INTRODUCTIONIntrahepatic congenital portosystemic shunts (CPSS) are less common in dogs than their extrahepatic counterparts, making up approximately 25% to 33% of the total (Berent & Tobias , Berent & Tobias ). For both types of CPSS, surgical attenuation is recommended to restore normal portal blood flow and resolve clinical signs (Berent & Tobias , Tivers et al. , Greenhalgh et al. , Tivers et al. ). However, intrahepatic CPSS (IHCPSS) can be challenging to manage surgically due to the location of the vessel within the liver parenchyma (Hunt et al. , White et al. , Berent & Tobias ). Surgical techniques for IHCPSS include suture ligation, ameroid constrictors, cellophane banding and hydraulic occluders (White et al. , Hunt et al. , Kummeling et al. , Adin et al. , Bright et al. , Mehl et al. ). Intravascular techniques with hepatic inflow occlusion have been used to allow attenuation of some IHCPSS, which is technically demanding (Breznock et al. , Hunt et al. , White et al. ). Some studies have reported a high rate of complications (47% to 77%) and mortality (12·5% to 27·3%) with surgical attenuation of IHCPSS (Komtebedde et al. , White et al. , Papazoglou
Journal of Small Animal Practice – Wiley
Published: Jan 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera