Retrospective Comparison of Surgical Ligation and Transarterial Catheter Occlusion for Treatment of Patent Ductus Arteriosus in Two Hundred and Four Dogs (1993–2003)

Goodrich, K. R.; Kyles, Andrew E.; Kass, Phillip H.; Campbell, Fiona

doi:10.1111/j.1532-950x.2007.00233.x

Cited by 46 publications

(72 citation statements)

References 26 publications

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“…In other studies, survival was not affected by age >12 months at diagnosis, age >24 months at diagnosis, baseline FS ≤30%, weight, or the presence of residual flow at discharge 5, 18, 25. Dogs with clinical signs of heart failure have had variable outcomes reported including no effect on survival to more likely to have an unsuccessful ligation procedure and die perioperatively 18, 25. Likewise, the presence of MR at baseline evaluation has been associated with variable outcomes including no effect or a questionable effect on survival that did not reach significance in statistical analysis 5, 18.…”

Section: Discussionmentioning

confidence: 79%

“…Long‐term survival was negatively affected by age, weight, lethargy, preoperative treatment with angiotensin‐converting enzyme inhibitors, and right atrial enlargement on thoracic radiographs in a univariate analysis of 52 dogs 18. In other studies, survival was not affected by age >12 months at diagnosis, age >24 months at diagnosis, baseline FS ≤30%, weight, or the presence of residual flow at discharge 5, 18, 25. Dogs with clinical signs of heart failure have had variable outcomes reported including no effect on survival to more likely to have an unsuccessful ligation procedure and die perioperatively 18, 25.…”

Section: Discussionmentioning

confidence: 88%

“…Breeds in this study were similar to previous reports, although Bichon Frise was the most common breed, which was likely related to the authors' relationship with a rescue organization. Chihuahuas represented the third most common breed and although they are a recognized breed at risk for PDA,23, 24 they have not been previously listed in the most common breeds affected 6, 18, 19, 20, 25…”

Section: Discussionmentioning

confidence: 99%

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Long‐Term Outcome in Dogs with Patent Ductus Arteriosus: 520 Cases (1994–2009)

Saunders

Gordon

Boggess

et al. 2013

Veterinary Internal Medicne

111

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BackgroundPublished information regarding survival and long‐term cardiac remodeling after patent ductus arteriosus (PDA) closure in dogs is limited.ObjectivesTo report outcome and identify prognostic variables in dogs with PDA, and to identify risk factors for persistent remodeling in dogs with a minimum of 12 months of follow‐up after closure.AnimalsFive hundred and twenty client‐owned dogs.MethodsRetrospective review of medical records of 520 dogs with PDA. Outcome was determined by contacting owners and veterinarians. Dogs with PDA closure and ≥ 12 months of follow‐up were asked to return for a re‐evaluation.ResultsIn multivariable analysis of 506 dogs not euthanized at the time of diagnosis, not having a PDA closure procedure negatively affected survival (HzR = 16.9, P < .001). In 444 dogs undergoing successful PDA closure, clinical signs at presentation (HzR = 17, P = .02), concurrent congenital heart disease (HD) (HzR = 4.8, P = .038), and severe mitral regurgitation (MR) documented within 24 hours of closure (HzR = 4.5, P = .028) negatively affected survival. Seventy‐one dogs with ≥ 12 months follow‐up demonstrated a significant reduction in radiographic and echocardiographic measures of heart size (P = 0) and increased incidence of acquired HD (P = .001) at re‐evaluation. Dogs with increased left ventricular size and low fractional shortening at baseline were more likely to have persistent remodeling at re‐evaluation.Conclusions and Clinical ImportancePatent ductus arteriosus closure confers important survival benefits and results in long‐term reverse remodeling in most dogs. Clinical signs at presentation, concurrent congenital HD, and severe MR negatively affect survival. Increased left ventricular systolic dimensions and systolic dysfunction at baseline correlated significantly with persistent remodeling.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long‐Term Outcome in Dogs with Patent Ductus Arteriosus: 520 Cases (1994–2009)

Saunders

Gordon

Boggess

et al. 2013

Veterinary Internal Medicne

111

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“…In PDA with left-to-right shunting, a previous study showed that survival time was significantly longer in corrected dogs than in non-corrected dogs [31]. However, there was a insignificant difference in mortality between surgical ligation and transarterial coil occlusion in dogs with PDA [6,14]. Thus, surgical correction should be recommended as a radical treatment for PDA including surgical ligation, coil occlusion and an Amplatzer vascular plug [1,6,7,14,27].…”

Section: Discussionmentioning

confidence: 99%

“…In dogs with left-to-right shunting PDA, a previous study showed that survival time was significantly longer in corrected dogs than in non-corrected dogs [31]. Thus, correction of PDA including surgical ligation or transarterial coil occlusion should be recommended as early as possible after diagnosis [6,14].…”

mentioning

confidence: 99%

Therapeutic Changes of Plasma N-Terminal Pro-Brain Natriuretic Peptide Concentrations in 9 Dogs with Patent Ductus Arteriosus

Aramaki

Chimura

Hori

et al. 2011

The Journal of Veterinary Medical Science

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ABSTRACT. The plasma N-terminal proBNP (NT-proBNP) concentration is measured for determining the diagnosis and severity of heart failure in dogs. However, it is still unclear whether measurements of circulating NT-proBNP levels provide clinical utility as an indicator of therapeutic efficacy. Thus, we investigated the surgical correction-related changes of plasma NT-proBNP concentrations in 9 dogs with patent ductus arteriosus (PDA). Physical examination, thoracic radiography and echocardiography were conducted both before and after surgery. Similarly, the plasma NT-proBNP concentrations were determined using an enzyme immunoassay for canine pro-BNP. The International Small Animal Cardiac Health Council (ISACHC) class and murmur grade were significantly improved after surgery compared with before surgery. Vertebral heart size (VHS) and cardiothoracic ratio (CTR) were significantly decreased after surgery. Fractional shortening was significantly decreased and relative wall thickness (RWT) was significantly increased after surgery. Furthermore, the plasma NT-proBNP concentrations were significantly decreased by surgical correction. The plasma NT-proBNP concentration showed significant positive correlation with the ISACHC class, murmur grade, VHS and CTR and significant negative correlation with the RWT. Therefore, measurement of plasma NT-proBNP levels can be used to monitor the effectiveness of therapies such as surgical correction of PDA.

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Patent Ductus Arteriosus

Orton¹

2017

Small Animal Thoracic Surgery

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Retrospective Comparison of Surgical Ligation and Transarterial Catheter Occlusion for Treatment of Patent Ductus Arteriosus in Two Hundred and Four Dogs (1993–2003)

Abstract: 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.

Cited by 46 publications

References 26 publications

Long‐Term Outcome in Dogs with Patent Ductus Arteriosus: 520 Cases (1994–2009)

Long‐Term Outcome in Dogs with Patent Ductus Arteriosus: 520 Cases (1994–2009)

Therapeutic Changes of Plasma N-Terminal Pro-Brain Natriuretic Peptide Concentrations in 9 Dogs with Patent Ductus Arteriosus

Patent Ductus Arteriosus

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