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Hypercoagulability based on thromboelastography is common in dogs undergoing adrenalectomy.

Akiko Mitsui, Sydney Rosen, Page Yaxley

    Journal of the American Veterinary Medical Association
    |April 12, 2024
    PubMed
    Summary

    Most dogs undergoing adrenalectomy show hypercoagulability on thromboelastography (TEG) tests, indicating an increased risk of clotting. This study highlights TEG findings in dogs with adrenal neoplasia.

    Keywords:
    adrenalectomyhyperadrenocorticismhypercoagulablepreoperativethromboelastography

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    Area of Science:

    • Veterinary Internal Medicine
    • Hemostasis and Thrombosis Research
    • Canine Neoplastic Disease

    Background:

    • Thromboelastography (TEG) provides a comprehensive assessment of hemostasis, evaluating clot dynamics.
    • Adrenalectomy is a surgical procedure performed for various adrenal gland conditions in dogs.
    • Hyperadrenocorticism (HAC) is a common endocrine disorder in dogs with potential hemostatic implications.

    Purpose of the Study:

    • To characterize preoperative thromboelastography (TEG) findings in dogs undergoing adrenalectomy.
    • To compare TEG results between dogs with and without hyperadrenocorticism (HAC).

    Main Methods:

    • Retrospective review of medical records from 2018 to 2022.
    • Analysis of preoperative thromboelastography (TEG) data from 30 dogs undergoing adrenalectomy.
    • Abstraction of signalment, diagnostic data, and perioperative treatments.

    Main Results:

    • A majority of dogs (53%) exhibited hypercoagulability on preoperative TEG.
    • Hypercoagulability was observed across various adrenal histopathologies, including adenocarcinoma, pheochromocytoma, and adenoma.
    • Hypercoagulability was noted in both dogs with and without hyperadrenocorticism (HAC).

    Conclusions:

    • This study provides the first description of TEG findings in dogs undergoing adrenalectomy.
    • The results suggest a high prevalence of hypercoagulability in dogs with adrenal neoplasia.
    • Preoperative TEG may offer valuable insights into hemostatic status for dogs with adrenal gland tumors.