A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs
Canine dirofilariosis is a life-threatening parasitic disease that is increasingly reported worldwide. Once diagnosed the main treatment goals are to improve the animal’s clinical condition and to eliminate all life stages of the parasite with minimal posttreatment side effects. This can be achieved...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Veterinary Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2016/5780408 |
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| author | Ana Margarida Alho António Fiarresga Miguel Landum Clara Lima Óscar Gamboa José Meireles José Sales Luís Luís Madeira de Carvalho |
| author_facet | Ana Margarida Alho António Fiarresga Miguel Landum Clara Lima Óscar Gamboa José Meireles José Sales Luís Luís Madeira de Carvalho |
| author_sort | Ana Margarida Alho |
| collection | DOAJ |
| description | Canine dirofilariosis is a life-threatening parasitic disease that is increasingly reported worldwide. Once diagnosed the main treatment goals are to improve the animal’s clinical condition and to eliminate all life stages of the parasite with minimal posttreatment side effects. This can be achieved through mechanical, surgical, or chemotherapeutical approaches. Currently, manual extraction is the preferred method to remove adult heartworms due to its diminished invasiveness, reduced damage to the vascular endothelium, and shortened anaesthesia duration. However, it remains an expensive technique that can be highly traumatic. To address this issue, a nontraumatic homemade catheter-guided snare was developed for heartworm removal by adapting and folding a 0.014-inch coronary wire (BMW, Abbott Vascular). Transvenous heartworm extraction was performed on a dog severely infected with adult heartworms by inserting the modified snare into a 6-F Judkins right coronary guiding catheter BMW (Cordis) and advancing it into the right ventricle under fluoroscopic guidance. Fifteen adult specimens of Dirofilaria immitis were successfully extracted from the pulmonary artery and right ventricle without complications. To assure the death of both larvae and adults, postoperative treatment was successfully managed using ivermectin, doxycycline, and melarsomine, with no recurrence after surgery. |
| format | Article |
| id | doaj-art-3255a8210e92438abdfa37b007f486f1 |
| institution | Kabale University |
| issn | 2090-8113 2042-0048 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Veterinary Medicine International |
| spelling | doaj-art-3255a8210e92438abdfa37b007f486f12025-02-03T06:12:44ZengWileyVeterinary Medicine International2090-81132042-00482016-01-01201610.1155/2016/57804085780408A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in DogsAna Margarida Alho0António Fiarresga1Miguel Landum2Clara Lima3Óscar Gamboa4José Meireles5José Sales Luís6Luís Madeira de Carvalho7CIISA, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalCardiology Unit, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central, EPE, Rua de Santa Marta 50, 1169-024 Lisboa, PortugalCIISA, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalSmall Animal Teaching Hospital, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalSmall Animal Teaching Hospital, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalCIISA, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalCIISA, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalCIISA, Faculty of Veterinary Medicine, ULisboa, Avenida da Universidade Técnica, 1300-477 Lisboa, PortugalCanine dirofilariosis is a life-threatening parasitic disease that is increasingly reported worldwide. Once diagnosed the main treatment goals are to improve the animal’s clinical condition and to eliminate all life stages of the parasite with minimal posttreatment side effects. This can be achieved through mechanical, surgical, or chemotherapeutical approaches. Currently, manual extraction is the preferred method to remove adult heartworms due to its diminished invasiveness, reduced damage to the vascular endothelium, and shortened anaesthesia duration. However, it remains an expensive technique that can be highly traumatic. To address this issue, a nontraumatic homemade catheter-guided snare was developed for heartworm removal by adapting and folding a 0.014-inch coronary wire (BMW, Abbott Vascular). Transvenous heartworm extraction was performed on a dog severely infected with adult heartworms by inserting the modified snare into a 6-F Judkins right coronary guiding catheter BMW (Cordis) and advancing it into the right ventricle under fluoroscopic guidance. Fifteen adult specimens of Dirofilaria immitis were successfully extracted from the pulmonary artery and right ventricle without complications. To assure the death of both larvae and adults, postoperative treatment was successfully managed using ivermectin, doxycycline, and melarsomine, with no recurrence after surgery.http://dx.doi.org/10.1155/2016/5780408 |
| spellingShingle | Ana Margarida Alho António Fiarresga Miguel Landum Clara Lima Óscar Gamboa José Meireles José Sales Luís Luís Madeira de Carvalho A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs Veterinary Medicine International |
| title | A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs |
| title_full | A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs |
| title_fullStr | A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs |
| title_full_unstemmed | A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs |
| title_short | A Homemade Snare: An Alternative Method for Mechanical Removal of Dirofilaria immitis in Dogs |
| title_sort | homemade snare an alternative method for mechanical removal of dirofilaria immitis in dogs |
| url | http://dx.doi.org/10.1155/2016/5780408 |
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