Dunn Marilyn, Scansen Brian A
Interventional Radiology and Endoscopy, CHUV- Faculty of Veterinary Medicine, University of Montreal, 3200 Sicotte, St. Hyacinthe, Quebec J2S 7C6, Canada.
Cardiology and Cardiac Surgery, Department of Clinical Sciences, Colorado State University, Campus Delivery 1678, Fort Collins, CO 80523, USA.
Vet Clin North Am Small Anim Pract. 2018 Sep;48(5):819-841. doi: 10.1016/j.cvsm.2018.05.004. Epub 2018 Jun 15.
Vascular obstructions in small animals have numerous etiologies and variable signs depending on location and chronicity. The decision to treat and by which method (medical, interventional, surgical) can be challenging. A combined approach of catheter-directed thrombolysis, angioplasty, or vascular stenting may be most appropriate for acute thrombosis, though optimal therapeutic strategies are undefined in this population. The role of embolic trapping devices in animals is uncertain. Chronic cases of vascular obstruction, with collateral flow and neither ischemia nor venous congestion manifest, may be conservatively managed. Prospective clinical studies are needed to better guide management of vascular obstructions in veterinary medicine.
小动物的血管阻塞有多种病因,其体征因位置和病程而异。决定是否治疗以及采用何种方法(药物治疗、介入治疗、手术治疗)可能具有挑战性。对于急性血栓形成,联合使用导管定向溶栓、血管成形术或血管支架置入术可能是最合适的,尽管该群体的最佳治疗策略尚不明确。栓塞捕获装置在动物中的作用尚不确定。对于存在侧支循环且无缺血或静脉淤血表现的慢性血管阻塞病例,可进行保守治疗。需要开展前瞻性临床研究,以更好地指导兽医学中血管阻塞的管理。