog was negative and 7 dogs positive for persistent shunting. Seven ARC dogs had scintigraphy; 4 dogs were negative and 3 positive for persistent shunting. In PL dogs, long-term clinical outcome was excellent (92%) or good (8%) whereas, in ARC dogs it was excellent (20%), good (50%) or poor (30%). This outcome difference between treatment groups was significant (P=.0012).

CONCLUSION:

Dogs treated by PL had significantly better long-term outcome compared with ARC treated dogs.

CLINICAL RELEVANCE:

Based on these data, ARC placement on the left hepatic vein in dogs with left-divisional intrahepatic PSS cannot be recommended.

PMID:
17214816
[PubMed - indexed for MEDLINE]
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