- Home
- About
- Animal Owners
- Membership
- Services
- Contact us
< Back
Objectives:
To describe a new balloon catheter and a surgical approach for the treatment of guttural pouch (GP) and assess associated complications.
Methods:
A transcutaneous GP catheterisation (TGPC) was performed in the parotid region using a 20 Fr x 10 cm silicone balloon (10 mL) catheter with fixation ring. The balloon-catheter is inserted by means of a peel-away sheath following the Seldinger technique. Once the TGPC site was identified, the catheter was advanced under endoscopic control beneath the stylohyoid bone into the medial compartment of the affected GP. The balloon was dilated and the fixation ring advanced at skin level.
Records from 10 horses undergoing TGPC for mycosis (n=8), empyema (n=1) or both (n=1) between January and September 2024 were analysed. Postoperative complications and short-term follow-up obtained from client photos were studied.
Results:
Eight cases were treated for GP mycosis using TGPC for oxygen administration, 1 case was treated for GP empyema using this approach for daily lavage, and another was treated for both pathologies using TGPC for a combination of lavage, aspiration and oxygen delivery. The catheter was removed after 10 days in 9 individuals and 13 days in the tenth.
In 3 out of 10 cases, superficial venous hemorrhage was observed, requiring a compressive bandage for 24 hours. In all cases, second intention healing of the surgical site occurred within a week after removing the balloon catheter.
Conclusions:
TGPC is effective and allows uncomplicated second intention healing of the surgical site in horses facing a GP disease that needs multiple local treatments.
34th Annual Scientific Meeting proceedings
Stream:
|
Session:
Date/Time: 05-07-2025 (09:00 - 09:15) | Location:
Date/Time: 05-07-2025 (09:00 - 09:15) | Location:
Endoscope-Assisted Transcutaneous Guttural Pouch Catheterisation In Horses: A New Surgical Approach For Local Treatment
Lepage OM*1, De Chaisemartin C1, Amory H2, Lepage H2
1Center for Equine Health, École nationale vétérinaire de Lyon, VetAgro Sup, University of Lyon, Marcy l'Etoile, France, 2Clinical Department of Equids, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Objectives:
To describe a new balloon catheter and a surgical approach for the treatment of guttural pouch (GP) and assess associated complications.
Methods:
A transcutaneous GP catheterisation (TGPC) was performed in the parotid region using a 20 Fr x 10 cm silicone balloon (10 mL) catheter with fixation ring. The balloon-catheter is inserted by means of a peel-away sheath following the Seldinger technique. Once the TGPC site was identified, the catheter was advanced under endoscopic control beneath the stylohyoid bone into the medial compartment of the affected GP. The balloon was dilated and the fixation ring advanced at skin level.
Records from 10 horses undergoing TGPC for mycosis (n=8), empyema (n=1) or both (n=1) between January and September 2024 were analysed. Postoperative complications and short-term follow-up obtained from client photos were studied.
Results:
Eight cases were treated for GP mycosis using TGPC for oxygen administration, 1 case was treated for GP empyema using this approach for daily lavage, and another was treated for both pathologies using TGPC for a combination of lavage, aspiration and oxygen delivery. The catheter was removed after 10 days in 9 individuals and 13 days in the tenth.
In 3 out of 10 cases, superficial venous hemorrhage was observed, requiring a compressive bandage for 24 hours. In all cases, second intention healing of the surgical site occurred within a week after removing the balloon catheter.
Conclusions:
TGPC is effective and allows uncomplicated second intention healing of the surgical site in horses facing a GP disease that needs multiple local treatments.
This website uses cookies to improve your experience and for traffic analysis. If you continue, we’ll assume that you agree to the use of cookies as stated in our Cookie Policy.