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猫原发性气管塌陷的自膨式气管支架置入。

Self-expanding tracheal stent placement in a cat with primary tracheal collapse.

机构信息

Laboratory of Veterinary Surgery, Department of Clinical Veterinary Medicine, Division of Veterinary Research, Obihiro University of Agriculture and Veterinary Medicine, Obihiro-shi, Japan.

出版信息

Vet Med Sci. 2022 Jul;8(4):1347-1351. doi: 10.1002/vms3.813. Epub 2022 Apr 20.

Abstract

A 12-year-old mixed-breed spayed female cat presented with dyspnoea, open-mouthed breathing, and cyanosis that was difficult to control with medical pharmacotherapy; the cat was diagnosed with the primary tracheal collapse of the neck and chest regions. The diagnosis was confirmed by dynamic chest radiography, tracheal endoscopy, and computed tomography (CT). Tracheal endoscopy and CT showed dropsy of the dorsal membranous wall over most of the trachea. A self-expanding Nitinol cross-and-hook braided stent was placed along the entire tracheal lumen using surgical X-ray fluoroscopy. Bacterial cultures in the trachea were negative. Dyspnoea disappeared immediately after the endotracheal stent was implanted. Although the long-term prognosis remains under observation, the short- to medium-term prognosis was very good. These results suggest that stenting may be useful in the treatment of primary tracheal collapse in cats.

摘要

一只 12 岁的混种已绝育雌性猫出现呼吸困难、张口呼吸和发绀,用药物治疗难以控制;猫被诊断为颈部和胸部原发性气管塌陷。通过动态胸部 X 线摄影、气管镜检查和计算机断层扫描(CT)确诊。气管镜和 CT 显示大部分气管背膜壁水肿。使用手术 X 射线荧光透视术,将自膨式 Nitinol 十字和钩编织支架沿整个气管腔放置。气管内细菌培养阴性。植入气管内支架后,呼吸困难立即消失。尽管长期预后仍在观察中,但短期至中期预后非常好。这些结果表明,支架置入术可能对猫原发性气管塌陷的治疗有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7128/9297796/3f49ab5a2a54/VMS3-8-1347-g004.jpg

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