A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease
ABSTRACT Left atrial decompression (LAD) using transseptal puncture followed by balloon atrial septostomy recently has been described as a palliative minimally invasive procedure in dogs with advanced degenerative mitral valve disease (DMVD). We report herein the first use of intracardiac echocardio...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | Journal of Veterinary Internal Medicine |
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| Online Access: | https://doi.org/10.1111/jvim.70010 |
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| author | Pierre Foulex Valérie Chetboul Charlotte Misbach Niels Gomez Camille Poissonnier Jenna Pacini Latifa Khenissi Nicolas Borenstein |
| author_facet | Pierre Foulex Valérie Chetboul Charlotte Misbach Niels Gomez Camille Poissonnier Jenna Pacini Latifa Khenissi Nicolas Borenstein |
| author_sort | Pierre Foulex |
| collection | DOAJ |
| description | ABSTRACT Left atrial decompression (LAD) using transseptal puncture followed by balloon atrial septostomy recently has been described as a palliative minimally invasive procedure in dogs with advanced degenerative mitral valve disease (DMVD). We report herein the first use of intracardiac echocardiography (ICE) guidance combined with 3‐dimensional transesophageal echocardiography (3D‐TEE) to ensure the safety of the LAD procedure from a caudal approach, as performed in humans, in 2 American College of Veterinary Internal Medicine (ACVIM) stage C and D DMVD dogs (Jack Russell Terrier and Cavalier King Charles Spaniel) with recurrent episodes of acute pulmonary edema. Both LAD procedures were successful, as confirmed by markedly decreased systolic left atrial pressures (17 and 25 mmHg vs. 42 and 80 mmHg before LAD, respectively). Both dogs remained free of left‐sided congestive heart failure signs for 8 and 10 months, respectively. The addition of ICE guidance to 3D‐TEE is feasible and valuable in medium‐sized dogs for safe LAD procedures. |
| format | Article |
| id | doaj-art-42962dd5800d4c84b7ceda1f5377bf37 |
| institution | Kabale University |
| issn | 0891-6640 1939-1676 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj-art-42962dd5800d4c84b7ceda1f5377bf372025-08-20T03:48:57ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-03-01392n/an/a10.1111/jvim.70010A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve DiseasePierre Foulex0Valérie Chetboul1Charlotte Misbach2Niels Gomez3Camille Poissonnier4Jenna Pacini5Latifa Khenissi6Nicolas Borenstein7Veranex France Paris FranceÉcole Nationale Vétérinaire d'Alfort, CHUVA, Cardiology Department Maisons‐Alfort FranceVeranex France Paris FranceVeranex France Paris FranceÉcole Nationale Vétérinaire d'Alfort, CHUVA, Cardiology Department Maisons‐Alfort FranceMénagerie, le Zoo du Jardin des Plantes, Muséum National d'Histoire Naturelle Paris FranceDepartment of Anaesthesia, Langford Vets University of Bristol Langford UKVeranex France Paris FranceABSTRACT Left atrial decompression (LAD) using transseptal puncture followed by balloon atrial septostomy recently has been described as a palliative minimally invasive procedure in dogs with advanced degenerative mitral valve disease (DMVD). We report herein the first use of intracardiac echocardiography (ICE) guidance combined with 3‐dimensional transesophageal echocardiography (3D‐TEE) to ensure the safety of the LAD procedure from a caudal approach, as performed in humans, in 2 American College of Veterinary Internal Medicine (ACVIM) stage C and D DMVD dogs (Jack Russell Terrier and Cavalier King Charles Spaniel) with recurrent episodes of acute pulmonary edema. Both LAD procedures were successful, as confirmed by markedly decreased systolic left atrial pressures (17 and 25 mmHg vs. 42 and 80 mmHg before LAD, respectively). Both dogs remained free of left‐sided congestive heart failure signs for 8 and 10 months, respectively. The addition of ICE guidance to 3D‐TEE is feasible and valuable in medium‐sized dogs for safe LAD procedures.https://doi.org/10.1111/jvim.70010atrial septostomycardiac procedurehearttransseptal punctureveterinary interventional cardiology |
| spellingShingle | Pierre Foulex Valérie Chetboul Charlotte Misbach Niels Gomez Camille Poissonnier Jenna Pacini Latifa Khenissi Nicolas Borenstein A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease Journal of Veterinary Internal Medicine atrial septostomy cardiac procedure heart transseptal puncture veterinary interventional cardiology |
| title | A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease |
| title_full | A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease |
| title_fullStr | A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease |
| title_full_unstemmed | A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease |
| title_short | A Novel Technique of Left Atrial Decompression Using Intracardiac Echocardiography Guidance in 2 Dogs With Advanced Degenerative Mitral Valve Disease |
| title_sort | novel technique of left atrial decompression using intracardiac echocardiography guidance in 2 dogs with advanced degenerative mitral valve disease |
| topic | atrial septostomy cardiac procedure heart transseptal puncture veterinary interventional cardiology |
| url | https://doi.org/10.1111/jvim.70010 |
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