Cutting balloon catheterization for interventional treatment of cor triatriatum dexter: 2 Cases |
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Authors: | Nicole LeBlanc Teresa C DeFrancesco Allison K Adams Clark E Atkins Sandra P Tou James Curt Fudge Bruce W Keene |
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Institution: | 1. Oregon State University, College of Veterinary Medicine, 700 SW 30th Street, Corvallis, OR 97331, USA;2. North Carolina State University, College of Veterinary Medicine, 4700 Hillsborough Street, Raleigh, NC 27606, USA;3. Colorado State University, College of Veterinary Medicine, 300 West Drake, Fort Collins, CO 80523, USA;4. University of Florida, College of Medicine, P.O. Box 100296, Gainesville, FL 32610, USA |
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Abstract: | Cutting balloon dilatation was performed successfully in two dogs with cor triatriatum dexter and clinical signs of ascites. The cutting balloon catheter uses incisional microtomes embedded in a balloon catheter. During balloon expansion, these microtomes incise the adjacent tissue, decreasing circumferential wall stress. This theoretically reduces both the likelihood of fracturing the adjacent tissues in an uncontrolled manner and the potential neoproliferative response to standard balloon dilatation and the subsequent incidence of re-stenosis. In both cases described, clinical signs resolved completely following cutting balloon dilatation of the anomalous membrane. Based on the outcome of these 2 cases, cutting balloon dilatation appears to be a viable treatment option for dogs affected with cor triatriatum dexter. |
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