Glenn, O, Tomlinson, A, Pinchbeck, G 
ORCID: 0000-0002-5671-8623 and Burrow, R
(2022)
Short- and long-term outcomes of polyethylene band attenuation of congenital extrahepatic portosystemic shunts in dogs: 60 cases (2010-2020).
JOURNAL OF SMALL ANIMAL PRACTICE, 63 (12).
pp. 882-889.
Abstract
<h4>Objectives</h4>To report the short- and long-term outcomes following attenuation of congenital extrahepatic portosystemic shunts in dogs using a novel polyethylene band.<h4>Materials and methods</h4>Records were retrospectively reviewed for dogs that underwent congenital extrahepatic portosystemic shunt attenuation by a polyethylene banding technique, at a single institution between 2010 and 2020. Short-term outcome data were collected from peri-operative clinical records with follow-up examinations, scheduled at 6 and 18 weeks post-operatively, and post-operative imaging when performed. Long-term follow-up was collected by validated owner questionnaire, telephone interview or medical records. Long-term outcomes were categorised by "excellent", "good" or "poor".<h4>Results</h4>Sixty dogs were included. Post-operative complications occurred in 10 of 60 dogs (16.7%), four major and six minor, with a peri-operative mortality of 6.7%. Persistent shunting was identified in nine of 53 dogs (17%) available for follow-up examination and four dogs underwent a revision surgery. Long-term follow-up was available for 44 dogs at a median of 75 months post-operatively (range 7 to 128). Long-term outcomes were "excellent" (26) or "good" (8) in 81.8% of dogs and "poor" (8) in 18.2%. At the time of follow-up, 30 of 44 (68.2%) dogs were not receiving any medical treatment and 27 of 28 (96.4%) questionnaire respondents were satisfied with the response to surgery.<h4>Clinical significance</h4>Polyethylene band attenuation of congenital extrahepatic portosystemic shunts provides comparable outcomes to cellophane. The material used in this study is widely available and consistent while being pre-sterilised and pre-folded makes it easy to use.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Portal System, Animals, Dogs, Dog Diseases, Polyethylene, Treatment Outcome, Portasystemic Shunt, Transjugular Intrahepatic, Retrospective Studies, Vascular Malformations |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 31 Jan 2023 11:19 |
| Last Modified: | 31 Jan 2023 11:19 |
| DOI: | 10.1111/jsap.13552 |
| Open Access URL: | https://doi.org/10.1111/jsap.13552 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3168009 |
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