Self-expanding nitinol stents for the treatment of tracheal collapse in dogs: 12 cases (2001-2004).

J Am Vet Med Assoc

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN 37996-4544, USA.

Published: January 2008

Objective: To evaluate long-term outcome following nitinol stent placement in dogs with tracheal collapse.

Design: Retrospective case series.

Animals: 12 client-owned dogs with endoscopically diagnosed tracheal collapse refractory to medical management.

Procedures: Medical records were reviewed for 12 dogs in which 1 or more self-expanding nitinol stents were placed for the treatment of endoscopically diagnosed tracheal collapse. A total of 17 stents were placed.

Results: Survival times after stent placement ranged from 1 to 48 months. Three of 12 dogs died within 6 months after stent placement. Nine dogs survived > 1 year after stent placement, and 7 dogs survived > 2 years. Of the deceased dogs, 5 of 9 succumbed to tracheal disease. Other causes of death included congestive heart failure, cerebral neoplasia, cerebrovascular accident, and renal failure. Material failure (stent fracture) was a common complication (5/12 dogs). Other complications reported included excessive granulation tissue within the stent lumen, tracheitis, and pneumonia.

Conclusions And Clinical Relevance: Placement of an intraluminal stent with self-expanding nitinol stents was a successful palliative treatment for tracheal collapse in dogs that did not respond to medical management. Disease progression is inevitable, but substantial improvement in respiratory function may be achieved for a period of months to years.

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Source
http://dx.doi.org/10.2460/javma.232.2.228DOI Listing

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