{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:46:17Z","timestamp":1792590377806,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"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":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Case series summary<\/jats:title>\n                    <jats:p>The objective of this case series was to describe the presentation, surgical treatment and outcome of a congenital intrahepatic portosystemic shunt (IHPSS) in 12 cats. A retrospective case series of cats undergoing surgical treatment for an IHPSS was undertaken. Signalment, clinical signs, imaging, surgical treatment, complications and short-term outcome (&lt;30 days) were obtained using medical records. Long-term outcome (&gt;1 year after first surgery) was obtained, where possible, using a health-related quality of life owner questionnaire. Seven cats were diagnosed with a left divisional shunt, three with a central divisional shunt and two with a right divisional shunt using intraoperative mesenteric portovenography. Three cats tolerated complete acute suture attenuation, eight cats underwent partial suture attenuation, four of which received complete suture ligation at a second surgery, and one cat underwent partial attenuation with a thin film band. Six cats (50%) developed post-attenuation neurological signs (PANS) after first surgery and two cats (17%) died or were euthanased due to severe PANS. Long-term outcome was available for eight cats (67%), with a median follow-up time of 1743 days (range 364\u20132228), and was described as excellent in five cats (63%), fair in two cats (25%) and poor in one cat (12%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance and novel information<\/jats:title>\n                    <jats:p>Few papers exist that describe the presentation, intraoperative imaging, treatment and outcome of IHPSSs in cats. This is the first to describe surgical attenuation with a thin film band in a cat with an IHPSS. This case series reports excellent long-term outcomes in a majority of surgically treated cats with IHPSS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x221109325","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T06:19:25Z","timestamp":1657779565000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Surgical treatment and outcome of intrahepatic shunts in 12 cats"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0665-7527","authenticated-orcid":false,"given":"Lavinia","family":"Economu","sequence":"first","affiliation":[{"name":"Queen Mother Hospital for Animals, Royal Veterinary College, University of London, Hatfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhiannon","family":"Strickland","sequence":"additional","affiliation":[{"name":"Queen Mother Hospital for Animals, Royal Veterinary College, University of London, Hatfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky J","family":"Lipscomb","sequence":"additional","affiliation":[{"name":"Queen Mother Hospital for Animals, Royal Veterinary College, University of London, Hatfield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/vr.160.14.465"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.234.2.221"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/01652176.2000.9695032"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8261.2003.tb00499.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2002.220.1341"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.2004.tb13233.x"},{"key":"e_1_3_2_8_2","first-page":"743","volume-title":"Kirk\u2019s current veterinary therapy XII small animal practice","author":"Levy JK BS","year":"1995","unstructured":"Levy JK BS, Komtebedde J. 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