Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management.
Abstract: Thrombophlebitis of the jugular vein is commonly observed in horses, particularly during intensive care, and leads to local and systemic inflammatory responses as well as head and neck circulatory impairment. Thrombolytic therapy is widely used in human practice with the aim of thrombus dissolution and recanalization of the injured vessels. There are similarities between human and horse coagulation and fibrinolytic processes. This review examines the fibrinolytic system, thrombus formation, and the clinical management of jugular thrombophlebitis, including thrombolytic therapy. There is evidence that early regional thrombolytic therapy for jugular thrombophlebitis in horses may be effective to achieve sustained recanalization. La thrombophlébite de la veine jugulaire est communément observée chez les chevaux, particulièrement durant les soins intensifs, et cause des réactions inflammatoires locales et systémiques ainsi que des altérations de la circulation dans la tête et le cou. La thérapie thrombolytique est couramment utilisée en pratique humaine dans le but de dissoudre les thrombus et de recanaliser les vaisseaux blessés. Il y a similitudes entre les processus coagulant et fibrinolytique des humains et des chevaux. Cette revue examine le système fibrinolytique, la formation de thrombus et la gestion clinique de la thrombophlébite jugulaire, incluant la thérapie thrombolytique. Il y a des preuves que la thérapie thrombolytique régionale précoce pour la thrombophlébite jugulaire chez les chevaux peut être efficace pour la réalisation d’une recanalisation durable.(Traduit par Isabelle Vallières).
Publication Date: 2013-07-03 PubMed ID: 23814304PubMed Central: PMC3524817
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- Journal Article
- Research Support
- Non-U.S. Gov't
- Review
Summary
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This research article focuses on examining the process of fibrinolysis, thrombus formation and clinical management of jugular thrombophlebitis, a common condition in horses, particularly during intensive care, with significant implications on local and systemic inflammation and head and neck circulation.
Thrombophlebitis and Fibrinolytic Process
- The research article discusses thrombophlebitis, which refers to the inflammation of a vein due to a blood clot, specifically in the jugular vein of horses. This condition is commonly seen in horses, particularly during intensive care.
- A key part of the article revolves around the study of fibrinolysis, a process in the body that prevents blood clots from growing and becoming problematic by breaking down fibrin, a protein that when overproduced can lead to the formation of blood clots. The researchers indicate that this process has similarities in both horses and humans.
Thrombus Formation
- The article examines the process of thrombus formation — the creation of a clot in the circulatory system. It points out how important understanding this process is in the management of thrombophlebitis given its implications on local and systemic inflammation and circulatory impairment in a horse’s head and neck.
Clinical Management
- In terms of clinical management for jugular thrombophlebitis, the review talks about thrombolytic therapy as a common procedure for humans. In this therapy, medication is used to dissolve dangerous clots in blood vessels, improve blood flow, and prevent damage to tissues and organs.
- The article demonstrates that there is evidence suggesting early regional thrombolytic therapy can be effective for horses suffering from jugular thrombophlebitis. This treatment aims to achieve sustained recanalization, which is the restoration of an opening in a blood vessel to enhance circulation throughout the body.
Overall, the research underlines the importance of further studies on fibrinolysis and thrombus formation as it can aid in optimizing clinical management strategies for jugular thrombophlebitis in horses, potentially through the early application of thrombolytic therapy.
Cite This Article
APA
Dias DP, de Lacerda Neto JC.
(2013).
Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management.
Can Vet J, 54(1), 65-71.
Publication
Researcher Affiliations
- Departamento de Clínica e Cirurgia Veterinária, Faculdade de Ciências Agrárias e Veterinárias - FCAV/Unesp, Brazil. deborah_dias@hotmail.com
MeSH Terms
- Animals
- Blood Coagulation / physiology
- Fibrinolysis / physiology
- Fibrinolytic Agents / therapeutic use
- Hemostasis
- Horse Diseases / drug therapy
- Horse Diseases / etiology
- Horses
- Jugular Veins
- Risk Factors
- Thrombolytic Therapy
- Thrombophlebitis / drug therapy
- Thrombophlebitis / etiology
- Thrombophlebitis / veterinary
- Thrombosis / drug therapy
- Thrombosis / etiology
- Thrombosis / veterinary
References
This article includes 76 references
- Tillotson PJ, Kopper PH. Treatment of aortic thrombosis in a horse.. J Am Vet Med Assoc 1966 Sep 15;149(6):766-7.
- Branscomb BL. Treatment of arterial thrombosis in a horse with sodium gluconate.. J Am Vet Med Assoc 1968 Jun 1;152(11):1643-6.
- Lions JA, Carette O, Broucker CA, Tainturier B, Ribot X. Utilisation de la streptokinase dans le traitement des thrombophlébites de la jugulaire chez le cheval : à propos de 2 cas cliniques.. Bull Soc Vét Prat de France 2008;92:17–22.
- Dias DPM, Teixeira LG, Canola PA. Streptokinase as a treatment for jugular vein thrombophlebitis in horses.. Proc 12th World Equine Veterinary Association (WEVA) Congress Hyderabad, India. 2011.
- ASTRUP T. The haemostatic balance.. Thromb Diath Haemorrh 1958 Sep 1;2(3-4):347-57.
- Kashyap VS, Quinones-Baldrich WJ. Principles of thrombolytic therapy.. Vascular Surgery 5th ed. Philadelphia, Pennsylvania: Saunders; 2000. pp. 457–475.
- Majerus PW, Broze GJ Jr, Miletich JP, Tollefsen DM. Anticoagulant, thrombolytic, and antiplatelet drugs.. The Pharmacological Basis of Therapeutics 4th ed. New York, New York: Pergamon Press; 1990. pp. 1311–1331.
- Banerjee A, Chisti Y, Banerjee UC. Streptokinase--a clinically useful thrombolytic agent.. Biotechnol Adv 2004 Feb;22(4):287-307.
- Hopper K, Bateman S. An updated viewof hemostasis: Mechanisms of hemostatic dysfuntion associated with sepsis.. J Vet Emerg Crit Care 2005;15:83–91.
- Duffy TC, Kirby R, Rudloff E. Critical role of the vascular endothelial cell in health and disease: A review article.. J Vet Emerg Crit Care 2004;14:84–99.
- Collen D. The plasminogen (fibrinolytic) system.. Thromb Haemost 1999 Aug;82(2):259-70.
- Kunamneni A, Abdelghani TT, Ellaiah P. Streptokinase--the drug of choice for thrombolytic therapy.. J Thromb Thrombolysis 2007 Feb;23(1):9-23.
- Dallap Schaer BL, Epstein K. Coagulopathy of the critically ill equine patient.. J Vet Emerg Crit Care (San Antonio) 2009 Feb;19(1):53-65.
- Dempfle CE. Use of D-dimer assays in the diagnosis of venous thrombosis.. Semin Thromb Hemost 2000;26(6):631-41.
- Haselager EM, Vreeken J. Clinical significance of "circulating fibrin monomers'.. J Clin Pathol 1981 May;34(5):468-72.
- Dempfle CE. The use of soluble fibrin in evaluating the acute and chronic hypercoagulable state.. Thromb Haemost 1999 Aug;82(2):673-83.
- Feige K, Dempfle CE, Balestra E. Measurement of soluble fibrin in horses using Enzymun-Test FM.. Thromb Haemost 1999;(Suppl):2472.
- Stern-Balestra E. Bestimmung von löslichen fibrinkomplexen beim pferd als möglichkeit der diagnostik einer aktivierten blutgerinnung.. Doctoral thesis. University of Zurich; Zurich, Switzerland: 2000.
- Holland M, Kelly AB, Snyder JR, Steffey EP, Willits N, McNeal D. Antithrombin III activity in horses with large colon torsion.. Am J Vet Res 1986 Apr;47(4):897-900.
- Feige K, Kästner SB, Dempfle CE, Balestra E. Changes in coagulation and markers of fibrinolysis in horses undergoing colic surgery.. J Vet Med A Physiol Pathol Clin Med 2003 Feb;50(1):30-6.
- Souza MHL, Elias DO. Tromboelastografia na circulação extracorpórea.. Boletim Informativo Tecnologia Extracorpórea 2008;6:1–4.
- Epstein KL, Brainard BM, Gomez-Ibanez SE, Lopes MA, Barton MH, Moore JN. Thrombelastography in horses with acute gastrointestinal disease.. J Vet Intern Med 2011 Mar-Apr;25(2):307-14.
- Kol A. The interpretation of thromboelastography tracings: many (more) rivers to cross.. Vet J 2012 Mar;191(3):275-6.
- Paltrinieri S, Meazza C, Giordano A, Tunesi C. Validation of thromboelastometry in horses.. Vet Clin Pathol 2008 Sep;37(3):277-85.
- Mendez-Angulo JL, Mudge MC, Vilar-Saavedra P, Stingle N, Couto CG. Thromboelastography in healthy horses and horses with inflammatory gastrointestinal disorders and suspected coagulopathies.. J Vet Emerg Crit Care (San Antonio) 2010 Oct;20(5):488-93.
- Dolente BA, Beech J, Lindborg S, Smith G. Evaluation of risk factors for development of catheter-associated jugular thrombophlebitis in horses: 50 cases (1993-1998).. J Am Vet Med Assoc 2005 Oct 1;227(7):1134-41.
- Monreal L, Anglés A, Espada Y, Monasterio J, Monreal M. Hypercoagulation and hypofibrinolysis in horses with colic and DIC.. Equine Vet J Suppl 2000 Jun;(32):19-25.
- Monreal L, Cesarini C. Coagulopathies in horses with colic.. Vet Clin North Am Equine Pract 2009 Aug;25(2):247-58.
- Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 2: Short-term complications.. Equine Vet J 2005 Jul;37(4):303-9.
- Sellon DC, Wise LN. Disorders of the hematopoietic system.. Equine Internal Medicine 3rd ed. St. Louis, Missouri: Saunders; 2010. pp. 730–776.
- Mammen EF. Pathogenesis of venous thrombosis.. Chest 1992 Dec;102(6 Suppl):640S-644S.
- Lankveld DP, Ensink JM, van Dijk P, Klein WR. Factors influencing the occurrence of thrombophlebitis after post-surgical long-term intravenous catheterization of colic horses: a study of 38 cases.. J Vet Med A Physiol Pathol Clin Med 2001 Nov;48(9):545-52.
- Caprino L, Togna AR, Stella C, Togna G. An in vitro method for evaluating vascular endothelial ADPase activity.. J Pharmacol Toxicol Methods 1996 Jun;35(3):153-7.
- Esmon CT. Role of coagulation inhibitors in inflammation.. Thromb Haemost 2001 Jul;86(1):51-6.
- White N II. Intensive care, monitoring and complications of acute abdominal disease.. The Equine Acute Abdomen Philadelphia, Pennsylvania: Lea & Febiger; 1990. pp. 309–335.
- Ettlinger JJ, Palmer JE, Benson C. Bacteria found on intravenous catheters removed from horses.. Vet Rec 1992 Mar 21;130(12):248-9.
- Klohnen A. New perspectives in postoperative complications after abdominal surgery.. Vet Clin North Am Equine Pract 2009 Aug;25(2):341-50.
- Edens LM. Iatrogenic thrombophlebitis.. Equine Medicine and Surgery 5th ed. Vol. 1. St. Louis, Missouri: Mosby; 1999. pp. 416–419.
- Thomassian A. Afecções sanguíneas e vasculares.. Enfermidades dos Cavalos 3rd ed. São Paulo, Brazil: Varela; 1996. pp. 519–532.
- Cannon JH, Rantanen NW, Grant BD, Keck MT. Jugular venous prothesis on the horse: A preliminary study.. J Equine Vet Sci 1983;3:185–189.
- Knottenbelt DC, Pascoe RR. Disorders of the cardiovascular system.. A Color Atlas of Diseases and Disorders of the Horse Barcelona, Spain: Wolfe; 1994. pp. 157–188.
- Rijkenhuizen AB, van Swieten HA. Reconstruction of the jugular vein in horses with post thrombophlebitis stenosis using saphenous vein graft.. Equine Vet J 1998 May;30(3):236-9.
- Divers TJ. Prevention and treatment of thrombosis, phlebitis, and laminitis in horses with gastrointestinal diseases.. Vet Clin North Am Equine Pract 2003 Dec;19(3):779-90.
- Moreau P, Lavoie JP. Evaluation of athletic performance in horses with jugular vein thrombophlebitis: 91 cases (1988-2005).. J Am Vet Med Assoc 2009 Nov 1;235(9):1073-8.
- Matsuda K, Suzuki H, Tsunoda N, Taniyama H. Jugular thrombophlebitis developed from buccal ulcer in a thoroughbred horse.. J Vet Med Sci 2010 Jul;72(7):913-5.
- Dickson LR, Badcoe LM, Burbidge H, Kannegieter NJ. Jugular thrombophlebitis resulting from an anaesthetic induction technique in the horse.. Equine Vet J 1990 May;22(3):177-9.
- Geraghty TE, Love S, Taylor DJ, Heller J, Mellor DJ, Hughes KJ. Assessing techniques for disinfecting sites for inserting intravenous catheters into the jugular veins of horses.. Vet Rec 2009 Jan 10;164(2):51-5.
- Beard LA. Princípios de tratamento antimicrobiano.. Medicina Interna Eqüina Rio de Janeiro: Guanabara Koogan; 2000. pp. 135–161.
- Dyson SJ. Problems associated with the neck: Neck pain and stiffness, abnormal posture, and forelimb gait abnormalities.. Current Therapy in Equine Medicine 4th ed. Philadelphia, Pennsylvania: Saunders; 1997. pp. 1–6.
- Bonagura JD, Reef VB, Schwarzwald CC. Cardiovascular diseases.. Equine Internal Medicine 3rd ed. St. Louis, Missouri: Saunders; 2010. pp. 372–487.
- Ryu SH, Kim JG, Bak UB, Lee CW, Lee YL. A hematogenic pleuropneumonia caused by postoperative septic thrombophlebitis in a Thoroughbred gelding.. J Vet Sci 2004 Mar;5(1):75-7.
- Reimer JM. Vasculature (jugular vein and lymphatics). Atlas of Equine Ultrasonography St. Louis, Missouri: Mosby; 1998. pp. 165–169.
- Joffe HV, Goldhaber SZ. Upper-extremity deep vein thrombosis.. Circulation 2002 Oct 1;106(14):1874-80.
- Gardner SY, Reef VB, Spencer PA. Ultrasonographic evaluation of horses with thrombophlebitis of the jugular vein: 46 cases (1985-1988).. J Am Vet Med Assoc 1991 Aug 1;199(3):370-3.
- Barbosa RG, Borghesan AC, Cerqueira NF. Fisiopatologia da trombose e tromboflebite da veia jugular de equinos: revisão.. Vet Zootec 2009;16:26–37.
- Reef VB. Cardiovascular ultrasonography.. Equine Diagnostic Ultrasound Philadelphia, Pennsylvania: Saunders; 1998. pp. 215–272.
- Dias DPM, Canola PA, Teixeira LG, Albernaz RM, Canola JC, Lacerda-Neto JC. Ultrasonographic evaluation of experimental jugular vein thrombophlebitis in horses.. Vet Surg 2010;39:E21.
- Geraghty TE, Love S, Taylor DJ, Heller J, Mellor DJ, Hughes KJ. Assessment of subclinical venous catheter-related diseases in horses and associated risk factors.. Vet Rec 2009 Feb 21;164(8):227-31.
- Gardner SY, Donawick WJ. Jugular vein thrombophlebitis.. Current Therapy in Equine Medicine Vol. 3. Philadelphia, Pennsylvania: Saunders; 1992. pp. 406–410.
- Scott EA, Byars TD, Lamar AM. Warfarin anticoagulation in the horse.. J Am Vet Med Assoc 1980 Dec 1;177(11):1146-51.
- Dargatz J, Dargatz D. Intravenous catheters and thrombophlebitis.. Reports of Equine Veterinary Meetings 1993;13:379.
- Ben-Chehida N, Bellagha A, Bardi K. Traitement d’une thrombophlébite chez un cheval par une prothèse en polyretrafluoroethylene (PTFE). Prat Vét Equine 1994;26:169–173.
- Wiemer P, Gruys E, van Hoeck B. A study of seven different types of grafts for jugular vein transplantation in the horse.. Res Vet Sci 2005 Dec;79(3):211-7.
- Dornbusch PT, Hussni CA, Yoshida WB, Sequeira JL, Vulcano LC, Cillo GP. Implante jugular homólogo fixado em glutaraldeído, nos equinos.. Rev Port Ciênc Vet 2007;102:81–86.
- Hussni CA, Dornbusch PT, Yoshida WB. Trombectomia com cateter de Fogarty no tratamento da tromboflebite jugular experimental em equinos.. Pesqui Vet Bras 2009;29:45–51.
- Russell TM, Kearney C, Pollock PJ. Surgical treatment of septic jugular thrombophlebitis in nine horses.. Vet Surg 2010 Jul;39(5):627-30.
- Orsini JA, Divers TJ. Equine Emergencies: Treatment and Procedures.. 3rd ed. St. Louis, Missouri: Saunders; 2008.
- Feige K, Schwarzwald CC, Bombeli T. Comparison of unfractioned and low molecular weight heparin for prophylaxis of coagulopathies in 52 horses with colic: a randomised double-blind clinical trial.. Equine Vet J 2003 Jul;35(5):506-13.
- Hussni CA, Dornbusch PT, Alves ALG. Avaliação clínica e angiográfica da vascularização consecutiva à ressecção experimental da jugular de equinos.. Vet Zootec 2006;13:163–168.
- Sikri N, Bardia A. A history of streptokinase use in acute myocardial infarction.. Tex Heart Inst J 2007;34(3):318-27.
- Rang HP, Dale MM. Haemostasis and thrombosis.. Phamacology New York, New York: Churchill Livingstone; 1987. pp. 280–296.
- Dotter CT, Rösch J, Seaman AJ. Selective clot lysis with low-dose streptokinase.. Radiology 1974 Apr;111(1):31-7.
- Stegnar M, Kozak M, Sabovic M. D-dimer during intra-arterial low-dose streptokinase treatment of peripheral arterial occlusive disease.. Fibrinolysis 1994;8:105–107.
- Baskurt OK, Farley RA, Meiselman HJ. Erythrocyte aggregation tendency and cellular properties in horse, human, and rat: a comparative study.. Am J Physiol 1997 Dec;273(6):H2604-12.
- Clark-Price SC, Cox JH, Bartoe JT, Davis EG. Use of dapsone in the treatment of Pneumocystis carinii pneumonia in a foal.. J Am Vet Med Assoc 2004 Feb 1;224(3):407-10, 371.
- Hilton H, Pusterla N. Intrapleural fibrinolytic therapy in the management of septic pleuropneumonia in a horse.. Vet Rec 2009 May 2;164(18):558-9.
Citations
This article has been cited 7 times.- Doff SC, Wenderlein J, Wiesinger A, Hiereth S, Ulrich S, Straubinger RK. Detection of Borrelia burgdorferi Sensu-Lato-Specific Antibodies in Sera of Canine and Equine Origin-A Comparative Study with Two Line Immunoassays.. Vet Sci 2022 Nov 14;9(11).
- Gandini M, Cerullo A, Franci P, Giusto G. Changes in Perioperative Antimicrobial and Anti-Inflammatory Drugs Regimens for Colic Surgery in Horses: A Single Center Report.. Vet Sci 2022 Oct 4;9(10).
- Hussein HA, Ibrahim A. B-mode and color Doppler ultrasonography of normal external jugular vein in donkeys (Equus asinus).. BMC Vet Res 2022 Sep 14;18(1):345.
- Miranda ALS, Antunes BC, Minozzo JC, Lima SA, Botelho AFM, Campos MTG, Chávez-Olórtegui CD, Soto-Blanco B. Clinical Effects of the Immunization Protocol Using Loxosceles Venom in Naïve Horses.. Toxins (Basel) 2022 May 13;14(5).
- 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. Evaluation of totally implantable catheters in healthy horses.. BMC Vet Res 2021 Oct 26;17(1):339.
- Corda A, Columbano N, Secchi V, Scanu A, Parpaglia MLP, Careddu GM, Passino ES. Use of saline contrast ultrasonography in the diagnosis of complete jugular vein occlusion in a horse.. Open Vet J 2020 Oct;10(3):308-316.
- Pasolini MP, Spinella G, Del Prete C, Valentini S, Coluccia P, Auletta L, Greco M, Meomartino L. Ultrasonographic assessment of normal jugular veins in Standardbred horses.. BMC Vet Res 2019 Oct 16;15(1):343.
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