Thoracoscopic pericardial window for management of pericardial effusion in 15 dogs

Atencia, Sabela; Doyle, Ronan S.; Whitley, Nat

doi:10.1111/jsap.12138

Cited by 29 publications

(38 citation statements)

References 24 publications

(54 reference statements)

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“…Furthermore, current literature lacks guidelines about the ideal size of such windows. Defects varying from 0.5–1×0.5–1 cm (Sumner-Smith and Archibald 1971), minimum 3×3 cm (Atencia and others 2013), 4×4 cm (Walsh and others 1999, Skinner and others 2014) and 6×6 cm (Crumbaker and others 2010) have been described, irrespective of the patient's size.…”

Section: Discussionmentioning

confidence: 99%

“…No incidences have been reported within veterinary literature, but in human medicine it is a well-recognised complication (Casalduero and others 2006, King and others 2009). Another reason for the persistent need of an alternative to thoracoscopic pericardiectomy is the limited availability of the equipment and lack of expertise (Atencia and others 2013, Tillson 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Pericardial effusion is an acute or chronic accumulation of fluid within the pericardial cavity that can lead to cardiac tamponade (Atencia and others 2013). Idiopathic pericardial effusion, trauma, septic pericarditis, coagulopathies, left atrial rupture and neoplasia have all been implicated as aetiologies for pericardial effusion (Stafford Johnson and others 2004, Monnet 2012, Atencia and others 2013, Case and others 2013, Skinner and others 2014).…”

mentioning

confidence: 99%

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Transdiaphragmatic pericardiectomy in dogs

et al. 2017

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In patients with recurrent pericardial effusions, pericardiectomy is indicated. The purpose of this study was to describe a transdiaphragmatic approach for subtotal pericardiectomy in dogs and to evaluate its feasibility. In total, 20 canine cadavers weighing less than 10 kg (group S) and 20 weighing more than 20 kg (group L) were used. Within each group, half underwent a subphrenic pericardiectomy via an intercostal approach and half via a transdiaphragmatic approach. For each approach and within each weight group, the percentage of resected pericardium was calculated and compared. Additionally, a case series of nine consecutive client-owned dogs that underwent a transdiaphragmatic pericardiectomy for pericardial effusion was reported. Exposure of pericardium and associated phrenic nerves was excellent in cadavers and clinical patients. In group S, the percentage of resected pericardium was not significantly different between the two approaches. In group L, on the other hand, the percentage of resected pericardium was lower with the transdiaphragmatic approach compared with the intercostal approach (P=0.001). In the clinical patients, no intraoperative complications were encountered and no recurrence of pericardial effusion was seen. Subtotal pericardiectomy via a transdiaphragmatic approach is straightforward and a safe surgical procedure to obtain permanent pericardial drainage in small and large breed dogs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Transdiaphragmatic pericardiectomy in dogs

et al. 2017

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“…6-38A-C). The incidence of pericarditis without an identifiable cause (idiopathic) varies between 19% and 67% (Berg and Wingfield, 1984;Sisson et al, 1984;Kerstetter et al, 1997;Atencia et al, 2013). The incidence of pericarditis without an identifiable cause (idiopathic) varies between 19% and 67% (Berg and Wingfield, 1984;Sisson et al, 1984;Kerstetter et al, 1997;Atencia et al, 2013).…”

Section: Caninementioning

confidence: 99%

Body Cavity Fluids

Thompson¹,

Rebar²

2016

Canine and Feline Cytology

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“…Different techniques have been described for long‐term relief of cardiac tamponade and include both minimally invasive and open approaches to remove varying amounts of the pericardium . Reports have been published describing subxiphoid thoracoscopic pericardiectomies performed with instrument ports on both the left and the right side of the dog . Single side port placements are referenced as an alternative in 2 relevant textbooks .…”

Section: Introductionmentioning

confidence: 99%

Outcomes of dogs with recurrent idiopathic pericardial effusion treated with a 3‐port right‐sided thoracoscopic subtotal pericardiectomy

Michelotti¹,

Youk²,

Payne³

et al. 2019

Veterinary Surgery

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Objective: To describe a 3-port right-sided thoracoscopic subtotal pericardiectomy (TSP) to treat dogs with recurrent idiopathic pericardial effusion (RIPE) and report their long-term survival. Study design: Retrospective case series. Animals: Sixteen client-owned dogs.Methods: Medical records were searched for dogs with idiopathic pericardial effusion that recurred after 1 or more pericardiocenteses and treated with a 3-port rightsided technique (1 subxiphoid camera port and 2 instrument ports on the right side of the dog). Follow-up consisted of direct examination or communication with referring veterinarians or owners. Results: Thoracoscopic subtotal pericardiectomy was successfully completed in all dogs, with no surgical complications. The median duration of postoperative follow-up was 191.5 days (range, 5-1345). The median survival time (MST) after surgery was 365 days (range, 5-1345); MST of dogs with a histopathological diagnosis of neoplasia (n = 4) was 76 days, whereas dogs with no evidence of neoplasia had an MST of 367 days (n = 12, P = .14). Recurrent pleural effusion was the ultimate cause of death or reason for euthanasia in 8 of 16 dogs. Conclusion: The technique described here resulted in similar surgical times and outcomes for dogs undergoing TSP for RIPE compared with previous studies. Neoplasia was identified in 4 of 16 dogs. Clinical significance: Thoracoscopic subtotal pericardiectomy can be readily performed with only 2 instrument ports, both on the same side of the dog, and without 1-lung ventilation. Recurrent pleural effusion led to the death of half of the dogs in this series.

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Thoracoscopic pericardial window for management of pericardial effusion in 15 dogs

Abstract: Thoracoscopic pericardial window is of low morbidity with short surgery and hospitalisation times. It provides good long-term control of idiopathic pericardial effusion but short-term palliation of clinical signs in dogs with neoplastic disease.

Cited by 29 publications

References 24 publications

Transdiaphragmatic pericardiectomy in dogs

Transdiaphragmatic pericardiectomy in dogs

Body Cavity Fluids

Outcomes of dogs with recurrent idiopathic pericardial effusion treated with a 3‐port right‐sided thoracoscopic subtotal pericardiectomy

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