Survey of the large animal diplomates of the American College of Veterinary Internal Medicine regarding percutaneous lung biopsy in the horse.
Abstract: A survey designed to obtain information on the indications, contraindications, complications, and methodology of percutaneous lung biopsy in the horse was sent to large animal diplomates of the American College of Veterinary Internal Medicine. Sixty-five of 190 diplomates returned the survey (response rate: 34%) and 59 of these 65 respondents (91%) indicated that they worked with horses. Forty-four diplomates had performed a percutaneous lung biopsy in 1 or more horses (i.e. 75% of those diplomates working with horses and 68% of total respondents). Clinical and radiologic diagnoses that prompted diplomates to perform percutaneous lung biopsy in the horse included a pulmonary miliary pattern (93%), suspicion of pulmonary infiltrative disease (91%), suspicion of pulmonary neoplasia (91%), suspicion of chronic obstructive pulmonary disease (COPD) (20%), and suspicion of exercise-induced pulmonary hemorrhage (EIPH) (7%). Only one of the respondents reported the use of percutaneous lung biopsy in the diagnostic workup if pneumonia was suspected, but 11% of respondents reported that suspicion of pulmonary abscessation would prompt them to perform a percutaneous lung biopsy. In contrast, a variable percentage of respondents felt there were contraindications to performance of this technique, which included neonatal septicemia (68%), pulmonary abscessation (65%), pleuropneumonia (55%) and pneumonia (42%), EIPH (41%), and COPD (26%). No respondent indicated that suspicion of neoplasia was a contraindication to percutaneous biopsy. Most common complications observed by respondents were epistaxis (68% of respondents), putative pulmonary hemorrhage (52%), tachypnea (39%), and respiratory distress (32%). Ten of 44 respondents (23%) had not seen any complications with percutaneous lung biopsy. Forty-two of 44 respondents (96%) warned owners about possible complications before performing percutaneous lung biopsy. All respondents to this question reported that they would perform percutaneous lung biopsies in horses in the future, but 4 of 41 would use the procedure only as a last resort.
Publication Date: 1998-12-19 PubMed ID: 9857339DOI: 10.1111/j.1939-1676.1998.tb02150.xGoogle Scholar: Lookup
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- Journal Article
- Biopsy
- Chronic Obstructive Pulmonary Disease
- Clinical Findings
- Clinical Study
- Complications
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Equine Health
- Exercise-Induced Pulmonary Hemorrhage
- Horses
- Lung Health
- Pneumonia
- Pulmonary Health
- Radiology
- Respiratory Disease
- Survey Study
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
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.
The research article is a survey of large animal practitioners about their experience with percutaneous lung biopsy in horses, exploring indications, contraindications, complications, and methodologies.
Methodology of the Research
- The study was initiated by sending a survey to large animal diplomates affiliated with the American College of Veterinary Internal Medicine.
- The response rate for the survey was 34% with 65 out of 190 diplomates participating in the study.
- Among the respondents, 91% reported that they work with horses in their practice.
Findings of the Research
- Approximately 75% of the respondents who work with horses and 68% of all respondents had conducted one or more percutaneous lung biopsies on horses.
- The reasons for performing a percutaneous lung biopsy included suspicion of pulmonary miliary pattern (93% of respondents), pulmonary infiltrative disease (91%), pulmonary neoplasia (91%), chronic obstructive pulmonary disease (COPD) (20%), and exercise-induced pulmonary hemorrhage (EIPH) (7%).
- Despite a low rate of reported use in cases of suspected pneumonia (1 respondent), 11% of respondents had performed a biopsy if they suspected a pulmonary abscessation.
Contradictions for Lung Biopsy
- A variable percentage of respondents reported contraindications to performing a lung biopsy which included neonatal septicemia (68%), pulmonary abscessation (65%), pleuropneumonia (55%) and pneumonia (42%), EIPH (41%), and COPD (26%).
- Interestingly, the suspicion of neoplasia was not reported as a contraindication by any of the respondents.
Reported Complications of Lung Biopsy
- Some reported complications from the procedure were epistaxis (68% of respondents), suspected pulmonary hemorrhage (52%), tachypnea (39%), and respiratory distress (32%).
- However, 23% of the respondents reported witnessing no complications when performing a percutaneous lung biopsy.
- Most practitioners (96%) informed horse owners about potential complications before performing the procedure.
Future Use of Percutaneous Lung Biopsies
- All respondents indicated that they would continue to use percutaneous lung biopsies in future, although 4 out of 41 respondents said they would only use this method as a last resort.
Cite This Article
APA
Savage CJ, Traub-Dargatz JL, Mumford EL.
(1998).
Survey of the large animal diplomates of the American College of Veterinary Internal Medicine regarding percutaneous lung biopsy in the horse.
J Vet Intern Med, 12(6), 456-464.
https://doi.org/10.1111/j.1939-1676.1998.tb02150.x Publication
Researcher Affiliations
- Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA. csavage@vth.colostate.edu
MeSH Terms
- Animals
- Biopsy / methods
- Biopsy / veterinary
- Contraindications
- Data Collection / standards
- Horse Diseases / diagnosis
- Horses
- Lung Diseases / diagnosis
- Lung Diseases / veterinary
- Veterinarians
Citations
This article has been cited 1 times.- Burgess BA, Hendrick SH, Pollock CM, Abutarbush SM, Vogstad A, Jim GK, Booker CW. The development of a novel percutaneous lung biopsy procedure for use on feedlot steers. Can J Vet Res 2011 Oct;75(4):254-60.
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