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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.
Transrectal Ultrasonography of Equine Lumbosacral Nerves: Pilot Study in 28 Healthy Warmblood Horses. Espinosa P, Benoit P, Salazar I, de la Fuente J, Heiles P.A noninvasive method for visualizing lumbosacral nerves would be helpful for horses with suspected lumbosacral plexopathy or injury. The aim of this prospective descriptive pilot study was to characterize the ultrasonographic appearance of the lumbosacral nerves in a sample of healthy horses, and expand on the technique for image acquisition. Horses were recruited for inclusion if they were determined to be healthy and sound based on clinical and lameness evaluation. Transrectal ultrasound images of the lumbosacral nerves (L6, S1, and S2) were obtained for both sides. Landmarks for localizatio...
Polymorphisms in ten candidate genes are associated with conformational and locomotive traits in Spanish Purebred horses.
Journal of applied genetics    December 5, 2016   Volume 58, Issue 3 355-361 doi: 10.1007/s13353-016-0385-y
Sevane N, Dunner S, Boado A, Cañon J.The Spanish Purebred horses, also known as Andalusian horses, compete to the highest standards in international dressage events. Gait and conformation could be used as early selection criteria to detect young horses with promising dressage ability. Although the genetic background of equine size variation has been recently uncovered, the genetic basis of horse conformational and locomotive traits is not known, hampered by the complex genetic architecture underlying quantitative traits and the lack of phenotypic data. The aim of this study was to validate the loci associated with size in 144 Spa...
TRPM2 SNP genotype previously associated with susceptibility to Rhodococcus equi pneumonia in Quarter Horse foals displays differential gene expression identified using RNA-Seq.
BMC genomics    December 5, 2016   Volume 17, Issue 1 993 doi: 10.1186/s12864-016-3345-3
McQueen CM, Whitfield-Cargile CM, Konganti K, Blodgett GP, Dindot SV, Cohen ND.Rhodococcus equi (R. equi) is an intracellular bacterium that affects young foals and immuno-compromised individuals causing severe pneumonia. Currently, the genetic mechanisms that confer susceptibility and/or resistance to R. equi are not fully understood. Previously, using a SNP-based genome-wide association study, we identified a region on equine chromosome 26 associated with culture-confirmed clinical pneumonia. To better characterize this region and understand the function of the SNP located within TRPM2 that was associated with R. equi pneumonia, we performed RNA-Seq on 12 horses repres...
Effects of various antiplatelet drugs on ex vivo platelet activation induced by equine herpesvirus type 1.
American journal of veterinary research    December 3, 2016   Volume 77, Issue 12 1366-1373 doi: 10.2460/ajvr.77.12.1366
Hernandez D, Yeo WM, Brooks MB, Ness SL, Divers TJ, Stokol T.OBJECTIVE To evaluate the effects of treatment of horses with standard platelet inhibitors on ex vivo inhibition of platelet activation by equine herpesvirus type I (EHV-I). ANIMALS II healthy adult horses. PROCEDURES In a double-blinded, placebo-controlled crossover study, horses were treated orally for 5 days with theophylline (5 mg/kg, q 12 h), pentoxifylline (10 mg/kg, q 12 h), clopidogrel bisulfate (4 mg/kg, q 24 h), acetylsalicylic acid (20 mg/kg, q 24 h), or placebo. Horses received all treatments, each separated by a 3-week washout period. Platelet-rich plasma was prepared from citrate...
Effects of dobutamine hydrochloride on cardiovascular function in horses anesthetized with isoflurane with or without acepromazine maleate premedication.
American journal of veterinary research    December 3, 2016   Volume 77, Issue 12 1318-1324 doi: 10.2460/ajvr.77.12.1318
Schier MF, Raisis AL, Secombe CJ, Hosgood G, Musk GC, Lester GD.OBJECTIVE To determine the effects of acepromazine maleate premedication on cardiovascular function before and after infusion of dobutamine hydrochloride for 30 minutes in isoflurane-anesthetized horses. ANIMALS 6 healthy adult horses. PROCEDURES Each horse was anesthetized once following premedication with acepromazine (0.02 mg/kg, IV) administered 30 minutes prior to anesthetic induction (ACP+ treatment) and once without premedication (ACP- treatment). Anesthesia was induced with IV administration of xylazine hydrochloride (0.8 mg/kg), ketamine hydrochloride (2.2 mg/kg), and diazepam (0.08 m...
Timing of head movements is consistent with energy minimization in walking ungulates.
Proceedings. Biological sciences    December 3, 2016   Volume 283, Issue 1843 20161908 doi: 10.1098/rspb.2016.1908
Loscher DM, Meyer F, Kracht K, Nyakatura JA.Many ungulates show a conspicuous nodding motion of the head when walking. Until now, the functional significance of this behaviour remained unclear. Combining in vivo kinematics of quadrupedal mammals with a computer model, we show that the timing of vertical displacements of the head and neck is consistent with minimizing energy expenditure for carrying these body parts in an inverted pendulum walking gait. Varying the timing of head movements in the model resulted in increased metabolic cost estimate for carrying the head and neck of up to 63%. Oscillations of the head-neck unit result in w...
Parasites Determined by Fecal Examination in Horses in Erzurum.
Turkiye parazitolojii dergisi    December 3, 2016   Volume 40, Issue 3 147-151 doi: 10.5152/tpd.2016.4792
Avcıoğlu H, Güven E, Balkaya İ, Yavuz Ş, Abay U, Akyüz M, Eltas Ö.This study aimed to determine the parasites present in horses belonging to the Erzurum Province. Methods: Fecal samples were collected from 76 horses of different ages, genders and breeds in Erzurum. Individual fecal samples were collected and examined by flotation and sedimentation methods. Results: The following species were detected: strongylid egg (57.89%), Parascaris equorum (10.52%), Dicrocoelium dendriticum (2.63%), Fasciola spp. (2.63%) eggs, and Eimeria spp. oocysts (5.26%). Conclusions: Equine animals are significantly infected with Strongylosis in the Erzurum Province, and effective...
Comparison of four methods for generating decellularized equine synovial extracellular matrix.
American journal of veterinary research    December 3, 2016   Volume 77, Issue 12 1332-1339 doi: 10.2460/ajvr.77.12.1332
Reisbig NA, Hussein HA, Pinnell E, Bertone AL.OBJECTIVE To evaluate 4 methods for generating decellularized equine synovial extracellular matrix. SAMPLE Villous synovium harvested from the femoropatellar and medial femorotibial joints of 4 healthy adult horses 25,000 base pair) DNA fragments. Incubation in Triton and incubation in NaCl resulted in low DNA content and short (< 200 base pair) DNA fragments, but destroyed the synovial villous architecture. Incubation in PAA twice resulted in low DNA content and short DNA fragments while retaining the synovial villous architecture. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that...
Signalment, clinical features, and outcome for male horses with urethral rents following perineal urethrotomy or corpus spongiotomy: 33 cases (1989-2013).
Journal of the American Veterinary Medical Association    December 3, 2016   Volume 249, Issue 12 1421-1427 doi: 10.2460/javma.249.12.1421
Glass KG, Arnold CE, Varner DD, Chaffin MK, Schumacher J.OBJECTIVE To describe the signalment, clinical features, and outcome for male horses with urethral rents following perineal urethrotomy (PU) or corpus spongiotomy (CS). DESIGN Retrospective case series. ANIMALS 33 horses. PROCEDURES Medical records of male horses examined because of hematuria or hemospermia caused by urethral rents that underwent PU or CS at a referral hospital between 1989 and 2013 were reviewed. Data regarding signalment, clinical features, urethroscopic findings, surgical treatment, and outcome were recorded. Long-term follow-up information was obtained by telephone intervi...
Correction: Effects of Moderate Amounts of Barley in Late Pregnancy on Growth, Glucose Metabolism and Osteoarticular Status of Pre-Weaning Horses.
PloS one    December 2, 2016   Volume 11, Issue 12 e0167604 doi: 10.1371/journal.pone.0167604
Peugnet P, Robles M, Mendoza L, Wimel L, Dubois C, Dahirel M, Guillaume D, Camous S, Berthelot V, Toquet MP, Richard E, Sandersen C, Chaffaux S....[This corrects the article DOI: 10.1371/journal.pone.0122596.].
First description of Cryptosporidium hominis GP60 genotype IkA20G1 and Cryptosporidium parvum GP60 genotypes IIaA18G3R1 and IIaA15G2R1 in foals in Brazil.
Veterinary parasitology    December 2, 2016   Volume 233 48-51 doi: 10.1016/j.vetpar.2016.11.021
Inácio SV, Widmer G, de Brito RL, Zucatto AS, de Aquino MC, Oliveira BC, Nakamura AA, Neto LD, Carvalho JG, Gomes JF, Meireles MV, Bresciani KD.The present study focuses on Cryptosporidium infections of foals in Brazil. A total of 92 animals of different breeds from 11 farms in the vicinity of Araçatuba in the state of São Paulo, were examined. According to PCR targeting the 18S rRNA gene, Cryptosporidium sp. DNA was detected in 21.7% (20/92) of foals. Good quality 18S rRNA, actin, HSP70 and gp60 genes nPCR amplicons were obtained from five fecal samples. PCR amplification and sequencing of a fragment of the GP60 sporozoite surface glycoprotein gene revealed C. parvum genotypes IIaA18G3R1, IIaA15G2R1. Interestingly, we also detected...
Duodenitis-Proximal Jejunitis in Horses After Experimental Administration of Clostridium difficile Toxins.
Journal of veterinary internal medicine    December 1, 2016   Volume 31, Issue 1 158-163 doi: 10.1111/jvim.14624
Arroyo LG, Costa MC, Guest BB, Plattner BL, Lillie BN, Weese JS.Duodenitis-proximal jejunitis (DPJ) is an acute sporadic gastrointestinal disorder of horses of unknown cause. Objective: We hypothesize that Clostridium difficile toxins are involved in the pathogenesis of DPJ in horses. The objective of this study was to determine whether experimentally delivered C. difficile toxins cause clinical signs and histologic lesions similar to those of naturally occurring DPJ. Methods: Six healthy mature mixed breed horses. Methods: Experimental study: animal model of animal disease. Fasted horses were administered crude C. difficile toxins via gastroscopy and moni...
Complete Genome Sequence of a Burkholderia mallei Isolate Originating from a Glanderous Horse from the Kingdom of Bahrain.
Genome announcements    December 1, 2016   Volume 4, Issue 6 doi: 10.1128/genomeA.01296-16
Elschner MC, Thomas P, Melzer F.Burkholderia mallei is a zoonotic agent causing glanders, a notifiable disease in equines. During the past decades glanders emerged, and the Kingdom of Bahrain reported outbreaks to the World Organization of Animal Health in 2010 and 2011. This paper presents the complete genome sequence of the Burkholderia mallei strain 11RR2811 Bahrain1.
Equine piroplasmosis in Kelantan, Malaysia: Clinicohemato-biochemical alterations in subclinically and clinically infected equids.
Tropical biomedicine    December 1, 2016   Volume 33, Issue 4 619-631 
Al-Obaidi QT, Mohd Mokhtar A, Al-Sultan II, Azlinda AB, Mohd Azam KGK.Equine piroplasmosis (EP) is global disease of equids affect the international movement of horses and their industry. This work was conducted on a random collection of blood samples from a total of 306 equids (horses and ponies) comprising both clinically healthy (n=276) and clinically suspected animals (n=30) for EP from 53 stables in eight districts at Kelantan, Malaysia. Competitive-inhibition enzyme linked immunosorbent test (cELISA) was applied to detect the antibodies for Theileria equi and Babesia caballi and their titers in the serum. Hemato-biochemical parameters were analyzed from bl...
Runs of homozygosity: current knowledge and applications in livestock.
Animal genetics    December 1, 2016   Volume 48, Issue 3 255-271 doi: 10.1111/age.12526
Peripolli E, Munari DP, Silva MVGB, Lima ALF, Irgang R, Baldi F.This review presents a broader approach to the implementation and study of runs of homozygosity (ROH) in animal populations, focusing on identifying and characterizing ROH and their practical implications. ROH are continuous homozygous segments that are common in individuals and populations. The ability of these homozygous segments to give insight into a population's genetic events makes them a useful tool that can provide information about the demographic evolution of a population over time. Furthermore, ROH provide useful information about the genetic relatedness among individuals, helping t...
First case of sterility associated with sex chromosomal abnormalities in a jenny.
Reproduction in domestic animals = Zuchthygiene    December 1, 2016   Volume 52, Issue 2 227-234 doi: 10.1111/rda.12884
Dorado J, Anaya G, Bugno-Poniewierska M, Molina A, Mendez-Sanchez A, Ortiz I, Moreno-Millán M, Hidalgo M, Peral García P, Demyda-Peyrás S.Chromosomal abnormalities are one of the main causes of genetic infertility in horses. Currently, their detection rate is rising due to the use of new diagnostic tools employing molecular markers linked to the sex chromosome pair. Despite genetic similarities, there are no previous reports of sterility associated with chromosomal abnormalities in the domestic donkey (Equus asinus). Hereby, we determined the presence of a chromosomal mosaicism in a female donkey with reproductive problems using molecular methodologies developed for horses. A two-and-a-half-year-old jenny characterized by morpho...
A systematic review of leptospirosis on dogs, pigs, and horses in Latin America.
Tropical animal health and production    December 1, 2016   Volume 49, Issue 2 231-238 doi: 10.1007/s11250-016-1201-8
Pinto PS, Libonati H, Lilenbaum W.Leptospirosis is a worldwide zoonosis which can affect many species. Control programs need accurate diagnosis to be successful, and currently, diagnosis relies on serology. It presents three main issues: the sampling, the antigen panel, and the cutoff point. Herein, we propose a systematic review on leptospirosis among dogs, pigs, and horses in Latin America in order to improve the understanding of the seroepidemiology of leptospirosis in these species in the region as well as the temporal development of the research on this topic and, consequently, improve the chances of success on control pr...
Characterizing areas of potential human exposure to eastern equine encephalitis virus using serological and clinical data from horses.
Epidemiology and infection    December 1, 2016   Volume 145, Issue 4 667-677 doi: 10.1017/S0950268816002661
Rocheleau JP, Arsenault J, Ogden NH, Lindsay LR, Drebot M, Michel P.Eastern equine encephalitis (EEE) is a rare but severe emerging vector-borne disease affecting human and animal populations in the northeastern United States where it is endemic. Key knowledge gaps remain about the epidemiology of EEE virus (EEEV) in areas where its emergence has more recently been reported. In Eastern Canada, viral activity has been recorded in mosquitoes and horses throughout the 2000s but cases of EEEV in humans have not been reported so far. This study was designed to provide an assessment of possible EEEV human exposure by modelling environmental risk factors for EEEV in ...
The effect of oxidative stress during exercise in the horse.
Journal of animal science    November 30, 2016   Volume 94, Issue 10 4067-4075 doi: 10.2527/jas.2015-9988
Williams CA.Oxidative stress is an imbalance of the oxidant-to-antioxidant ratio in the body. Increases in oxidative stress and changes in antioxidant status have been shown during endurance and intense exercise and eventing competition in horses. Antioxidants include vitamins, minerals, enzymes, and proteins that must be synthesized in the body or obtained from the diet. Therefore, exercise level and diet are both factors that play a role in influencing the oxidative stress and antioxidant status of the equine athlete. Along with exercise intensity and duration, diet, age, and training program can also a...
HORSE SPECIES SYMPOSIUM: Biomechanics of the exercising horse.
Journal of animal science    November 30, 2016   Volume 94, Issue 10 4076-4086 doi: 10.2527/jas.2015-9990
Clayton HM.In spite of having large height and body mass, horses are cursorial animals with an extensive gait repertoire and considerable athletic abilities. The limbs have evolved so that the heavy musculature is confined to the proximal limbs while the distal limbs are light in weight with a single functional digit and long, lightweight tendons to move and support the distal joints. These adaptations reduce the moment of inertia and decrease the energy expended to protract and retract the limbs during locomotion. There is a division of labor between the forelimbs, which have a pillar-like construction ...
Degenerative Suspensory Ligament Desmitis (DSLD) in Peruvian Paso Horses Is Characterized by Altered Expression of TGFβ Signaling Components in Adipose-Derived Stromal Fibroblasts.
PloS one    November 30, 2016   Volume 11, Issue 11 e0167069 doi: 10.1371/journal.pone.0167069
Luo W, Sandy J, Trella K, Gorski D, Gao S, Li J, Brounts S, Galante J, Plaas A.Equine degenerative suspensory ligament desmitis (DSLD) in Peruvian Paso horses typically presents at 7-15 years and is characterized by lameness, focal disorganization of collagen fibrils, and chondroid deposition in the body of the ligament. With the aim of developing a test for disease risk (that can be used to screen horses before breeding) we have quantified the expression of 76 TGFβ-signaling target genes in adipose-derived stromal fibroblasts (ADSCs) from six DSLD-affected and five unaffected Paso horses. Remarkably, 35 of the genes showed lower expression (p<0.05) in cells from DSL...
Trans- and paracellular calcium transport along the small and large intestine in horses.
Comparative biochemistry and physiology. Part A, Molecular & integrative physiology    November 30, 2016   Volume 204 157-163 doi: 10.1016/j.cbpa.2016.11.020
Wilkens MR, Marholt L, Eigendorf N, Muscher-Banse AS, Feige K, Schröder B, Breves G, Cehak A.Intestinal calcium absorption plays a key role in the maintenance of calcium homeostasis and may either occur by paracellular or transcellular mechanisms. The horse has some unique peculiarities in calcium homeostasis compared to other species including a high absorptive capacity for calcium in the intestine, high plasma calcium concentrations, high renal excretion, and low plasma concentrations of vitamin D metabolites. So far, knowledge about the underlying mechanisms and the regulation of intestinal calcium absorption is still limited concerning this species. Several studies have documented...
Multiple molecular detection of respiratory viruses and associated signs of airway inflammation in racehorses.
Virology journal    November 29, 2016   Volume 13, Issue 1 197 doi: 10.1186/s12985-016-0657-5
Doubli-Bounoua N, Richard EA, Léon A, Pitel PH, Pronost S, Fortier G.The potential involvement of viruses in inflammatory airway disease (IAD) was previously investigated through either serology or PCR from nasopharyngeal swabs (NS). The aims of this study were to determine the prevalence and incidence of viral genome detection by qPCR in the equine airways, and their association with respiratory clinical signs. Both NS and tracheal washes (TW) were collected monthly on 52 Standardbred racehorses at training, over 27 consecutive months (581 samples). Equid herpesviruses (EHV)-1, -4, -2 and -5, equine rhinitis virus-A and -B (ERBV), equine adenovirus-1 and -2, e...
A Quantitative Real-Time RT-PCR Assay for the Detection of Venezuelan equine encephalitis virus Utilizing a Universal Alphavirus Control RNA.
BioMed research international    November 29, 2016   Volume 2016 8543204 doi: 10.1155/2016/8543204
Vina-Rodriguez A, Eiden M, Keller M, Hinrichs W, Groschup MH. (VEEV) is an from the family that causes epizootic outbreaks in equids and humans in Central and South America. So far, most studies use conventional reverse transcriptase PCR assays for the detection of the different VEEV subtypes. Here we describe the development of a TaqMan quantitative real-time reverse transcriptase PCR assay for the specific detection and quantitation of all VEEV subtypes which uses in parallel a universal equine encephalitis virus control RNA carrying target sequences of the three equine encephalitis viruses. The control RNA was used to generate standard curves for t...
Effect of neostigmine on contractility of equine pre-ovulatory follicles: An in vitro study.
Theriogenology    November 29, 2016   Volume 90 74-77 doi: 10.1016/j.theriogenology.2016.11.025
Piccinno M, Rizzo A, Cariello G, Sciorsci RL.In this study, the Authors investigated the modulatory effect of three single doses (10, 10, and 10 M) of neostigmine on the spontaneous contractility of equine pre-ovulatory follicles in an isolated organ bath, to establish the relationship between this acetylcholinesterase inhibitor and ovulation, in the mare. The results indicate that neostigmine increases pre-ovulatory contractility in equine follicles at each dose, but in a different manner. Indeed, the rise in contractility induced by neostigmine at 10 M and 10 M was phasic, while at 10 M it was tonic. The data obtained indicate poss...
Spinal intradural hydatid cyst causing arachnoiditis: A rare etiology of cauda equina syndrome.
Journal of craniovertebral junction & spine    November 29, 2016   Volume 7, Issue 4 282-284 doi: 10.4103/0974-8237.193257
Singh S, Sardhara J, Singh AK, Srivastava AK, Bhaisora KS, Das KK, Mehrotra A, Sahu RN, Jaiswal AK, Behari S.This study aims to focus on a rare presentation of spinal hydatid cyst as cauda equine syndrome and misdiagnosed as intradural extramedullary (IDEM) benign lesion on magnetic resonance imaging. In this article, we report a case of spinal hydatid cyst masquerading as IDEM tumor, and intraoperatively, we accidently find clumped granuloma with severe arachnoiditis and hydatid cyst in lumber region, which was present as bilateral S1 radiculopathy with cauda equina syndrome. An 11-year-old boy who presented with symptoms and signs of cauda equina syndrome and planned for surgical excision. His radi...
Characterization of isolates of equine infectious anemia virus in Brazil.
Archives of virology    November 28, 2016   Volume 162, Issue 3 873-877 doi: 10.1007/s00705-016-3172-5
Tigre DM, Brandão CF, de Paula FL, Chinalia FA, Campos GS, Sardi SI.Equine infectious anemia is an important infectious disease that affects equids worldwide. Control of the disease is currently based on detection of anti-p26 EIAV by Agar Gel Immunodiffusion (AGID). In this work, 62 animals were examined by AGID and nested-PCR using primers for the gag gene. Fifty-three samples (85.5%) were positive by nested-PCR, whereas only 33 samples (53%) were positive for AGID. Fifteen amplicons obtained by nested-PCR were sequenced and the aligned results subjected to phylogenetic analysis. The analysis suggests that the Brazilian EIAV form a cluster with WSU5, EIAVUK a...
Reliability of breath by breath spirometry and relative flow-time indices for pulmonary function testing in horses.
BMC veterinary research    November 28, 2016   Volume 12, Issue 1 268 doi: 10.1186/s12917-016-0893-3
Burnheim K, Hughes KJ, Evans DL, Raidal SL.Respiratory problems are common in horses, and are often diagnosed as a cause of poor athletic performance. Reliable, accurate and sensitive spirometric tests of airway function in resting horses would assist with the diagnosis of limitations to breathing and facilitate investigations of the effects of various treatments on breathing capacity. The evaluation of respiratory function in horses is challenging and suitable procedures are not widely available to equine practitioners. The determination of relative flow or flow-time measures is used in paediatric patients where compliance may limit c...
Appropriate threshold levels of cardiac beat-to-beat variation in semi-automatic analysis of equine ECG recordings.
BMC veterinary research    November 28, 2016   Volume 12, Issue 1 266 doi: 10.1186/s12917-016-0894-2
Flethøj M, Kanters JK, Pedersen PJ, Haugaard MM, Carstensen H, Olsen LH, Buhl R.Although premature beats are a matter of concern in horses, the interpretation of equine ECG recordings is complicated by a lack of standardized analysis criteria and a limited knowledge of the normal beat-to-beat variation of equine cardiac rhythm. The purpose of this study was to determine the appropriate threshold levels of maximum acceptable deviation of RR intervals in equine ECG analysis, and to evaluate a novel two-step timing algorithm by quantifying the frequency of arrhythmias in a cohort of healthy adult endurance horses. Results: Beat-to-beat variation differed considerably with he...
Modified technique for common carotid artery transposition in standing horses.
Veterinary surgery : VS    November 28, 2016   Volume 46, Issue 1 52-58 doi: 10.1111/vsu.12585
Tapio H, Argüelles D, Gracia-Calvo LA, Raekallio M.To describe a modified technique for permanent translocation of the common carotid artery (CCA) to a subcutaneous position in standing horses. Methods: Experimental study. Methods: Healthy adult Standardbred and Warmblood horses (n = 8). Methods: Surgery was performed with the horses standing under sedation and with local anesthesia. A combination of previously described techniques was used modifying the approach and closure of the incision. The right CCA was approached through a linear skin incision dorsal and parallel to the jugular vein and through the brachiocephalicus and omohyoideus ...