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Indwelling Cephalic or Saphenous Vein Catheter Use for Regional Limb Perfusion in 44 Horses with Synovial Injury Involving the Distal Aspect of the Limb
Author(s) -
Kelmer Gal,
Tatz Amos,
BdolahAbram Tali
Publication year - 2012
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2012.01006.x
Subject(s) - medicine , cephalic vein , vein , surgery , perfusion , catheter , superficial vein , limb perfusion , osteomyelitis
Objective To describe indwelling cephalic or saphenous vein catheter use for intravenous regional limb perfusion ( ID ‐ IV ‐ RLP ) to treat horses with synovial injury (contamination/infection) of the distal aspect of the limb. Study Design Retrospective case series. Animals Horses (n = 44; 45 limbs) treated with proximal ID ‐ IV ‐ RLP . Methods Horses had ID ‐ IV ‐ RLP using a cephalic (21 limbs) or saphenous (24 limbs) vein. Amikacin was the most frequently used antibiotic. Number of perfusions ranged from 3 to 21 (median 7). A cast was applied to 14 injured limbs (1 tube cast, 1 full‐limb cast, 2 foot casts, and 10 half‐limb casts). Results Synovial sepsis of the distal portion of 87% of limbs (39) resolved, and 61% of horses returned to soundness. Catheter‐related complications occurred in 27% of the limbs but were not significantly associated with outcome. Presence of osteomyelitis was significantly associated with a poor outcome. Conclusions ID ‐ IV ‐ RLP using the cephalic or saphenous vein is an alternative to traditional RLP . An indwelling catheter provided prolonged venous access and facilitated successive perfusions.