Dirven M J M, Cornelissen J M M
Dierenkliniek Rijen, kliniek voor gezelschapsdieren, Rijen, Nederland.
Tijdschr Diergeneeskd. 2009 Dec 1;134(23):974-80.
Arterial thromboembolism is a rare disease in cats with an estimated prevalence of less than 0.57%. The outcome is often disastrous. The most commonly identified underlying cause is a form of cardiomyopathy. Thromboemboli usually tend to lodge near the aorta trifurcation, causing extreme pain, paralysis of the rear limbs, no palpable pulse wave, and cold rear limbs. Treatment is aimed at palliation, thrombolysis, and prevention of recurrence of thrombus formation. The prognosis is usually guarded and medical treatment tends not to influence the outcome markedly. In this review, we describe the pathophysiology, common clinical features, diagnostics, and treatment of arterial thromboembolism in cats. We also summarize risk factors and new developments in prevention and treatment.
动脉血栓栓塞在猫中是一种罕见疾病，估计患病率低于0.57%。其后果往往是灾难性的。最常见的潜在病因是某种形式的心肌病。血栓栓子通常倾向于在主动脉三叉处附近滞留，导致剧痛、后肢麻痹、无明显脉搏波以及后肢冰冷。治疗旨在缓解症状、进行溶栓以及预防血栓形成复发。预后通常不佳，药物治疗往往不会显著影响治疗结果。在本综述中，我们描述了猫动脉血栓栓塞的病理生理学、常见临床特征、诊断方法及治疗。我们还总结了危险因素以及预防和治疗方面的新进展。
