Dominant outflow vein occlusion in the management of naturally occurring peripheral arteriovenous anomalies in cats and dogs

• DOI: 10.1111/jvim.16286
• Publication Date: 2021-11-02T06:43:14Z
• Authors: Philip S. Hyndman; Chick Weisse; Pamela Schwartz; Robert J. Rosen
• Keywords: 0403 veterinary science; peripheral arteriovenous fistula; Veterinary medicine; SF600-1100; peripheral arteriovenous malformation; angiography; SMALL ANIMAL; 04 agricultural and veterinary sciences; digital subtraction angiography; 3. Good health

AbstractTwo dogs and 1 cat were referred to a tertiary veterinary center for the consultation and treatment of limb edema, variable dermal sanguineous crusting lesions, and intermittent lameness. A peripheral arteriovenous anomaly (PAA) was diagnosed via computed tomographic angiography (CTA) in each case. Arteriography enabled further evaluation of the PAA with confirmation of a dominant outflow vein. Dominant outflow vein occlusion was achieved by direct ligation in 1 dog and retrograde transvenous glue embolization in the cat and other dog. Repeat arteriography demonstrated resolution of arteriovenous shunting. Presenting clinical signs resolved in all animals. The previously identified aberrant vessels in 1 dog were not identified after CTA 40 days postoperatively. No postoperative complications or recurrence was identified in any case during the 6‐ to 55‐month follow‐up period.