Publikationsdatenbank

Endoscopic-assisted electrohydraulic shockwave lithotripsy in standing sedated horses (2012)

Art

Zeitschriftenartikel / wissenschaftlicher Beitrag

Autoren

Röcken, Michael

Fürst, Anton

Kummer, Martin

Mosel, Gesine

Tschanz, Theo

Lischer, Christoph J (WE 17)

Quelle

Veterinary surgery : the official journal of the American College of Veterinary Surgeons and the European College of Veterinary Surgeon

Bandzählung: 41

Heftzählung: 5

Seiten: 620 – 624

ISSN: 1532-950x

Sprache

Englisch

Verweise

DOI: 10.1111/j.1532-950X.2012.00977.x

Pubmed: 22463076

Kontakt

Pferdeklinik

Oertzenweg 19 b
14163 Berlin
+49 30 838 62299 / 62300
pferdeklinik@vetmed.fu-berlin.de

Abstract / Zusammenfassung

To report use of transendoscopic electrohydraulic shockwave lithotripsy for fragmentation of urinary calculi in horses.

Case series.

Male horses (n = 21).

Fragmentation of cystic calculi (median, 6 cm diameter; range, 4-11 cm diameter) was achieved by transurethral endoscopy in standing sedated horses using an electrohydraulic shockwave fiber introduced through the biopsy channel of an endoscope. The fiber was advanced until it contacted the calculus. Repeated activation of the fiber was used to disrupt the calculus into fragments <1 cm diameter. Visibility within the bladder was maintained by repeated lavage with saline solution.

Complete calculus removal was achieved in 20 horses (95%) with mean total surgical time of 168.6 minutes (range, 45-450). In the 20 horses with single calculi, 1-6 sessions were required to completely fragment the calculus. Except for 1 horse, in which perineal urethrotomy was eventually performed for complete fragment removal, fragments calculi were excreted via the urethra. Postoperative complications included hematuria because of severe mucosal erosion (n = 2), dysuria because of a trapped urethral fragment (2), small amount of urinary debris (1). One horse was euthanatized because of bladder rupture. Complete clearance of calculi and urinary debris was confirmed endoscopically 20 (3-45) days after the last session. Telephone follow-up (mean, 18.8 months; range, 7-24 months) revealed that horses had returned to previous activity levels without recurrence of clinical signs.

Transendoscopic electrohydraulic lithotripsy appears to be an effective method for fragmentation of low-density calcium carbonate cystic calculi in male horses.