Title: 2016 ACVIM Forum Research Abstract Program Document date: 2016_5_31
ID: 2y1y8jpx_429
Snippet: Matthias Schneider, Andreas Stosic, Stephan Bayer. Small Animal Clinic, Giessen, Germany Surgical treatment of intrahepatic portosystemic shunts (iPSS) is challenging. Frequently, multiple interventions are needed to avoid portal hypertension and to achieve a complete closure. Complications seen in catheter-assisted embolization with commercial coils include coil migration, portal hypertension (rapid thrombotic occlusion), and incomplete occlusio.....
Document: Matthias Schneider, Andreas Stosic, Stephan Bayer. Small Animal Clinic, Giessen, Germany Surgical treatment of intrahepatic portosystemic shunts (iPSS) is challenging. Frequently, multiple interventions are needed to avoid portal hypertension and to achieve a complete closure. Complications seen in catheter-assisted embolization with commercial coils include coil migration, portal hypertension (rapid thrombotic occlusion), and incomplete occlusion. Attenuation of hepatic vein by means of stent-supported coil embolization may lead to the development of intrahepatic venous collaterals. In the present study we postulated that implantation of a single prototype coil combined with immediate unfractionated heparin therapy (UHT) is an effective treatment for iPSS in dogs and has fewer complications than reported with open surgery.
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