PMID- 30186617
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220331
IS  - 2055-1169 (Electronic)
IS  - 2055-1169 (Linking)
VI  - 4
IP  - 2
DP  - 2018 Jul-Dec
TI  - Recanalisation of a congenital extrahepatic portosystemic shunt previously 
      attenuated with cellophane banding in a cat.
PG  - 2055116918795717
LID - 10.1177/2055116918795717 [doi]
LID - 2055116918795717
AB  - CASE SUMMARY: A congenital extrahepatic portosystemic shunt was attenuated with 
      commercial roll cellophane banding in a cat and postoperative liver changes were 
      monitored using CT angiography (CTA). The patient clinically improved after 
      cellophane banding, characterised by resolution of hepatic encephalopathy, weight 
      gain, reference interval (RI) bile acid stimulation tests, as well as 
      CTA-documented increased liver size, increased hepatic vasculature and shunt 
      attenuation. Six months later the cat re-presented with recurrence of clinical 
      signs and increased bile acids. CTA confirmed recanalisation of the shunt. Shunt 
      attenuation was repeated using pure cellophane banding and nearly complete 
      closure of the shunt was later documented by CTA. Seven months later, 
      recanalisation was again documented via CTA and associated with clinical signs 
      and increased bile acids. Complete ligation of the shunt was achieved using a 
      polypropylene ligature and a titanium ligating clip. At long-term follow-up, the 
      cat was clinically well, and bile acids and biochemistry were within the RIs. 
      RELEVANCE AND NOVEL INFORMATION: This is the first report of CTA-documented 
      recanalisation of an extrahepatic portosystemic shunt previously attenuated with 
      cellophane banding. Recanalisation should be considered as a differential for 
      recurrence of hepatic encephalopathy following cellophane banding.
FAU - Crowley, James
AU  - Crowley J
AD  - University Veterinary Teaching Hospital Sydney, Sydney School of Veterinary 
      Science, Faculty of Science, University of Sydney, NSW, Australia.
FAU - Foo, Timothy
AU  - Foo T
AD  - University Veterinary Teaching Hospital Sydney, Sydney School of Veterinary 
      Science, Faculty of Science, University of Sydney, NSW, Australia.
FAU - Boland, Lara
AU  - Boland L
AD  - University Veterinary Teaching Hospital Sydney, Sydney School of Veterinary 
      Science, Faculty of Science, University of Sydney, NSW, Australia.
FAU - Brunel, Laurencie
AU  - Brunel L
AD  - University Veterinary Teaching Hospital Sydney, Sydney School of Veterinary 
      Science, Faculty of Science, University of Sydney, NSW, Australia.
LA  - eng
PT  - Case Reports
DEP - 20180829
PL  - England
TA  - JFMS Open Rep
JT  - JFMS open reports
JID - 101672978
EIN - JFMS Open Rep. 2018 Sep 20;4(2):2055116918804023. PMID: 30263145
PMC - PMC6117867
OTO - NOTNLM
OT  - Extrahepatic portosystemic shunt
OT  - cellophane banding
OT  - computed tomography angiography
OT  - recanalisation
COIS- Conflict of interest: The authors declared no potential conflicts of interest 
      with respect to the research, authorship, and/or publication of this article.
EDAT- 2018/09/07 06:00
MHDA- 2018/09/07 06:01
PMCR- 2018/08/29
CRDT- 2018/09/07 06:00
PHST- 2018/09/07 06:00 [entrez]
PHST- 2018/09/07 06:00 [pubmed]
PHST- 2018/09/07 06:01 [medline]
PHST- 2018/08/29 00:00 [pmc-release]
AID - 10.1177_2055116918795717 [pii]
AID - 10.1177/2055116918795717 [doi]
PST - epublish
SO  - JFMS Open Rep. 2018 Aug 29;4(2):2055116918795717. doi: 10.1177/2055116918795717. 
      eCollection 2018 Jul-Dec.