Conference paper

Publication year: 1998

Pages: 211-215

Journal: Tierärztliche Praxis Großtiere

Volume number: 26

Issue number: 4

ISSN: 1434-1220

Conference: DVG Conference on Horse Diseases

Publisher: Schattauer

Abstract: 
This article reports a case of guttural pouch bleeding which was managed successfully by using intravascular embolisation systems to occlude the damaged vessels. Percutanous catheterisation of the common carotid artery allowed angiographic visualisation of the main head arteries: A. carotis externa, A. carotis interna and A. occipitalis, which showed no abnormalities angiographically. Originating from the A. occipitalis, one artery sent smaller, extensively branching and tortuous vessels to the guttural pouch area. This branching was interpreted as a sign of inflammatory hypervascularisation. The artery was occluded by positioning of a detachable balloon distally of the origin of the two small vessels. Insertion of two coils in the A, occipitalis proximally of the origin of this artery completed the embolisation. Occlusion of the distal part was necessary to avoid blood supply to the lesion from the contralateral arterial system via the circle of Willis. The technique used allowed occlusion of a selected head artery without direct surgical intervention in this area. There is no need to remove the implants. After catheterisation, no more episodes of epistaxis occurred. The causing diphtheroid inflammation in the guttural pouch was treated by local infusions of iodine-solutions and resolved completely within 24 days.

Harvard Citation style: Schneider, M., Fey, K., Tellhelm, B., Litzke, L. and Sasse, H. (1998) Perkutanter Verschluß arterieller Gefäße durch permanente Embolisate zur Therapie einer Luftsackblutung beim Pferd. Ein Fallbericht, Tierärztliche Praxis Großtiere, 26(4), pp. 211-215

APA Citation style: Schneider, M., Fey, K., Tellhelm, B., Litzke, L., & Sasse, H. (1998). Perkutanter Verschluß arterieller Gefäße durch permanente Embolisate zur Therapie einer Luftsackblutung beim Pferd. Ein Fallbericht. Tierärztliche Praxis Großtiere. 26(4), 211-215.