Evidence map›Paper›PMID 42027126›Full record

ArticleVeterinary surgery : VS2026

Clinical presentation, treatment, and outcomes for 15 dogs with two or three congenital extrahepatic portosystemic shunts.

Jenna Vogel, Chick Weisse, William T N Culp, Frederico R Vilaplana Grosso, Kazushi Asano, Victoria J Lipscomb, Nicole S Amato, Jacqueline R Davidson

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Veterinary surgery : VS, 2026. 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

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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

8 authors.

Jenna VogelInterventional Radiology and Endoscopy Service, Schwarzman Animal Medical Center, New York, New York, USA.
Chick WeisseInterventional Radiology and Endoscopy Service, Schwarzman Animal Medical Center, New York, New York, USA.
William T N CulpDepartment of Surgical & Radiological Sciences, School of Veterinary Medicine, University of California, Davis, California, USA.ORCID https://orcid.org/0000-0001-6132-156X
Frederico R Vilaplana GrossoDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Kazushi AsanoDepartment of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, Japan.ORCID https://orcid.org/0000-0003-0099-7974
Victoria J LipscombDepartment of Veterinary Clinical Sciences, Royal Veterinary College, London, UK.
Nicole S AmatoDepartment of Surgery, Massachusetts Veterinary Referral Hospital, Woburn, Massachusetts, USA.
Jacqueline R DavidsonVeterinary Small Animal Clinical Sciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess clinical presentation, treatment, and outcomes of dogs with two or three congenital extrahepatic portosystemic shunts (M-EHPSS). STUDY

designMulti-institutional retrospective study. SAMPLE POPULATION: A total of 15 dogs with M-EHPSS.

methodsMedical records were reviewed, and data was collected on dogs with M-EHPSS diagnosed via computed tomography (CT) between 2008 and 2024. Signalment, clinical signs, bloodwork values, postoperative complications, long-term clinical outcome, survival, and owner reported quality of life were recorded.

resultsApproximately half of the dogs (7/15; 47%) were Miniature Schnauzers. Clinical signs and hematologic indicators at presentation were comparable to EHPSS. The mean dog age at diagnosis via CT imaging was 1451 days, and all dogs underwent surgical attenuation (SA) except for one that was ultimately lost to follow up examination. A total of 12 dogs had two shunts, and three dogs had three shunts. Seven dogs did not undergo attenuation of one shunt; these other shunts were either not initially suspected (5/7), the attenuation device was misplaced (1/7) or surgeon preference to not place attenuation device (1/7). Left gastro-phrenic EHPSS were the only EHPSS not suspected initially. At the time of last follow-up (median: 1253 days), 10/15 dogs were alive. Clinical outcomes were good or excellent in most dogs (12/14; 86%).

conclusionThese findings suggest that M-EHPSS dogs have a similar prognosis to dogs with standard EHPSS dogs when all EHPSS are identified and treated with appropriate attenuation placement. A potential breed predisposition towards Miniature Schnauzers was identified. CLINICAL SIGNIFICANCE: This information provides guidance for treatment and prognosis of dogs with M-EHPSS.

Indexed as

Congenital Portosystemic ShuntDog DiseasesPortal SystemAnimalsDogsFemaleMaleRetrospective StudiesTomography, X-Ray ComputedTreatment Outcome

Identifiers

PMID42027126
PMCPMC13360492

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.