Regional antibiotic perfusion through the lateral saphenous vein in two horses with septic calcaneal osteitis.
Abstract: In this case report, two horses with chronic refractory infections in the tuber calcanei were successfully managed via intravenous antibiotic regional limb perfusion through the lateral saphenous vein after failure of conventional treatment approaches, including surgery and intravenous regional limb perfusion using the cranial branch of the medial saphenous vein. Surgical delay in these cases may have allowed the development of chronic infection, which prevented the conventional regional perfusion from working effectively. The spatial difference of the vessels relative to the tuber calcanei possibly contributed to the treatment outcome in these horses. This report describes a novel approach for regional antimicrobial perfusion to the equine plantar hock region using the lateral saphenous vein.
Publication Date: 2022-11-23 PubMed ID: 36418075PubMed Central: PMC9887219DOI: 10.1292/jvms.22-0377Google Scholar: Lookup
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Summary
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The research article discusses a novel approach to treating chronic refractory infections in horses through regional antibiotic perfusion via the lateral saphenous vein. Conventional treatment options failed, but this new method showed successful outcomes.
Key Elements of the Study
- The study primarily focused on two horses suffering from chronic refractory infections, specifically in the tuber calcanei, a prominent bony area in the heel of horses.
- Traditional treatment techniques were not effective in these instances. The approaches included surgery as well as intravenous regional limb perfusion using the cranial branch of the medial saphenous vein.
- The report suggests that the delay in surgery may have permitted the infection to become chronic, thus reducing the efficacy of the conventional perfusion treatment.
Novel Approach and Findings
- The researchers chose intravenous antibiotic regional limb perfusion using the lateral saphenous vein, a different vein to conventionally used for this treatment. The shift to the usage of this vein is a novel approach aimed at dealing with the chronic infections.
- The decision to use this vein was based on its spatial location relative to the tuber calcanei. It was hypothesized that this might influence the effectiveness of the treatment.
- The conclusion of the study affirmed that this different method of regional antimicrobial perfusion towards the equine plantar hock region (the back area of a horse’s leg just above the hoof) was successful for the two horses under study.
Implications
- The success of the novel approach suggests it may provide a valuable alternative to current treatment strategies, particularly when those methods have proven unsuccessful.
- This novel perfusion technique could potentially revolutionize the way certain equine infections are treated, making it a significant addition to veterinary medicine.
Cite This Article
APA
Mizuguchi Y, Kato A, Aizu M.
(2022).
Regional antibiotic perfusion through the lateral saphenous vein in two horses with septic calcaneal osteitis.
J Vet Med Sci, 85(1), 55-61.
https://doi.org/10.1292/jvms.22-0377 Publication
Researcher Affiliations
- Hidaka Horse Breeders' Association, Hokkaido, Japan.
- Shadai Farm, Hokkaido, Japan.
- Shadai Farm, Hokkaido, Japan.
MeSH Terms
- Horses
- Animals
- Anti-Bacterial Agents / therapeutic use
- Saphenous Vein
- Osteitis / veterinary
- Perfusion / veterinary
- Administration, Intravenous / veterinary
- Horse Diseases / drug therapy
- Horse Diseases / surgery
Conflict of Interest Statement
The authors have nothing to disclose.
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