Echocardiographic and angiographic comparison of ductal dimensions in dogs with patent ductus arteriosus.
BACKGROUND
Transcatheter occlusion of patent ductus arteriosus (PDA) is a minimally invasive treatment option in dogs. Device selection based on appropriately acquired PDA dimensions and morphology can minimize procedural complications, including minimizing residual ductal flow and inappropriate embolization.


OBJECTIVE
Transesophageal echocardiographic (TEE) derived minimum ductal diameter measurements would most accurately reflect angiographic measurements. Color Doppler (CD) TEE and transthoracic echocardiographic (TTE) ductal measurements would overestimate two-dimensional (2D) measurements.


METHODS
Fifteen client-owned dogs with PDA.


METHODS
PDA dimensions obtained with angiography, 2D and CD TTE, 2D and CD TEE from the right and left views were prospectively evaluated.


RESULTS
PDA dimensions were measured by using TEE most closely approximated angiographic measures. CD TTE and TEE frequently overestimated angiographic measures of minimum ductal diameter. TEE accurately identified a type III (tubular) PDA morphology in 1 dog. Fourteen of 15 dogs were determined to have hemodynamically significant reductions in left to right shunting documented by a first-pass nuclear angiocardiographic ratio of pulmonary to systemic blood flow < or = 1.2 and trivial (n = 3) to no (n = 11) CD TTE flow at approximately 1 month after PDA occlusion.


CONCLUSIONS
TEE provided accurate anatomic information regarding PDA morphology and closely approximated angiographic ductal dimensions while aiding in both coil deployment and confirmation of intra-operative ductal closure.
Saunders
Ashley B
AB
Departments of Small Animal Veterinary Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station 77843-4474, USA. asaunders@cvm.tamu.edu
Miller
Matthew W
MW
Gordon
Sonya G
SG
Bahr
Anne
A
D000790:Angiocardiography / Q000379:methods / Q000662:veterinary; D000818:Animals; D004283:Dog Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D004285:Dogs; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000473:pathology / Q000662:veterinary*; D004452:Echocardiography / Q000379:methods / Q000662:veterinary*