{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T10:58:32Z","timestamp":1793444312769,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T00:00:00Z","timestamp":1606176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Feline Medicine and Surgery"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to document survival, complications and risk factors for the development of complications and mortality prior to discharge after placement of a subcutaneous ureteral bypass (SUB) device in cats.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The medical records of cats with SUB placement between January 2016 and August 2019 were retrospectively analysed. The development of complications (overall, intraoperative, perioperative, short- and long-term complications) and risk factors for mortality prior to discharge were statistically assessed with univariate binary logistic regression. All variables with a\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value \u2a7d0.10 in the univariate analysis were assessed in a multivariate model. Variables were significant if\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-four cats were included; 12 (50.0%) received a unilateral SUB, 11 (45.8%) a bilateral nephrostomy tube with single cystostomy catheter and the remaining cat (4.2%) two unilateral SUBs. Nearly 80% of the cats developed complications, ranging from mild to fatal, including (partial) SUB obstruction (33.3% of complications), lower urinary tract infection (20.8%), pyelonephritis (20.8%) and sterile cystitis (12.5%). Five cats (20.8%) died prior to discharge. Six cats (25.0%) underwent revision surgery. The overall median survival time (MST) was 274 days (range 1\u2013311 days). Complications were most common in the long-term period (14\/16 cats), followed by the short-term (9\/18 cats), perioperative (10\/23 cats) and intraoperative (4\/24 cats) periods. Older cats had an increased risk for developing perioperative complications (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.045) and were less likely to survive to discharge (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.033). An increased haematocrit at presentation was a risk factor for the occurrence of short-term complications (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and relevance<\/jats:title>\n                    <jats:p>Although complications similar to those previously described were observed, the complication rate was higher and the MST shorter than previously reported in cats undergoing SUB placement. Despite good short-term survival, the development of complications may necessitate regular and intensive control visits. Owners that consider SUB placement should be informed that follow-up can be strenuous and expensive.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x20975374","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T15:43:05Z","timestamp":1606232585000},"page":"759-769","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Complications and survival after subcutaneous ureteral bypass device placement in 24 cats: a retrospective study (2016\u20132019)"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3405-1562","authenticated-orcid":false,"given":"Emily","family":"Vrijsen","sequence":"first","affiliation":[{"name":"Small Animal Department, Ghent University, Merelbeke, Belgium"},{"name":"Department of Clinical Sciences (Companion Animals and Equidae), University of Li\u00e8ge, Sart-Tilman, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nausikaa","family":"Devriendt","sequence":"additional","affiliation":[{"name":"Small Animal Department, Ghent University, Merelbeke, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Femke","family":"Mortier","sequence":"additional","affiliation":[{"name":"Small Animal Department, Ghent University, Merelbeke, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmelie","family":"Stock","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging of Domestic Animals and Orthopaedics of Small Animals, Ghent University, Merelbeke, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart","family":"Van Goethem","sequence":"additional","affiliation":[{"name":"Small Animal Department, Ghent University, Merelbeke, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilde","family":"de Rooster","sequence":"additional","affiliation":[{"name":"Small Animal Department, Ghent University, Merelbeke, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.937"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.932"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2004.03.008"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2011.0679.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2006.tb01793.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1979.61"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2011.00836.x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","first-page":"257","DOI":"10.2460\/javma.1993.202.02.257","article-title":"Evaluation of a method of ureteroneocystostomy in cats.","volume":"202","author":"Kochin EJ","year":"1993","unstructured":"Kochin EJ, Gregory CR, Wisner E. Evaluation of a method of ureteroneocystostomy in cats. J Am Vet Med Assoc 1993; 202: 257\u2013260.","journal-title":"J Am Vet Med Assoc"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.244.5.559"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.253.10.1309"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X14531763"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.248.5.518"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13489055"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X16670572"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.251.4.429"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X17732900"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.13226"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2016.06.008"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12861"},{"key":"e_1_3_2_21_2","unstructured":"Berent AC Weisse CW Pamela W. The SUB: a subcutaneous ureteral bypass system: a surgical guide. https:\/\/norfolkvetproducts.com\/PDF\/SUB\/SUB2_Surgical_Guide_2018-03-email.pdf (2018 accessed November 6 2020)."},{"key":"e_1_3_2_22_2","first-page":"109","volume-title":"Proceedings of European College Veterinary Surgeons Annual Scientific Meeting","author":"Van Klaveren NJ","year":"2018","unstructured":"Van Klaveren NJ, Sjollema BE, Konning T, et al. Placement of subcutaneous ureteral bypass system with ultrasound guidance in cats with ureteral obstruction: 25 cases (2013\u20132017). Proceedings of European College Veterinary Surgeons Annual Scientific Meeting; 2018 Jul 4\u20136; Athens, Greece. Zurich, ECVS, 2018, p 109."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.22233\/9781910443231.18"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.22233\/9781910443231.22"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.22233\/9781910443231.28"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X12471057"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X12464461"},{"key":"e_1_3_2_28_2","first-page":"1056","volume-title":"Proceedings of the 28th ECVIM-CA Congress;","author":"Butty EM","year":"2018","unstructured":"Butty EM, Labato MA. Ultrasound-guided subcutaneous ureteral bypass and microsurgical ureterotomy in cats with obstructive ureterolith. Proceedings of the 28th ECVIM-CA Congress; 2018 Sept 6\u20138; Rotterdam, The Netherlands. 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