Reconstruction of the jugular vein in horses with post thrombophlebitis stenosis using saphenous vein graft.
Abstract: A surgical technique is described in which a saphenous vein graft is used to reconstruct the jugular vein in horses with facial oedema due to post thrombophlebitic stenosis of the jugular vein. The saphenous vein was harvested from the contralateral limb and implanted in the occluded vein by 2 side-to-end anastomoses. Intra- and post operatively anticoagulative medication was administered. In 2 out of 3 patients the reconstruction resulted in a permanent patent graft and resolution of the facial oedema. In one patient the graft thrombosed.
Publication Date: 1998-06-11 PubMed ID: 9622324DOI: 10.1111/j.2042-3306.1998.tb04493.xGoogle Scholar: Lookup The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
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Summary
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The researchers developed a surgical procedure to treat horses suffering from swelling on the face due to blood clot-induced constriction of the jugular vein using a graft from the saphenous vein. The technique was effective in 2 out of 3 subjects in maintaining an open, functioning graft and alleviating facial swelling.
Introduction and Methodology
- The research revolves around a surgical technique aiming to provide a solution for facial edema – or swelling – in horses. This condition is a result of the constriction of the jugular vein due to a blood clot, known as post-thrombophlebitic stenosis.
- The researchers developed a novel surgical approach wherein they used a graft from the saphenous vein (a long vein running along the leg) to reconstruct the affected jugular vein.
- The saphenous vein for the graft was harvested from the limb opposite to the one with the occluded jugular vein. It was then implanted into the blocked vein through a procedure using two side-to-end anastomoses – a surgical connection between two structures.
- Anticoagulative medication was administered during and after the operation to prevent the formation of clots in the newly operated vein.
Results and Findings
- The surgical technique was applied to 3 patients and the results were analyzed. In 2 out of the 3 horses, the treatment resulted in a permanently patent, or open, graft.
- Successful treatment led to the resolution of facial edema, indicating the effectiveness of this surgical approach in such cases.
- In one patient, the graft thrombosed, or developed a clot, which shows that there are potential complications that need to be addressed.
Conclusion
- Overall, the study suggests a promising surgical technique to treat horses suffering from facial swelling due to post thrombophlebitic stenosis of the jugular vein.
- The technique, using a graft from the saphenous vein, was successful in most cases. There remains a need for further study and improvements based on the case where a complication emerged after the operation.
- These results may be beneficial in future developments of surgical techniques related to the reconstruction of veins in veterinary medicine.
Cite This Article
APA
Rijkenhuizen AB, van Swieten HA.
(1998).
Reconstruction of the jugular vein in horses with post thrombophlebitis stenosis using saphenous vein graft.
Equine Vet J, 30(3), 236-239.
https://doi.org/10.1111/j.2042-3306.1998.tb04493.x Publication
Researcher Affiliations
- Faculty of Veterinary Medicine, Department of General and Large Animal Surgery, Utrecht, The Netherlands.
MeSH Terms
- Ampicillin / therapeutic use
- Anastomosis, Surgical / veterinary
- Animals
- Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
- Anticoagulants / therapeutic use
- Constriction, Pathologic / etiology
- Constriction, Pathologic / surgery
- Constriction, Pathologic / veterinary
- Drug Therapy, Combination
- Edema / etiology
- Edema / surgery
- Edema / veterinary
- Graft Survival / physiology
- Heparin / therapeutic use
- Horse Diseases / diagnostic imaging
- Horse Diseases / etiology
- Horse Diseases / surgery
- Horses
- Jugular Veins / physiopathology
- Jugular Veins / surgery
- Male
- Penicillin G Procaine / therapeutic use
- Phenylbutazone / therapeutic use
- Saphenous Vein / physiopathology
- Saphenous Vein / transplantation
- Thrombosis / diagnostic imaging
- Thrombosis / surgery
- Thrombosis / veterinary
- Ultrasonography, Doppler / veterinary
Citations
This article has been cited 2 times.- 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.
- Dias DP, de Lacerda Neto JC. Jugular thrombophlebitis in horses: a review of fibrinolysis, thrombus formation, and clinical management. Can Vet J 2013 Jan;54(1):65-71.
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