Thrombosis of the aorta and the caudal arteries in the horse; additional diagnostics and a new surgical treatment.
- Case Reports
- Journal Article
Summary
The research paper discusses the common poor prognosis of aortic-iliac thrombosis (TAI) in horses, and proposes new diagnostic techniques and a new surgical solution. It suggests that horses suffering from TAI have shown recovery post-treatment with sodium gluconate. The research also documents the usage of a Fogarty thrombectomy catheter for partial or total thrombi removal to restore blood flow, which has shown promising results in the recovery of the horses studied.
Objective of the Study
The primary objective of this study was to introduce alternative methods of diagnostics and treatments for Thrombosis of the Aorta and the Caudal arteries (TAI) in horses. The study aimed:
- To present more nuanced diagnostic techniques for monitoring the development of hypoxemia (low oxygen concentration in the blood) in the afflicted limb.
- To visualise the extension of the thrombosis into the femoral artery.
- To introduce a new surgical technique utilising a Fogarty thrombectomy catheter for partial or total removal of thrombi in order to restore blood flow in horses.
Research Methodology
The researchers utilised sodium gluconate treatments and innovative surgical techniques as the primary methods for treatment. The process involved:
- Sodium gluconate treatment on horses affected by TAI. The effect of the treatment was monitored and recorded.
- Use of the Fogarty thrombectomy catheter to either partially or totally remove thrombi, recording patient recovery post-operation.
Key Findings
From the research conducted, the paper presents several crux conclusions:
- Sodium gluconate has been noted to aid in the recovery of horses affected by TAI, contradicting the previously held belief of a grim prognosis being associated with the condition.
- New diagnostic tools were effective in monitoring the extent of hypoxemia in the afflicted limb and helped in observing the amount of thrombosis spread into the femoral artery.
- The Fogarty thrombectomy catheter demonstrated utility in restoring blood flow of the affected limb by either partially or completely removing the thrombi.
- Results gleaned from this study are promising, as they document the full recovery of one horse post-surgery, enabling it to resume its previous tasks, and the significant improvement of another.
Cite This Article
Publication
Researcher Affiliations
- Department of General and Large Animal Surgery, Faculty of Veterinary Medicine, Utrecht, The Netherlands.
MeSH Terms
- Animals
- Aorta / pathology
- Aorta / physiopathology
- Atherectomy / instrumentation
- Atherectomy / methods
- Atherectomy / veterinary
- Female
- Femoral Artery / pathology
- Femoral Artery / physiopathology
- Horse Diseases / diagnosis
- Horse Diseases / pathology
- Horse Diseases / surgery
- Horses
- Hypoxia / pathology
- Hypoxia / physiopathology
- Hypoxia / veterinary
- Prognosis
- Regional Blood Flow / physiology
- Thrombectomy / instrumentation
- Thrombectomy / methods
- Thrombectomy / veterinary
- Thrombosis / diagnosis
- Thrombosis / surgery
- Thrombosis / veterinary