{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T14:20:12Z","timestamp":1783952412062,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess clinical presentation, treatment, and outcomes of dogs with two or three congenital extrahepatic portosystemic shunts (M\u2010EHPSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Multi\u2010institutional retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample population<\/jats:title>\n                    <jats:p>A total of 15 dogs with M\u2010EHPSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records were reviewed, and data was collected on dogs with M\u2010EHPSS diagnosed via computed tomography (CT) between 2008 and 2024. Signalment, clinical signs, bloodwork values, postoperative complications, long\u2010term clinical outcome, survival, and owner reported quality of life were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Approximately half of the dogs (7\/15; 47%) were Miniature Schnauzers. Clinical signs and hematologic indicators at presentation were comparable to EHPSS. The mean dog age at diagnosis via CT imaging was 1451\u2009days, and all dogs underwent surgical attenuation (SA) except for one that was ultimately lost to follow up examination. A total of 12 dogs had two shunts, and three dogs had three shunts. Seven dogs did not undergo attenuation of one shunt; these other shunts were either not initially suspected (5\/7), the attenuation device was misplaced (1\/7) or surgeon preference to not place attenuation device (1\/7). Left gastro\u2010phrenic EHPSS were the only EHPSS not suspected initially. At the time of last follow\u2010up (median: 1253\u2009days), 10\/15 dogs were alive. Clinical outcomes were good or excellent in most dogs (12\/14; 86%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that M\u2010EHPSS dogs have a similar prognosis to dogs with standard EHPSS dogs when all EHPSS are identified and treated with appropriate attenuation placement. A potential breed predisposition towards Miniature Schnauzers was identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>This information provides guidance for treatment and prognosis of dogs with M\u2010EHPSS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vsu.70109","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T08:07:46Z","timestamp":1777018066000},"page":"965-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical presentation, treatment, and outcomes for 15 dogs with two or three congenital extrahepatic portosystemic shunts"],"prefix":"10.1111","volume":"55","author":[{"given":"Jenna","family":"Vogel","sequence":"first","affiliation":[{"name":"Interventional Radiology and Endoscopy Service Schwarzman Animal Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chick","family":"Weisse","sequence":"additional","affiliation":[{"name":"Interventional Radiology and Endoscopy Service Schwarzman Animal Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6132-156X","authenticated-orcid":false,"given":"William T. N.","family":"Culp","sequence":"additional","affiliation":[{"name":"Department of Surgical &amp; Radiological Sciences School of Veterinary Medicine, University of California  Davis California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederico R.","family":"Vilaplana Grosso","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences College of Veterinary Medicine, University of Florida  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0099-7974","authenticated-orcid":false,"given":"Kazushi","family":"Asano","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine College of Bioresource Sciences, Nihon University  Fujisawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria J.","family":"Lipscomb","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences Royal Veterinary College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole S.","family":"Amato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Massachusetts Veterinary Referral Hospital  Woburn Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline R.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Veterinary Small Animal Clinical Sciences, College of Veterinary Medicine &amp; Biomedical Sciences, Texas A&amp;M University  College Station Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Veterinary Surgery Small Animal","author":"Johnston SA","year":"2017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/vetsci10020160"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939\u20101676.2011.00691.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.15607"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.13415"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5326\/JAAHA\u2010MS\u20105877"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.245.5.527"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12685"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740\u20108261.2007.00268.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939\u20101676.2009.0439.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2017.00224"},{"key":"e_1_2_9_13_1","unstructured":"Reference Ranges for the Catalyst One* Chemistry Analyzer and Catalyst Dx* Chemistry Analyzer. 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