Anatomical classification of canine congenital extrahepatic portosystemic shunts based on CT angiography: A SVSTS and VIRIES multi-institutional study in 1082 dogs.

Autor: Weisse C; Animal Medical Center, New York, New York, USA., Fox-Alvarez WA; College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA., Grosso FRV; College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA., Asano K; Nihon University, Fujisawa, Kanagawa, Japan., Ishigaki K; Nihon University, Fujisawa, Kanagawa, Japan., Zwingenberger AL; Davis School of Veterinary Medicine, University of California, Davis, California, USA., Carroll KA; College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA., Scharf VF; College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA., Lipscomb V; Royal Veterinary College, Hatfield, Hertfordshire, England., Wallace ML; College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA., Aly A; Cornell University College of Veterinary Medicine, Ithaca, New York, USA., Biscoe B; Animal Imaging, Irving, Texas, USA., Davidson JR; College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, Texas, USA., Arai S; College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA., Amato NS; Ethos Veterinary Health, Massachusetts Veterinary Referral Hospital, Woburn, Massachusetts, USA., Ryan SD; UVet Veterinary Hospital, University of Melbourne, Werribee, Victoria, Australia., Woods S; Animal Medical Center, New York, New York, USA., An A; Weill Cornell Medicine, New York Presbyterian, New York, New York, USA.
Jazyk: angličtina
Zdroj: Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association [Vet Radiol Ultrasound] 2024 Aug 05. Date of Electronic Publication: 2024 Aug 05.
DOI: 10.1111/vru.13415
Abstrakt: Canine congenital extrahepatic portosystemic shunt (EHPSS) morphologies have not been fully elucidated. The goal of this retrospective, multi-institutional study was to use CT angiography to create an anatomical-based nomenclature system for canine congenital EHPSS. These shunt morphologies were then evaluated to identify any significant association with patient age, sex, breed, weight, or subjective portal perfusion score. Data collected respectively from the SVSTS and VIRIES list-serves included patient DOB, sex, breed, weight, CT date, and reported diagnosis. A single author (C.W.) viewed all CT scans and classified shunts based on the shunt portal vessel(s) of origin, the shunt systemic vessel(s) of insertion, and any substantial portal vessels contributing to the shunt. Additionally, hepatic portal perfusion was subjectively scored between one (poor/none) and five (good/normal) based on the caliber of the intrahepatic portal veins. A total of 1182 CT scans were submitted from 13 different institutions. Due to exclusion criteria, 100 (8.5%) were removed, leaving 1082 CT scans to be included. Forty-five different EHPSS anatomies were identified with five classifications accounting for 85% of all shunts (left gastric-phrenic [27%], left gastric-azygos [19%], left gastric-caval [15%], aberrant left gastric-caval with right gastric vein [12%], and aberrant left gastric-caval with right gastric vein and short gastric vein [11%]). Shunt origin involved the left gastric vein in 95% of the described classifications. Significant differences were identified among the five most common shunt types with respect to age at the time of the CT scan (P < .001), sex (P = .009), breed (P < .001), weight (P < .001), and subjective portal perfusion score (P < .001). An anatomical classification system for canine EHPSS may enable improved understanding, treatment comparisons, and outcome prediction for these patients.
(© 2024 American College of Veterinary Radiology.)
Databáze: MEDLINE
Externí odkaz: