TY - JOUR
T1 - Congenital portosystemic shunts in cats. Surgical management and prognosis
AU - Tivers, Michael
AU - Lipscomb, Victoria
PY - 2011/3
Y1 - 2011/3
N2 - Practical relevance: Although the surgical management of feline congenital portosystemic shunts (CPSSs) is normally performed at specialist centres, a good knowledge of treatment options and prognosis is important for the general practitioner when advising clients. Clinical challenges: A variety of surgical techniques are described for the correction of CPSSs in cats. Choosing between the different techniques is a challenge, given the limited availability of evidence supporting one technique over another. In addition, postoperative complications, and in particular neurological complications, are seen more frequently in the cat than the dog and thus postoperative monitoring and treatment is critically important in feline patients. Audience: This article summarises current evidence in surgical management and is aimed at practising veterinarians, postgraduate students and specialists alike. Equipment: Surgical management of CPSSs typically requires advanced surgical and critical care facilities. The precise nature will depend to some extent on the technique employed. Evidence base: The evidence base for decision making in the surgical management of CPSSs is relatively sparse. In reviewing the evidence that is available, as well as the areas in which information is still lacking, this article may hopefully serve as a stimulus for further investigation into this condition.
AB - Practical relevance: Although the surgical management of feline congenital portosystemic shunts (CPSSs) is normally performed at specialist centres, a good knowledge of treatment options and prognosis is important for the general practitioner when advising clients. Clinical challenges: A variety of surgical techniques are described for the correction of CPSSs in cats. Choosing between the different techniques is a challenge, given the limited availability of evidence supporting one technique over another. In addition, postoperative complications, and in particular neurological complications, are seen more frequently in the cat than the dog and thus postoperative monitoring and treatment is critically important in feline patients. Audience: This article summarises current evidence in surgical management and is aimed at practising veterinarians, postgraduate students and specialists alike. Equipment: Surgical management of CPSSs typically requires advanced surgical and critical care facilities. The precise nature will depend to some extent on the technique employed. Evidence base: The evidence base for decision making in the surgical management of CPSSs is relatively sparse. In reviewing the evidence that is available, as well as the areas in which information is still lacking, this article may hopefully serve as a stimulus for further investigation into this condition.
UR - http://www.scopus.com/inward/record.url?scp=79951763522&partnerID=8YFLogxK
U2 - 10.1016/j.jfms.2011.01.011
DO - 10.1016/j.jfms.2011.01.011
M3 - Article (Academic Journal)
C2 - 21338943
AN - SCOPUS:79951763522
VL - 13
SP - 185
EP - 194
JO - Journal of Feline Medicine and Surgery
JF - Journal of Feline Medicine and Surgery
SN - 1098-612X
IS - 3
ER -