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Peer-reviewed veterinary case report

Occlusion of internal carotid artery in the horse by means of a balloon-tipped catheter: clinical use of a method to prevent epistaxis caused by guttural pouch mycosis.

Journal:
Journal of the American Veterinary Medical Association
Year:
1980
Authors:
Freeman, D E & Donawick, W J
Species:
horse

Plain-English summary

Two horses with nosebleeds caused by a fungal infection in their guttural pouch underwent a special procedure to block off the affected internal carotid artery, which is a major blood vessel. The veterinarians tied off the artery near where it starts and then used a balloon-tipped catheter to isolate the infected part of the artery from the rest of the blood flow. After keeping the catheters in place for 14 and 51 days, they were removed, and both horses were able to return to their training and racing without experiencing any more nosebleeds. The treatment was successful in preventing further episodes of bleeding.

Abstract

An intravascular procedure was used to occlude the internal carotid artery of two horses with epistaxis caused by guttural pouch mycosis. In each horse, the affected internal carotid artery was ligated close to its origin. A balloon-tipped catheter was introduced into the artery distal to the ligature, and its tip was advanced beyond the site of infection. The balloon was then inflated so that the infected segment of artery was isolated from the cerebral vascular system. The catheters were removed at 14 and 51 days, and both horses were returned to training and racing. Neither horse had further episodes of epistaxis.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/7364634/