Transarterial coil embolization of patent ductus arteriosus in small dogs with 0.025-inch vascular occlusion coils: 10 cases

J Vet Intern Med. 2004 May-Jun;18(3):325-9. doi: 10.1892/0891-6640(2004)18<325:tceopd>2.0.co;2.

Abstract

Patent ductus arteriosus (PDA) is the most common congenital cardiac disease in the dog and generally leads to severe clinical signs, including left-sided congestive heart failure. Historically, definitive treatment consisted of surgical ligation; however, the use of vascular occlusion devices by minimally invasive techniques has gained popularity in veterinary medicine during the past decade. Adequate vascular access is a major limiting factor for these minimally invasive techniques, precluding their use in very small dogs. The clinical management of PDA with 0.025-in vascular occlusion coils in a minimally invasive transarterial technique in 10 dogs is described. The dogs were small (1.38 +/- 0.22 kg), were generally young (6.70 +/- 5.74 months), and had small minimal ductal diameters (1.72 +/- 0.81 mm from angiography). Vascular access was achieved, and coil deployment was attempted in all dogs with a 3F catheter uncontrolled release system. Successful occlusion, defined as no angiographic residual flow, was accomplished in 8 of 10 (80%) dogs. Successful occlusion was not achieved in 2 dogs (20%), and both dogs experienced embolization of coils into the pulmonary arterial tree. One of these dogs died during the procedure, whereas the other dog underwent a successful surgical correction. We conclude that transarterial PDA occlusion in very small dogs is possible with 0.025-in vascular occlusion coils by means of a 3F catheter system and that it represents a viable alternative to surgical ligation. The risk of pulmonary arterial embolization is higher with this uncontrolled release system, but this risk may decrease with experience.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Cardiac Catheterization / instrumentation
  • Cardiac Catheterization / methods
  • Cardiac Catheterization / veterinary*
  • Dog Diseases / therapy*
  • Dogs
  • Ductus Arteriosus, Patent / therapy
  • Ductus Arteriosus, Patent / veterinary*
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods
  • Embolization, Therapeutic / veterinary*
  • Female
  • Male
  • Stents / veterinary*
  • Treatment Outcome