ArticleJournal of veterinary internal medicine2020
Complications and outcome of cats with congenital extrahepatic portosystemic shunts treated with thin film: Thirty-four cases (2008-2017).
Article in Journal of veterinary internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 27 citations in OpenAlex.
- Anatomical variations in the tributaries of the normal feline extrahepatic portal system: evaluation with CT angiography.Journal of feline medicine and surgery · 2025Article
- Prognostic factors for short-term survival of cats that experienced postattenuation neurologic signs after surgical attenuation of single congenital portosystemic shunts.Veterinary surgery : VS · 2025Article
- Retrospective review of outcome following medical management of a congenital portosystemic shunt in 10 cats.Journal of feline medicine and surgery · 2025Article
- Computed tomographic evaluation of portal vein indices in cats with the extrahepatic portosystemic shunts.Journal of veterinary science · 2024Article
- Hepatic Gene Expression of Angiogenic and Regeneration Markers in Cats with Congenital Portosystemic Shunts (CPSS).Veterinary sciences · 2024Article
- Congenital Portosystemic Shunts in Dogs and Cats: Treatment, Complications and Prognosis.Veterinary sciences · 2023Review
- Congenital portopulmonary shunt in a cat.The Journal of small animal practice · 2022Article
- Surgical treatment and outcome of intrahepatic shunts in 12 cats.Journal of feline medicine and surgery · 2022Article
- 2022 Update of the Consensus on the Rational Use of Antithrombotics and Thrombolytics in Veterinary Critical Care (CURATIVE) Domain 1- Defining populations at risk.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2022Article
- Complications and outcome of cats with congenital extrahepatic portosystemic shunts treated with thin film: Thirty-four cases (2008-2017).Journal of veterinary internal medicine · 2020Article
- Percutaneous transvenous coil embolization of an extrahepatic portosystemic shunt in a cat.JFMS open reportsArticle
- Laparoscopic portosystemic shunt attenuation in two cats.JFMS open reportsArticle
- Peripartum clinical manifestations of a mesentericorenocaval shunt in a Burmese cat.JFMS open reportsArticle
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCongenital extrahepatic portosystemic shunts (CEHPSS) are rare in cats. Outcome after attenuation of CEHPSS with thin film has been described in a small number of cases.
objectivesTo describe the clinical presentation, postoperative complications, and outcome of cats treated with thin film to attenuate CEHPSS. ANIMALS: Thirty-four cats with CEHPSS were identified from the database of 3 institutions over 9 years.
methodsRetrospective study. Medical records were reviewed to identify cats with a diagnosis of a CEHPSS that underwent surgical attenuation. Congenital extrahepatic portosystemic shunts were suspected from clinical signs, clinicopathologic findings, and diagnostic imaging, and confirmed at exploratory laparotomy. Cats treated with thin film band attenuation were included. Postoperative complications and follow-up were recorded.
resultsComplications were recorded in 11 of 34 cats. Deaths related to CEHPSS occurred in 6 of 34; 4 cats did not survive to discharge. Persistent seizures were the cause of death in 4 cats. Seizures were recorded in 8 of 34 cats after surgery; all these cats received preoperative antiepileptic drugs. Serum bile acid concentrations normalized in 25 of 28 of the cats for which data was available. Three cats had persistently increased serum bile acid concentrations and underwent a second exploratory laparotomy. One had a patent shunt, the other 2 had multiple acquired portosystemic shunts. Median follow-up was 8 months (0.5-84 months). CONCLUSIONS AND CLINICAL IMPORTANCE: Congenital extrahepatic portosystemic shunts attenuation using thin film in cats carries a good short- and mid-term prognosis if they survive the postoperative period. Seizures were the most common cause of death.
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