首页> 外文期刊>Journal of the American Veterinary Medical Association >Fracture of an endoluminal nitinol stent used in the treatment of tracheal collapse in a dog
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Fracture of an endoluminal nitinol stent used in the treatment of tracheal collapse in a dog

机译:用于治疗犬气管塌陷的腔内镍钛合金支架的骨折

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摘要

A 5-year-old castrated male Pomeranian was evaluated because of severe dyspnea and coughing, and a diagnosis of complete, static collapse of the trachea at the thoracic inlet was made. After failure to improve with medical management alone, an endoluminal tracheal stent was placed, which resulted in resolution of signs. Ten weeks after stent placement, the dog underwent tracheal resection and anastomosis because the stent had fractured at the level of the thoracic inlet. One year after surgery, the dog was doing well and required treatment with hydrocodone infrequently. Compared with other surgical treatment options, placement of an endoluminal tracheal stent is a relatively noninvasive intervention that can provide effective relief from the clinical signs associated with tracheal collapse in dogs. Implantation of endoluminal tracheal stents may be associated with complications; therefore, the procedure may best be regarded as a salvage procedure for dogs with end-stage disease that are refractory to appropriate medical management, have extensive collapse of the intrathoracic portion of the trachea, or are poor candidates for surgery.
机译:对5岁的去势雄性博美犬进行了评估,原因是其严重的呼吸困难和咳嗽,并诊断出胸腔气管完全静态塌陷。仅凭药物治疗无法改善症状后,放置腔内气管支架,可解决体征。放置支架十周后,这只狗进行了气管切除和吻合术,因为支架在胸腔入口处破裂。手术一年后,这只狗状况良好,很少需要使用氢可酮治疗。与其他外科治疗相比,腔内气管支架的放置是一种相对无创的干预措施,可以有效缓解与狗气管塌陷有关的临床体征。腔内气管内支架的植入可能与并发症有关。因此,该程序最好被认为是对于患有晚期疾病的狗的挽救程序,这些狗对适当的医疗管理是无能为力的,其气管的胸腔内部分广泛塌陷,或不适合手术。

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