{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:55:35Z","timestamp":1790834135445,"version":"4.1.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine 6 Jahre alte, weiblich-kastrierte Kurzhaarkatze wurde mit akuter Lethargie, Dehydratation, hochgradiger Azot\u00e4mie, metabolischer Azidose, linksseitiger Renomegalie und beidseitiger Hydronephrose vorgestellt. Die Diagnostik einschlie\u00dflich Sonographie f\u00fchrte zur Verdachtsdiagnose einer bilateralen Harnleiterobstruktion durch Ureterolithiasis. Die medikament\u00f6se Therapie blieb erfolglos. Nach Best\u00e4tigung der Verdachtsdiagnose mithilfe eines antegraden Pyelogramms unter fluoroskopischer Kontrolle wurde beidseits ein subkutanes Ureter- Bypass(SUB)-System eingesetzt. Durch intensive postoperative \u00dcberwachung und engmaschige Labordiagnostik wurde die Fl\u00fcssigkeitstherapie optimiert und die kardiovaskul\u00e4re Stabilit\u00e4t des Patienten gew\u00e4hrleistet. Innerhalb von 5 Tagen verbesserten sich klinische Symptome sowie Blutwerte deutlich und die Katze konnte entlassen werden. Verordnet wurden ein Futter zur Harnsteinprophylaxe sowie ein Phosphatbinder. Die Kontrolluntersuchungen 1 bzw. 4 und 7 Monate postoperativ (Blut- und Harnanalyse, Pr\u00fcfung von Position und Durchg\u00e4ngigkeit der implantierten SUB-Systeme) ergaben Befunde vereinbar mit IRIS CNI-Stadium II (NP-AP0). Beide SUB-Systeme sorgten f\u00fcr einen unbeeintr\u00e4chtigten Harnabfluss. Der bilaterale Einsatz eines subkutanen Bypass zwischen Niere und Blase eignet sich somit als Therapie f\u00fcr die bilaterale Harnleiterobstruktion der Katze infolge Ureterolithiasis. Nach Einsatz eines SUB-Systems bedarf es einer intensiven \u00dcberwachung des Patienten und einer Anpassung des Behandlungsplans nach seinen Erfordernissen.<\/jats:p>","DOI":"10.15654\/tpk-150128","type":"journal-article","created":{"date-parts":[[2016,2,22]],"date-time":"2016-02-22T09:04:15Z","timestamp":1456131855000},"page":"180-188","source":"Crossref","is-referenced-by-count":1,"title":["Beidseitiger Einsatz eines subkutanen Ureter-Bypass bei einer Katze mit bilateraler Harnleiterobstruktion"],"prefix":"10.15654","volume":"44","author":[{"given":"Medora","family":"Pashmakova","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodie H.","family":"Lamb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy A.","family":"Spaulding","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey K.","family":"Cook","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romy M.","family":"Heilmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,12,18]]},"reference":[{"key":"10.15654\/TPK-150128-1","doi-asserted-by":"publisher","DOI":"10.1080\/00480169.2013.775691"},{"key":"10.15654\/TPK-150128-2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2003.222.1576"},{"key":"10.15654\/TPK-150128-3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2012.04.008"},{"key":"10.15654\/TPK-150128-4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2008.01.002"},{"key":"10.15654\/TPK-150128-5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2011.00628.x"},{"key":"10.15654\/TPK-150128-6","doi-asserted-by":"publisher","DOI":"10.2460\/javma.241.3.348"},{"key":"10.15654\/TPK-150128-7","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13516572"},{"key":"10.15654\/TPK-150128-8","doi-asserted-by":"publisher","DOI":"10.2460\/javma.244.5.559"},{"key":"10.15654\/TPK-150128-9","first-page":"535","volume":"53","author":"Cohen","year":"2012","journal-title":"Can Vet J"},{"key":"10.15654\/TPK-150128-10","first-page":"520","volume":"31","author":"Fischer","year":"2009","journal-title":"Compend Contin Educ Vet"},{"key":"10.15654\/TPK-150128-11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfms.2010.03.004"},{"key":"10.15654\/TPK-150128-12","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12215"},{"key":"10.15654\/TPK-150128-13","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13489055"},{"key":"10.15654\/TPK-150128-14","doi-asserted-by":"publisher","DOI":"10.1159\/000083088"},{"key":"10.15654\/TPK-150128-15","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13509098"},{"key":"10.15654\/TPK-150128-16","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X14531763"},{"key":"10.15654\/TPK-150128-17","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.932"},{"key":"10.15654\/TPK-150128-18","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.937"},{"key":"10.15654\/TPK-150128-19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.1997.tb00479.x"},{"key":"10.15654\/TPK-150128-20","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13514423"},{"key":"10.15654\/TPK-150128-21","unstructured":"Muhlbauer MC, Kneller SK. 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