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Intraluminal tracheal stenting for treatment of tracheal narrowing in three cats
William T N Culp1, Chick Weisse, Steven G Cole
1Department of Clinical Studies, School of Veterinary Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-6010, USA. wculp@vet.upenn.edu
Insights
Intraluminal tracheal stenting offers a safe and effective treatment for cats with tracheal obstructions, whether benign or malignant. This minimally invasive procedure provided rapid symptom improvement and no complications in three feline patients.
Area of Science:
- Veterinary Medicine
- Interventional Pulmonology
- Surgical Oncology
Background:
- Tracheal obstructions in cats can arise from various causes, including strictures and neoplasia, significantly impacting respiratory function.
- Current treatment options may be limited or invasive, necessitating exploration of alternative therapeutic strategies.
Observation:
- This retrospective study evaluated intraluminal tracheal stenting in three cats with distinct causes of tracheal obstruction.
- The procedure involved the placement of self-expanding metallic stents, with all cats recovering uneventfully.
Findings:
- Intraluminal tracheal stenting was successfully performed in all three cats, leading to immediate improvement in clinical signs.
- No stent-related complications were observed during the follow-up period, which extended up to 39 months for benign strictures.
Implications:
- Intraluminal tracheal stenting presents a safe, rapid, and easily performed option for managing feline tracheal obstructions.
- This technique holds potential as a viable treatment for tracheal obstructions in cats and possibly other veterinary patients.
Objective:
To describe the use of intraluminal tracheal stenting in 3 cats with either benign or malignant tracheal obstruction.
Study Design:
Retrospective clinical study.
Animals:
Three client-owned cats.
Methods:
Medical records were reviewed and information regarding signalment, clinical signs, physical examination findings, diagnostic tests performed, treatment, outcome and follow-up were retrieved. Intraluminal tracheal stent placement was performed as previously described in the literature.
Results:
Three cats received intraluminal tracheal stents for the treatment of tracheal obstruction due to 3 different underlying causes: stricture secondary to traumatic endotracheal intubation, stricture secondary to a previous tracheotomy, and neoplasia. Self-expanding metallic stents of varying sizes were placed, and all cats recovered uneventfully from the procedures. The cat with tracheal neoplasia was euthanized because of pulmonary metastatic disease 6 weeks post-stent placement. The two cats with tracheal obstructions secondary to benign strictures are currently 39 months and 32 weeks post-stent placement, respectively. No complications were noted during the post-stent period in any of the 3 cats.
Conclusions:
Intraluminal tracheal stenting was easily, safely, and rapidly performed without complications and resulted in immediate improvement in clinical signs in all three cases. None of the cats in this study developed significant stent-associated complications during the study period.
Clinical Relevance:
Intraluminal tracheal stenting has the potential to be a viable option for the treatment of tracheal obstruction in cats and perhaps for similar disease processes in other veterinary patients.
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