The use of small-bore wire-guided catheters for the management of peritoneal effusion in cats and dogs

Crosby, Jillian; Humm, Karen; Cook, Simon

Abstract

Objective – To describe the use of small-bore wire-guided catheters in the management of peritoneal effusion in cats and dogs and to detail any associated adverse events.
Design – Retrospective study.
Setting – University teaching hospital
Animals – Forty-five client-owned animals that had peritoneal catheters placed for management of peritoneal effusion between July 2010 and June 2021
Interventions – None
Measurements and Main Results – Forty-five cases were included (25 dogs and 20 cats). Twenty-eight animals had the catheter placed to aid management of a uroabdomen, 7 of which recovered without surgical management, 11 had the catheter placed to allow autotransfusion of haemoabdomen, 3 had peritonitis, and 3 had ascites secondary to cardiac disease. Twenty-seven cases (15 dogs and 12 cats) underwent sedation (n=24), or local anaesthesia alone (n=3) to facilitate catheter placement, and 6 cases had the catheter placed whilst under general anaesthesia. Median length of catheter persistence was 24 hours (range 2-144 hours). The most common adverse events reported were impaired drainage (n=7) and leakage at the insertion site (n=4)
Conclusions – Peritoneal catheters can be inserted percutaneously for management of peritoneal effusion. Indications include stabilisation and conservative management of uroabdomen, and autotransfusion. They can often be placed with minimal or no sedation and adverse events appear mild.

Citation

Crosby, J., Humm, K., & Cook, S. (2022). The use of small-bore wire-guided catheters for the management of peritoneal effusion in cats and dogs. Journal of Veterinary Emergency and Critical Care, https://doi.org/10.1111/vec.13265

• Journal Article Type: Article
• Acceptance Date: Jan 30, 2022
• Online Publication Date: Nov 30, 2022
• Publication Date: Nov 30, 2022
• Deposit Date: Dec 1, 2022
• Publicly Available Date: Dec 2, 2022
• Print ISSN: 1479-3261
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1111/vec.13265
• Publisher URL: https://doi.org/10.1111/vec.13265