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Friday, August 11 • 1:25pm - 2:15pm
Developments in understanding of congenital portosystemic shunt disease and its treatment in dogs

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What is the best way to manage portosystemic shunts in dog?  Surely by now, we should have worked this out!  Well, ...... actually, we havent but we understand quite a bit more than we did 20 years ago.  Currently, we are still identifying the unknowns so that we can add them to list of "known unknowns" that will be the subject of future study.  Advances in diagnostic imaging have led to much better three dimensional understanding of where shunts are and this has led to a revision of anatomical shunt nomenclature.  The best method of attenuation is still "up for grabs" with no single intravascular or extravascular technique having proven superiority in the short or long-term.  The development of multiple acquired shunts can happen with any of the techniques and none of the techniques or protocols used protect the dogs from post operative neurological disease.  The "unknown unknowns" are, therefore, still lurking in the shadows and whilst surgical treatment for dogs with CPSS remains the best therapy, it is by no means a 100% guaranteed outcome.

avatar for Daniel Brockman

Daniel Brockman

Professor of Small Animal Surgery, Royal Veterinary College
I am a trained small animal surgeon who practices soft tissue surgery with an interest in gastrointestinal, urogenital and plastic and reconstructive surgery and a particular interest are cardiothoracic and vascular surgery.

Friday August 11, 2017 1:25pm - 2:15pm AEST
Room 6