{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:55:58Z","timestamp":1790834158148,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"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":[[2021,12]]},"abstract":"\n Objectives<\/jats:title>\n The aim of this study was to describe a method of subcutaneous ureteral bypass (SUB) device placement with intraoperative ultrasound guidance, with or without microsurgical ureterotomy, for the treatment of benign ureteral obstruction(s) in cats. A secondary aim was to describe the complications and outcomes in our population, and compare the two groups with and without ureterotomy.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The medical records of cats with benign ureteral obstruction(s) treated with SUB device placement with intraoperative ultrasound guidance between April 2013 and June 2018 were reviewed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Twenty-four cats with 30 obstructed ureters had a SUB device placement with intraoperative ultrasound guidance in 26 surgeries. A microsurgical ureterotomy was performed in 14\/26 surgeries. Median age was 10.07 years (range 4\u201316.6). Eleven of 24 cats (46%) had a previous history of chronic kidney disease (CKD). All cats, including two patients with minimal pelvic dilation (\u2a7d4\u2009mm), had a successful intrapelvic placement of the SUB device. Median survival time was 1555 days (4.25 years); this was not significantly different between the two groups (\n P<\/jats:italic>\n \u2009=\u20090.4494). Stone analysis and bacterial culture, where available for review, revealed calcium oxalate in 12\/12 and a negative culture in 6\/7. The ureterotomy significantly prolonged the procedure duration (180 vs 125\u2009mins) without significantly decreasing the short- and long-term complications (\n P<\/jats:italic>\n \u2009=\u20090.1588 and\n P<\/jats:italic>\n \u2009=\u20090.2921, respectively), or the survival time (\n P<\/jats:italic>\n \u2009=\u20090.8437).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions and relevance<\/jats:title>\n SUB device placement with intraoperative ultrasound guidance is an effective alternative for the treatment of ureteral obstruction. Ultrasound guidance may be a more accessible option when a trained veterinarian does not have access to fluoroscopy. Microsurgical ureterotomy did not show any advantage and prolonged the anesthesia. Our median survival time emphasizes a good outcome of SUB device placement, even in cats with a previous history of CKD.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/1098612x211002014","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T12:52:52Z","timestamp":1616503972000},"page":"1183-1191","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Subcutaneous ureteral bypass device placement with intraoperative ultrasound guidance, with or without microsurgical ureterotomy, in 24 cats"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0797-3484","authenticated-orcid":false,"given":"Emmanuelle Marie","family":"Butty","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Small Animal Internal Medicine, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Anna","family":"Labato","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Small Animal Internal Medicine, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5326\/0410039"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-017-0978-x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.14559"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2018.11.004"},{"key":"e_1_3_3_6_2","first-page":"493","volume-title":"Textbook of veterinary internal medicine: diseases of the dog and cat","author":"Dunn ME","year":"2017","unstructured":"Dunn ME, Berent AC. Urologic interventional therapies. In: Ettinger SJ, Feldman EC, C\u00f4t\u00e9 E (eds). Textbook of veterinary internal medicine: diseases of the dog and cat. 8th ed. St Louis, MO: Elsevier, 2017, pp 493\u2013512.","edition":"8"},{"key":"e_1_3_3_7_2","article-title":"Use of a subcutaneous ureteral bypass for the treatment of ureteral obstructions in dogs and cats [abstract].","volume":"25","author":"Berent A","year":"2011","unstructured":"Berent A, Weisse C, Bagley D. Use of a subcutaneous ureteral bypass for the treatment of ureteral obstructions in dogs and cats [abstract]. J Vet Intern Med 2011; 25: 1509.","journal-title":"J Vet Intern Med"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.253.10.1309"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X16670572"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.249.11.1292"},{"key":"e_1_3_3_11_2","unstructured":"Berent AC Weisse CW. The SUB 2.0 a surgical guide. http:\/\/norfolkvetproducts.com\/PDF\/SUB\/SUB2_Surgical_Guide_2018-03-email.pdf (2018 accessed February 26 2021)."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X16656910"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X17694253"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X17732900"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13489055"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.244.5.559"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.248.5.518"}],"container-title":["Journal of Feline Medicine and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1098612X211002014","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1098612X211002014","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1098612X211002014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T05:42:06Z","timestamp":1784094126000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1098612X211002014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,23]]},"references-count":16,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1177\/1098612X211002014"],"URL":"https:\/\/doi.org\/10.1177\/1098612x211002014","relation":{},"ISSN":["1098-612X","1532-2750"],"issn-type":[{"value":"1098-612X","type":"print"},{"value":"1532-2750","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,23]]}}}