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Animals : an open access journal from MDPI2022; 12(12); 1481; doi: 10.3390/ani12121481

Percutaneous Ultrasound-Guided Carotid Access and Puncture Closure with Angio-Seal in Horses.

Abstract: There are different indications for endovascular surgery in horses, mainly the treatment of guttural pouch mycosis. Traditionally, these procedures are carried out by open arteriotomy of the common carotid artery (CCA), although less invasive percutaneous ultrasound-guided carotid access (PUGCA) has been described in experimental horses. In human medicine, commercial closure systems are used to seal these arterial puncture sites and reduce complications. The aims of this study are to retrospectively describe our experience with PUGCA in clinical cases and to report, for the first time, the use of the commercial vascular closure device Angio-Seal after PUGCA in horses. Retrospective study of clinical case records. Collected parameters, including the feasibility of the PUGCA and variables related to the safety and efficacy of the use of the Angio-Seal. Twelve PUGCA procedures in 11 horses were included. In all cases, the artery was effectively accessed, and the planned procedure could be performed. In two cases, haematoma/bleeding due to incorrect use of the Angio-Seal was recorded. This complication rate (16.66%) was lower than that obtained in other studies using PUGCA in horses, but where the puncture was sealed by manual compression only. A control group of clinical cases with PUGCA but without using Angio-Seal is not available. Clinical data confirm previous experimental results, which showed that PUGCA is safe and effective in horses. The Angio-Seal system, regardless of possible complications due to incorrect use, can be used safely and effectively in horses. Further studies comparing arterial access site management using manual compression or Angio-Seal would be necessary to state if its routine use in horses is advisable.
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Publication Date: 2022-06-07 PubMed ID: 35739818PubMed Central: PMC9219495DOI: 10.3390/ani12121481Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research discusses the application of a less invasive procedure called Percutaneous Ultrasound-Guided Carotid Access (PUGCA) in horses, which involves accessing the common carotid artery. The study also explores the use of the Angio-Seal device to close arterial puncture sites, reducing complications. The findings confirm the safety and effectiveness of both PUGCA and the Angio-Seal in horses.

Methodology of the Research

  • The study is a retrospective exploration of clinical case records related to the use of PUGCA and Angio-Seal in horses.
  • It collected various parameters, focusing on the feasibility of PUGCA, and factors related to the safety and efficacy of the Angio-Seal device.

Findings of the Study

  • The study recorded twelve PUGCA procedures in eleven horses, noting the ability to effectively access the artery and performing the intended procedure in all cases.
  • The research also documented the cases where complications such as haematoma or bleeding occurred due to incorrect use of the Angio-Seal device. These complications occurred in two cases, constituting a complication rate of about 16.66%.
  • Notably, the study found that this complication rate was lower than what was observed in other studies where PUGCA was applied in horses, but the puncture site was sealed by manual compression alone.
  • Drawing on these findings, the study confirms the initial experimental results that PUGCA is both a safe and effective procedure for horses. Moreover, it asserts that the Angio-Seal system can also be used safely and effectively in horses, even though there may be possible complications due to misuse.

Limitations and Further Studies

  • One notable limitation of this study is the unavailability of a control group of cases where PUGCA was used without employing the Angio-Seal.
  • Thus, the authors suggest the necessity of further studies to make a more comprehensive assessment of the effectiveness of Angio-Seal compared to the more traditional manual compression techniques. This future research would help determine whether the routine use of the Angio-Seal device in horses is advisable.

Cite This Article

APA
Vitoria A, Laborda A, Serrano-Casorrán C, Fuente S, Romero A, Vázquez FJ. (2022). Percutaneous Ultrasound-Guided Carotid Access and Puncture Closure with Angio-Seal in Horses. Animals (Basel), 12(12), 1481. https://doi.org/10.3390/ani12121481

Publication

Animals : an open access journal from MDPI
ISSN: 2076-2615
NlmUniqueID: 101635614
Country: Switzerland
Language: English
Volume: 12
Issue: 12
PII: 1481

Researcher Affiliations

Vitoria, Arantza
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.
Laborda, Alicia
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.
Serrano-Casorrán, Carolina
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.
Fuente, Sara
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.
Romero, Antonio
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.
Vázquez, Francisco José
  • Veterinary Hospital of the University of Zaragoza (HVUZ), C/Miguel Servet 177, 50013 Zaragoza, Spain.
  • Department of Animal Pathology, Faculty of Veterinary, University of Zaragoza, 50009 Zaragoza, Spain.

Conflict of Interest Statement

The authors declare no conflict of interest.

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Citations

This article has been cited 1 times.
  1. Lepage OM. Guttural Pouch Mycosis: A Three-Step Therapeutic Approach. Vet Sci 2024 Jan 19;11(1).
    doi: 10.3390/vetsci11010041pubmed: 38275923google scholar: lookup
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