PhD Student University of Perugia Perugia, Umbria, Italy
Abstract:
Background: Minimally invasive interventional procedures are routinely performed in veterinary cardiology. Fluoroscopy is typically used for procedure guidance aside ultrasound guidance. Common therapeutic indications for interventional procedures include closure of patent ductus arteriosus (PDA), pulmonary balloon valvuloplasty (PBV) and permanent artificial pacemaker implantation (PMI).
Objective: Short-term outcomes and complications of PDA occlusion, PBV and PMI using only ultrasound guidance have never been described before. This study aims to report short-term outcomes and complications in three referral centres between 2009 and 2024. Animals: Three hundred and six client owned dogs were presented for PDA occlusion, PBV or PMI, 130 (91 females, 39 males), 144 (59 females, 85 males) and 32 (18 females, 14 males) respectively.
Results: In the PDA group 4 dogs (3,4%) had intra-procedure complications, divided into major (1,7%) and minor (1,7%). Twenty-one dogs (17,95%) had short-term post-procedural complication, divided in major (1,74%) and minor (16,67%). In the PS group, 20 (16%) had intra-operatory complications, divided into major (7,2%) and minor complication (8,8%). 1 dog (0,8%) had major short-term post-procedural complications. In the PMI group, 2 dogs (6,2%) had complications during the procedure whereas 5 dogs (15,6%) had post-implantation complications. The short-term survival rate in PDA occlusion, PBV and PMI groups was 100%, 98,4% and 93,7%, respectively.
Conclusions: The complication outcome-rate is similar to what reported for the same procedures performed under fluoroscopic guidance in other veterinary institutions. Our study demonstrates that ultrasound guidance in interventional cardiology procedures is safe and effective in PDA occlusion, PBV and PMI.
Learning Objectives:
Upon completion, participants will be able to breakdown the main steps of mini-invasive Patent Ductus Arteriosus Embolization, Pulmonary Baloon Valvuloplasty and Permanent Pacemaker implantation procedures performed with ultrasound guidance.
Upon completion, participants will be able to categorize short-term major and minor complications of mini-invasive Patent Ductus Arteriosus Embolization, Pulmonary Baloon Valvuloplasty and Permanent Pacemaker implantation procedures performed with Ultrasound guidance solely and compare the results with the traditional fluoroscopic-guided.
Upon completion, participants will be able to appraise ultrasonography as the only guide for mini-invasive cardio-interventistic procedures in line with the ALARA (As Low As Reasonably Possible) principles.
