Evidence map›Paper›PMID 40293127›Full record

ArticleJournal of veterinary internal medicine

Assessing Ureteral Patency by Fluoroscopy and Ultrasonography After Subcutaneous Ureteral Bypass Device Placement for the Treatment of Benign Ureteral Obstruction in Cats.

Yassmina Habib, Catherine Vachon, Tristan Juette, Marilyn Dunn

Abstract read
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yassmina HabibDepartment of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, USA.ORCID https://orcid.org/0009-0004-4521-9871
Catherine VachonDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.
Tristan JuetteDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.ORCID https://orcid.org/0000-0002-0795-948X
Marilyn DunnDepartment of Clinical Sciences, School of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, Quebec, Canada.

Funding

Fonds en santé des animaux de compagnie (FSAC)
6 · The paper itself

Abstract

backgroundLimited information on the patency of native ureters after subcutaneous ureteral bypass (SUB) device placement is available.

objectiveEvaluate the patency of native ureters in cats treated with SUB device placement for benign ureteral obstruction. ANIMALS: Cats with SUB presented for routine evaluation.

methodsRoutine ultrasound-guided SUB irrigations were performed, focusing on ureteral irrigation in the trigone and proximal urethra. Cats with obstructed nephrostomy catheters or subcutaneous ports were excluded. Fluoroscopic-guided SUB irrigations with iodinated contrast then were used to assess patency. Ureters were deemed patent if contrast filled the lumen evenly along their length, and obstructed if the contrast column was interrupted on consecutive images. Intraoperative fluoroscopy was reviewed to confirm the cause and location of the obstructions.

resultsOverall, 18 cats (18 SUBs; 10 unilateral, 8 bilateral) were included. The causes of obstruction were ureteroliths (23 ureters) and presumed stricture (3 ureters). A trigonal irrigation was visible in 14/18 cats (77%; 95% confidence interval [CI]: 54.8%-91.0%); the patent side in bilateral SUBs could not be differentiated. Three ureters were excluded (nondiagnostic study, n = 1; obstructed nephrostomy, n = 2). Of the remaining 23 ureters, 19 (82.6%; 95% CI: 62.9%-93.0%) were patent: 16/20 patent ureters were obstructed with ureteroliths (80%; 95% CI: 58.4%-91.9%) and 3/3 with presumed stricture (100%; 95% CI: 43.9%-100%). Ureteral irrigations at the trigone were associated with patency.

conclusionsA high patency rate of native ureters after SUB placement was observed. Ureteral irrigations at the trigone reliably indicate patency. Supraphysiologic SUB irrigations may result in underdiagnosed persistent partial obstructions.

Indexed as

Cat DiseasesUreterUreteral ObstructionAnimalsCatsFemaleFluoroscopyMaleStentsUltrasonographycalcium oxalateinterventional radiologypyelogramureteral obstructionureteral strictureureterolithsurinary obstruction

Identifiers

PMID40293127
PMCPMC12035871

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