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Topic:Equine Health

Equine health encompasses the study and management of diseases, disorders, and overall well-being of horses. It involves understanding various physiological systems, preventive care, and treatment strategies to maintain optimal health in equine populations. Common areas of focus include nutrition, infectious diseases, orthopedic conditions, and reproductive health. Research in equine health aims to advance knowledge on diagnostic methods, therapeutic interventions, and management practices that improve horse welfare and performance. This page collects peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine health, offering insights into current findings and advancements in the field.
Genetic inbreeding depression load for fertility traits in Pura Raza Española mares.
Journal of animal science    November 1, 2021   Volume 99, Issue 12 skab316 doi: 10.1093/jas/skab316
Perdomo-González DI, Molina A, Sánchez-Guerrero MJ, Bartolomé E, Varona L, Valera M.Fertility is a key factor in the economic success of horse farms. However, it has received little attention due to the difficulty of measuring fertility objectively. Since its studbook creation (1912), the Pura Raza Española (PRE) breed has been a closed population and become high in-bred resulting in inbreeding depression (poor phenotypic values). Nevertheless, heterogeneous effects of inbreeding depression have been detected among founders and nonfounders. The aims of this study were (1) to analyze the genetic parameters for reproductive traits in mares of the PRE horse breed and (2) to est...
Occupational vs. non-occupational equestrians: Differences in demographics and injury patterns.
Injury    November 1, 2021   Volume 53, Issue 1 171-175 doi: 10.1016/j.injury.2021.10.033
Samuels K, Bettis A, Davenport DL, Bernard AC.Nineteen million people participate in horseback riding activities in the US, and the horse industry employs more than 460,000 full-time workers. Emergency department data suggest young female amateurs and male professionals are most at risk of death from horse-related injuries. However, there has been no investigation into factors that may increase severe injury and mortality risk in these populations. This study investigates demographics and injury pattern differences between occupational and non-occupational horse-related injuries in the US. Methods: The 2017 American College of Surgeons Na...
Comparison of image quality of corneal and retinal optical coherence tomography using sedation and general anesthesia protocols with or without retrobulbar anesthesia in horses.
American journal of veterinary research    November 1, 2021   Volume 83, Issue 1 72-79 doi: 10.2460/ajvr.21.02.0029
Hefner EM, Lin HC, Cole RC, Moore PA, McMullen RJ.To compare image quality and acquisition time of corneal and retinal spectral domain optical coherence tomography (SD-OCT) under 3 different sedation-anesthesia conditions in horses. Methods: 6 middle-aged geldings free of ocular disease. Methods: 1 randomly selected eye of each horse was evaluated via SD-OCT under the following 3 conditions: standing sedation without retrobulbar anesthetic block (RB), standing sedation with RB, and general anesthesia with RB. Five regions of interest were evaluated in the cornea (axial and 12, 3, 6, and 9 o'clock positions) and fundus (optic nerve head). Thre...
Corrigendum: Evidence in Practice – a Pilot Study Leveraging Companion Animal and Equine Health Data From Primary Care Veterinary Clinics in New Zealand.
Frontiers in veterinary science    November 1, 2021   Volume 8 789718 doi: 10.3389/fvets.2021.789718
Muellner P, Muellner U, Gates MC, Pearce T, Ahlstrom C, O'Neill D, Brodbelt D, Cave NJ.[This corrects the article DOI: 10.3389/fvets.2016.00116.].
Gross, computed tomographic, and endoscopic anatomy of the equine carpal extensor tendon sheaths.
Veterinary surgery : VS    November 1, 2021   Volume 51, Issue 1 202-213 doi: 10.1111/vsu.13743
Baldwin CM, Morgan RE, Crawford AL, Villarino NF, Rubio-Martínez LM.(1) To describe the computed tomography (CT) and gross anatomy of the equine extensor carpi radialis sheath (ECRS) and common digital extensor sheath (CDETS); (2) to describe a single-portal endoscopic examination of the ECRS and CDETS. Methods: Ex vivo experimental. Methods: Thirty clinically normal cadaver thoracic equine limbs severed at the humeral diaphysis. Methods: Ten limbs underwent plain and intrathecal contrast CT examinations and gross dissection of the ECRS and CDETS. Single-portal endoscopic examination of ECRS and CDETS was attempted in 4 limbs and endoscopic examination was per...
Effect of omeprazole and sucralfate on gastrointestinal injury in a fasting/NSAID model.
Equine veterinary journal    October 31, 2021   doi: 10.1111/evj.13534
Bishop RC, Kemper AM, Wilkins PA, McCoy AM.Equine gastric ulcer syndrome (EGUS) is a common and significant cause of morbidity in horses, with a range of clinical signs, including inappetence, colic and poor performance. Hospitalised horses are exposed to factors that may induce EGUS, including fasting and nonsteroidal anti-inflammatory drug (NSAID) administration, and may be at risk for development of squamous (ESGD) and glandular gastric disease (EGGD). Prophylactic anti-ulcer medication is often prescribed for these patients, but drug selection is complicated by different aetiology and response to treatment of ESGD and EGGD. Objecti...
Rapid Detection of Equine Piroplasms Using Multiplex PCR and First Genetic Characterization of Theileria haneyi in Egypt.
Pathogens (Basel, Switzerland)    October 31, 2021   Volume 10, Issue 11 1414 doi: 10.3390/pathogens10111414
Elsawy BSM, Nassar AM, Alzan HF, Bhoora RV, Ozubek S, Mahmoud MS, Kandil OM, Mahdy OA.Equine Piroplasmosis (EP) is an infectious disease caused by the hemoprotozoan parasites , , and the recently identified species . Hereby, we used a multiplex PCR (mPCR) targeting the 18S rRNA gene of and for the simultaneous detection of EP in Egyptian equids and examined the presence of infections in Egypt. Blood samples from 155 equids (79 horses and 76 donkeys) collected from different governorates of Egypt were examined by mPCR and PCR targeting . The mPCR method revealed a prevalence of of 20.3% in horses and of 13.1% in donkeys and a prevalence of . of 1.2% in horses. . was not de...
Mare’s Milk: Composition, Properties, and Application in Medicine.
Archives of Razi Institute    October 31, 2021   Volume 76, Issue 4 1125-1135 doi: 10.22092/ari.2021.355834.1725
Musaev A, Sadykova S, Anambayeva A, Saizhanova M, Balkanay G, Kolbaev M.Mare's milk is a highly valuable organic substance that has a great potential to replace cow's milk. Consumption of cow's milk causes digestive disorders in some individuals. Immunoglobulin E (IgE)-mediated cow's milk allergy (CMA) is one of the most common food allergies among infants. Therefore, finding a protein substitute with the same nutritional value is a priority. Mare's milk can be a good substitute for cow's milk, especially for those suffering from CMA. Prerequisites for this study were the recent interest in mare's milk, as an ancient relic of the Turkic peoples which contains lots...
A Questionnaire Study on the Use of Complementary and Alternative Veterinary Medicine for Horses in Sweden.
Animals : an open access journal from MDPI    October 30, 2021   Volume 11, Issue 11 doi: 10.3390/ani11113113
Gilberg K, Bergh A, Sternberg-Lewerin S.Complementary or alternative veterinary medicine (CAVM) includes treatment methods with limited scientific evidence. Swedish veterinarians are legally obliged to base treatments and recommendations on science or well-documented experience, but most CAVM methods are not well documented in animals. The aim of this study was to explore the use of CAVM in Swedish horses. Electronic questionnaires were distributed to horse owners, equine veterinary practitioners and CAVM therapists. Of the 204 responding horse owners, 83% contacted a veterinarian first in case of lameness, while 15% contacted a CAV...
The facultative human oral pathogen Prevotella histicola in equine cheek tooth apical/ periapical infection: a case report.
BMC veterinary research    October 30, 2021   Volume 17, Issue 1 343 doi: 10.1186/s12917-021-03048-9
Kau S, Mansfeld MD, Šoba A, Zwick T, Staszyk C.Prevotella histicola is a facultative oral pathogen that under certain conditions causes pathologies such as caries and periodontitis in humans. Prevotella spp. also colonize the oral cavity of horses and can cause disease, but P. histicola has not yet been identified. Methods: A 12-year-old Tinker mare was referred to the clinic for persistent, malodorous purulent nasal discharge and quidding. Conservative antibiotic (penicillin), antiphlogistic (meloxicam), and mucolytic (dembrexine-hydrochloride) treatment prior to referral was unsuccessful and symptoms worsened. Oral examination, radiograp...
Comparative tribology II-Measurable biphasic tissue properties have predictable impacts on cartilage rehydration and lubricity.
Acta biomaterialia    October 30, 2021   Volume 138 375-389 doi: 10.1016/j.actbio.2021.10.049
Kupratis ME, Gure AE, Benson JM, Ortved KF, Burris DL, Price C.Healthy articular cartilage supports load bearing and frictional properties unmatched among biological tissues and man-made bearing materials. Balancing fluid exudation and recovery under loaded and articulated conditions is essential to the tissue's biological and mechanical longevity. Our prior tribological investigations, which leveraged the convergent stationary contact area (cSCA) configuration, revealed that sliding alone can modulate cartilage interstitial fluid pressurization and the recovery and maintenance of lubrication under load through a mechanism termed 'tribological rehydration...
Preliminary study of the contraceptive effect of a self-assembling intrauterine device (iUPODs) in mares maintained in a paddock with a fertile stallion.
Animal reproduction science    October 30, 2021   Volume 235 106881 doi: 10.1016/j.anireprosci.2021.106881
Hoopes KH, Gradil CM, Vanderwall DK, Mason HM, Sarnecky BA, Davies CJ.There is an urgent need for practical methods of population control (i.e., contraception and/or sterilization) for free-roaming (i.e., "wild" or "feral") horses and burros on Western Public Lands in the United States. The objective of this study was to evaluate the contraceptive efficacy of a novel self-assembling three-part polymer-coated magnetic intrauterine device termed as an intrauterine POD (self-assembling; iUPOD) when there are natural breeding conditions when iUPOD use was managed by veterinary professionals with no prior experience with the device. Six mares were administered an iUP...
Lateral alveolar ridge augmentation using an equine-derived collagen-containing bone block: A prospective case series.
Clinical oral implants research    October 30, 2021   Volume 33, Issue 2 142-149 doi: 10.1111/clr.13873
Parvini P, Mihatovic I, Sahin D, Becker J, Schwarz F.To assess the clinical performance of an equine-derived collagen-containing bone block (CXBB) for lateral alveolar ridge augmentation and staged implant placement. Methods: A total of n = 16 patients (16 implants) had received a modified surgical protocol for lateral ridge augmentation using a size-adapted rigidly fixed CXBB and contour augmentation. After 26 weeks of submerged healing, the primary endpoint was defined as the final ridge width (RW26) sufficient to place an adequately dimensioned titanium implant at the respective sites. Secondary outcomes included the gain in ridge width (R...
LC-HRMS/MS study of the prodrug ciclesonide and its active metabolite desisobutyryl-ciclesonide in plasma after an inhalative administration to horses for doping control purposes.
Drug testing and analysis    October 30, 2021   Volume 14, Issue 2 252-261 doi: 10.1002/dta.3174
Trevisiol S, Moulard Y, Kaabia Z, Delcourt V, Loup B, Garcia P, Boyer S, Dauriac K, Groseille G, Rouger S, Narbe R, Popot MA, Bailly-Chouriberry L.Ciclesonide (CIC) is the first inhaled highly potent corticosteroid that does not cause any cortisol suppression. It has been developed for the treatment of asthma in human and more recently in equine. CIC is the active compound of Aservo® EquiHaler® (Boehringer Ingelheim Vetmedica GmbH), the pre-filled inhaler generating a medicated mist based on Soft Mist™ technology. This prodrug is rapidly converted to desisobutyryl-ciclesonide (des-CIC), the main pharmacologically active compound. Due to its anti-inflammatory properties, CIC is prohibited for use in horse competitions. To set up an ap...
The Impact of N-Acetyl Cysteine and Coenzyme Q10 Supplementation on Skeletal Muscle Antioxidants and Proteome in Fit Thoroughbred Horses.
Antioxidants (Basel, Switzerland)    October 30, 2021   Volume 10, Issue 11 1739 doi: 10.3390/antiox10111739
Henry ML, Velez-Irizarry D, Pagan JD, Sordillo L, Gandy J, Valberg SJ.Horses have one of the highest skeletal muscle oxidative capacities amongst mammals, which, combined with a high glycolytic capacity, could perturb redox status during maximal exercise. We determined the effect of 30 d of oral coenzyme Q10 and N-acetyl-cysteine supplementation (NACQ) on muscle glutathione (GSH), cysteine, ROS, and coenzyme Q10 concentrations, and the muscle proteome, in seven maximally exercising Thoroughbred horses using a placebo and randomized cross-over design. Gluteal muscle biopsies were obtained the day before and 1 h after maximal exercise. Concentrations of GSH, cyste...
Animal Model of Video-Assisted Cecum and Ileum Instrumentation for Equine Visceral Pain Study.
Journal of equine veterinary science    October 29, 2021   Volume 108 103799 doi: 10.1016/j.jevs.2021.103799
Monteiro FDO, Borges LPB, Cardoso TDS, Teixeira PPM, Filho DZ, Sartori VC, Pereira RN, Flores FN, Coelho CMM, Silva MAM, Valadão CAA.This study aimed to describe an animal model for studying equine visceral pain using minimally invasive and video-assisted cecum and ileum instrumentation. The access to the cecum and ileum was affected because of a previous typhlostomy. For video-assisted distention of the cecum and ileum, a distention device, which we developed using an endotracheal Rusch probe, was used, adapted, and coupled to a cuffometer to inflate and measure the pressure of the cuff attached to its distal portion. In a video-assisted manner, the distal portion of the device was introduced into the cecum and ileum, whic...
Systematic Analysis of Breed, Methodological, and Geographical Impact on Equine Sperm Progressive Motility.
Animals : an open access journal from MDPI    October 29, 2021   Volume 11, Issue 11 3088 doi: 10.3390/ani11113088
Perrett J, Harris IT, Maddock C, Farnworth M, Pyatt AZ, Sumner RN.Over the past five decades, there has been increasing evidence to indicate global declines in human semen quality. Parallel adverse trends measured in male animals indicate a potential environmental aetiology. This study evaluated the progressive motility (PM) of stallion ejaculate through a systematic review and meta-analysis. A total of 696 estimates of equine PM from 280 studies, which collected semen samples between the years 1990 and 2018, were collated for meta-analysis. The method of motility analysis, breed, season of collection, and geographical location were extracted. Simple linear ...
Use Low Ozone Dosages has Positive Effects on the Cooling and Cryopreservation of Equine Semen.
Journal of equine veterinary science    October 29, 2021   Volume 108 103800 doi: 10.1016/j.jevs.2021.103800
Pereira RR, Nogueira BG, Milan B, Acacio BR, Freitas-Dell'Aqua CP, Souza MI, Sampaio BF.The aim of this study was to determine an ozone dosage capable of inducing pro-oxidation, and to verify its action on sperm cells during the process of cooling and cryopreservation of equine semen. In this study, we evaluated the ozone concentrations of 2µg/mL,15µg/mL, 30µg/mL e 60 µg/mL added in equine semen cooling and freezing extenders. Samples were evaluated for sperm kinetics patterns, function of sperm structures and lipid peroxidation. In the experiment, the concentration of 15 µg/mL showed higher total and progressive motility when comparing to control (60.3±3 and 40.7±3.4 vs. ...
Diffusion of dye after perineural injection of the palmar/plantar nerves in two different sites in horses: an ex-vivo study.
Veterinary research communications    October 29, 2021   Volume 46, Issue 1 283-288 doi: 10.1007/s11259-021-09856-6
de Souza AF, Pascual CJ, Maia BT, do Valle De Zoppa AL.This study aimed to evaluate the distribution of dye at two perineural injection sites of the palmar/plantar nerves and describe their anatomical variations of positioning at the level of the distal metacarpus/metatarsus in horses. Two ml of 1% methylene blue solution was injected in 24 limbs (12 forelimbs and 12 hindlimbs) of horse cadavers at two different points: Group 1: between the branch of the suspensory ligament and deep digital flexor tendon, and Group 2: between the deep and superficial digital flexor tendons. This was followed by dissection and evaluation of the solution diffusion. ...
Evidence from a Series of 104 Equine Sarcoids Suggests That Most Sarcoids in New Zealand Are Caused by Bovine Papillomavirus Type 2, although Both BPV1 and BPV2 DNA Are Detectable in around 10% of Sarcoids.
Animals : an open access journal from MDPI    October 29, 2021   Volume 11, Issue 11 3093 doi: 10.3390/ani11113093
Munday JS, Orbell G, Fairley RA, Hardcastle M, Vaatstra B.Equine sarcoids are common mesenchymal neoplasms of horses that are caused by cross-species infection by . While bovine papillomavirus (BPV) 1 and 2 are the most common causes, there are differences between countries regarding which of these BPV types cause the majority of sarcoids. Additionally, no causative PV can be detected in a subset of sarcoids, suggesting that other PV types could be rarer causes of these neoplasms. In the present study, consensus PCR primers and PCR primers specific for the five types currently known to cause mesenchymal neoplasia (BPV1, BPV2, BPV13, BPV14, and Ovis ...
Corrigendum to “Effects of continuous passage on the immunomodulator properties of equine bone marrow-derived mesenchymal stem cells in vitro” [Vet. Immunol. Immunopathol. 234 (2021) 110203].
Veterinary immunology and immunopathology    October 28, 2021   Volume 242 110340 doi: 10.1016/j.vetimm.2021.110340
Connard SS, Linardi RL, Even KM, Berglund AK, Schnabel LV, Ortved KF.No abstract available
Prevalence of the E321G MYH1 variant in Brazilian Quarter Horses.
Equine veterinary journal    October 28, 2021   Volume 54, Issue 5 952-957 doi: 10.1111/evj.13521
de Albuquerque AL, Zanzarini Delfiol DJ, Andrade DGA, Albertino LG, Sonne L, Borges AS, Valberg SJ, Finno CJ, Oliveira-Filho JP.In the Quarter Horse (QH), myosin heavy chain myopathy (MYHM), which is characterised by nonexertional rhabdomyolysis or immune-mediated myositis (IMM) with acute muscle atrophy, is strongly associated with the missense E321G MYH1 mutation. Objective: To document the existence of MYHM in the Brazilian QH population, this study includes a case report of two related QH foals with the E321G MYH1 mutation that had clinical signs of MYHM, with histological confirmation of IMM in one of the foals. This prompted an investigation the aim of which was to determine the allele frequency of the E321G MYH1...
New Alternative Mixtures of Cryoprotectants for Equine Immature Oocyte Vitrification.
Animals : an open access journal from MDPI    October 28, 2021   Volume 11, Issue 11 3077 doi: 10.3390/ani11113077
Angel-Velez D, De Coster T, Azari-Dolatabad N, Fernandez-Montoro A, Benedetti C, Bogado Pascottini O, Woelders H, Van Soom A, Smits K.Equine oocyte vitrification would benefit the growing in vitro embryo production programs, but further optimization of the protocol is necessary to reach clinical efficiency. Therefore, we aimed to perform a direct comparison of non-permeating and permeating cryoprotective agents (CPAs) during the vitrification and warming of equine immature oocytes. In the first experiment, cumulus oocytes complexes (COCs) were vitrified comparing sucrose, trehalose, and galactose in combination with ethylene glycol (EG) and dimethyl sulfoxide (DMSO). In the second experiment, the COCs were vitrified using th...
Heterospecific Fear and Avoidance Behaviour in Domestic Horses (Equus caballus).
Animals : an open access journal from MDPI    October 28, 2021   Volume 11, Issue 11 3081 doi: 10.3390/ani11113081
Wiśniewska A, Janczarek I, Wilk I, Tkaczyk E, Mierzicka M, Stanley CR, Górecka-Bruzda A.Ridden horses have been reported to be fearful of cows. We tested whether cows could provoke behavioural and cardiac fear responses in horses, and whether these responses differ in magnitude to those shown to other potential dangers. Twenty horses were exposed to cow, a mobile object or no object. The time spent at different distances from the stimulus was measured. In a separate test, heart rate (HR), root mean square of successive differences between heartbeats (RMSSD) and the horses' perceived fear were assessed at various distances from the stimuli. The horses avoided the area nearest to a...
Fine-scale genetic diversity of the Brazilian Pantaneiro horse breed adapted to flooded regions.
Tropical animal health and production    October 28, 2021   Volume 53, Issue 6 525 doi: 10.1007/s11250-021-02971-1
Nogueira MB, McManus C, de Faria DA, Santos SAO, Ianella P, Paiva SR.Among the animal species first introduced in Brazil during the country's discovery, horses (Equus caballus) stand out because of their evolutionary history and relationship with humans. Among the Brazilian horse breeds, the Pantaneiro draws attention due to its adaptative traits. Blood samples of 116 Pantaneiro horses were divided into six populations based on their sampling location, aiming to identify the existence of genetic structure and quantify genetic diversity within and between them. Populations were compared to elucidate genetic variability and differentiation better and assess the i...
Skeletal Muscle Adaptations to Exercise Training in Young and Aged Horses.
Frontiers in aging    October 27, 2021   Volume 2 708918 doi: 10.3389/fragi.2021.708918
Latham CM, Owen RN, Dickson EC, Guy CP, White-Springer SH.In aged humans, low-intensity exercise increases mitochondrial density, function and oxidative capacity, decreases the prevalence of hybrid fibers, and increases lean muscle mass, but these adaptations have not been studied in aged horses. Effects of age and exercise training on muscle fiber type and size, satellite cell abundance, and mitochondrial volume density (citrate synthase activity; CS), function (cytochrome c oxidase activity; CCO), and integrative (per mg tissue) and intrinsic (per unit CS) oxidative capacities were evaluated in skeletal muscle from aged (n = 9; 22 ± 5 yr) and yea...
Placentation in Equids.
Advances in anatomy, embryology, and cell biology    October 26, 2021   Volume 234 91-128 doi: 10.1007/978-3-030-77360-1_6
Antczak DF, Allen WRT.This chapter focuses on the early stages of placental development in horses and their relatives in the genus Equus and highlights unique features of equid reproductive biology. The equine placenta is classified as a noninvasive, epitheliochorial type. However, equids have evolved a minor component of invasive trophoblast, the chorionic girdle and endometrial cups, which links the equine placenta with the highly invasive hemochorial placentae of rodents and, particularly, with the primate placenta. Two types of fetus-to-mother signaling in equine pregnancy are mediated by the invasive equine tr...
Yield, nutrient composition, and horse condition in integrated crabgrass and cool-season grass rotational grazing pasture systems.
Translational animal science    October 26, 2021   Volume 5, Issue 4 txab208 doi: 10.1093/tas/txab208
Weinert-Nelson JR, Meyer WA, Williams CA.Integration of warm-season grasses into traditional cool-season pastures can increase summer forage for grazing cattle. The aim of this study was to determine impacts of this practice on yield and nutrient composition of equine rotational pasture systems as well as horse body condition. Two 1.5 ha rotational systems (6 to 0.25 ha sections/system) were evaluated: a control system (CON) (all sections mixed cool-season grass [CSG-CON]) and an integrated rotational grazing system (IRS) (three CSG sections [CSG-IRS] and three Quick-N-Big crabgrass [Digitaria sanguinalis (L.) Scop.; CRB-IRS]). Three...
Severe Inhibition of Long-Chain Acyl-CoA Enoylhydratase (EC 4.2.1.74) in a Newborn Foal Suffering From Atypical Myopathy.
Frontiers in veterinary science    October 26, 2021   Volume 8 765623 doi: 10.3389/fvets.2021.765623
Sander J, Terhardt M, Janzen N.In horses, congenital defects of energy production from long-chain fatty acids have not been described so far. In contrast, inhibition of fatty acid degradation caused by the toxins hypoglycin A and methylenecyclopropylglycine from various maple species are observed frequently. These non-proteinogenic aminoacids are passed on placentally to fetuses or with collostrum or milk to newborn foals. Nevertheless, newborn foals become very rarely symptomatic. Vertical transmission apparently is not sufficient to induce clinical disease without a particular genetic constellation being present. One of t...
Evaluation of totally implantable catheters in healthy horses.
BMC veterinary research    October 26, 2021   Volume 17, Issue 1 339 doi: 10.1186/s12917-021-03052-z
de Souza Garcia AF, Ribeiro G, de Assis Arantes J, Reginato GM, Xavier NV, Carregaro AB, Silva TJF, Grigoletto R, de Freitas SH, Dória RGS.For horses requiring prolonged daily cephalic intravenous regional limb perfusion (IVRLP), the use of a totally implantable catheter (TIC) could be indicated to reduce complications associated with frequent venipuncture or external catheterization. This study aims to evaluate the implantation technique of the TIC in the cephalic vein of horses for IVRLP, describe the complications associated with the device's placement and use, and assess its viability up to 60 days after implantation. Totally implantable catheters, cut to 15 cm (n = 5) and 46 cm (n = 5) in length, were implanted...