{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:44:44Z","timestamp":1792424684059,"version":"4.5.0"},"reference-count":38,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T00:00:00Z","timestamp":1682726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Sciences"],"abstract":"<jats:p>Chronic non-septic pleural effusion is a condition that frequently may occur because of lung or pleural neoplasia, or chylothorax refractory to surgical treatment, in dogs. Effusion management can be performed with multiple pleurocenteses or the application of chest drains. New modified vascular devices have been used for patients with chronic diseases; they offer the advantage of allowing home management and do not require hospitalization. Eight PleuralPortTM devices were applied in seven dogs during thoracoscopic exploration and biopsy procedures; five were affected by mesothelioma; one by lung metastases from a mammary carcinoma; and one by chronic chylothorax. The median time of surgical procedure was 51 min; one developed pneumothorax post-operatively that resolved within 12 h after repeated drainage; one device was obstructed after 45 days and was successfully managed by flushing. All patients were discharged after 24 h. The median duration of port insertion in cancer patients was 5 months and those dogs were euthanized because of tumor progression; in the dog with chylothorax, the device was removed after 1 year when the effusion had resolved.<\/jats:p>","DOI":"10.3390\/vetsci10050324","type":"journal-article","created":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T12:10:03Z","timestamp":1682943003000},"page":"324","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Thoracoscopic Assisted PleuralPortTM Application in Seven Dogs Affected by Chronic Pleural Effusion"],"prefix":"10.3390","volume":"10","author":[{"given":"Amanda","family":"Bianchi","sequence":"first","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2158-9032","authenticated-orcid":false,"given":"Francesco","family":"Collivignarelli","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6894-5102","authenticated-orcid":false,"given":"Andrea","family":"Paolini","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-4051","authenticated-orcid":false,"given":"Massimo","family":"Vignoli","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gert W.","family":"Niebauer","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Dolce","sequence":"additional","affiliation":[{"name":"Roma Sud Veterinary Clinic, Via Pilade Mazza, 00173 Roma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1634-0881","authenticated-orcid":false,"given":"Sara","family":"Canal","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"De Bonis","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Rosto","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Del Signore","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6198-163X","authenticated-orcid":false,"given":"Roberto","family":"Tamburro","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Teramo, 64100 Teramo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.2460\/javma.2001.219.1590","article-title":"Treatment of Chronic Pleural Effusion with Pleuroperitoneal Shunts in Dogs: 14 Cases (1985\u20131999)","volume":"219","author":"Smeak","year":"2001","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5326\/JAAHA-MS-5558","article-title":"A Review of the Pathophysiology, Classification, and Analysis of Canine and Feline Cavitary Effusions","volume":"47","author":"Dempsey","year":"2011","journal-title":"J. Am. Anim. Hosp. Assoc."},{"key":"ref_3","unstructured":"Tobias, K.M., Darrow, B.G., and Cavity, M.G.R.T. (2018). Veterinary Surgery: Small Animal Expert Consult, Saunders."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.cvsm.2013.08.005","article-title":"Exudative Pleural Diseases in Small Animals","volume":"44","author":"Epstein","year":"2014","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_5","unstructured":"Elizabeth Rozanski Diseases of the Pleural Space (2017). Veterinary Surgery: Small Animal Expert Consult, Saunders."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/j.1748-5827.2007.00417.x","article-title":"Indications, Outcomes and Complications Following Lateral Thoracotomy in Dogs and Cats","volume":"48","author":"Moores","year":"2007","journal-title":"J. Small Anim. Pract."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"818055","DOI":"10.3389\/fvets.2022.818055","article-title":"Retrospective Evaluation of the Use and Complications of Small-Bore Wire-Guided Thoracostomy Tubes in Dogs and Cats: 156 Cases (2007\u20132019)","volume":"9","author":"Fletcher","year":"2022","journal-title":"Front. Vet. Sci."},{"key":"ref_8","first-page":"1106","article-title":"Pleurovenous Shunting Technique for Treatment of Chylothorax in Three Dogs","volume":"191","author":"Willauer","year":"1987","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1111\/j.1532-950X.1996.tb01404.x","article-title":"Postcaval Thrombosis and Delayed Shunt Migration After Pleuro-Peritoneal Venous Shunting for Concurrent Chylothorax and Chylous Ascites in a Dog","volume":"25","author":"Peterson","year":"1996","journal-title":"Vet Surgery"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1973","DOI":"10.1002\/1097-0142(19880515)61:10<1973::AID-CNCR2820611007>3.0.CO;2-1","article-title":"Pulmonary Tumor Embolization after Peritoneovenous Shunting for Malignant Ascites","volume":"61","author":"Fildes","year":"1988","journal-title":"Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1111\/j.1532-950X.2011.00901.x","article-title":"Use of the PleuralPort Device for Management of Pleural Effusion in Six Dogs and Four Cats: Use of the PleuralPort Device","volume":"40","author":"Brooks","year":"2011","journal-title":"Vet. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2460\/javma.230.4.527","article-title":"Use of Vascular Access Ports with Intrathoracic Drains for Treatment of Pleural Effusion in Three Dogs","volume":"230","author":"Cahalane","year":"2007","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.cvsm.2015.07.005","article-title":"Advances in Video-Assisted Thoracic Surgery, Thoracoscopy","volume":"46","author":"Case","year":"2016","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_14","first-page":"E1","article-title":"Surgical Views: Thoracoscopy: Common Techniques in Small Animals","volume":"35","author":"Mayhew","year":"2013","journal-title":"Compend. Contin. Educ. Vet."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.cvsm.2009.05.007","article-title":"Small Animal Exploratory Thoracoscopy","volume":"39","author":"Schmiedt","year":"2009","journal-title":"Vet. Clin. N. Am. Small Anim. Pract."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"105391","DOI":"10.1016\/j.tvjl.2019.105391","article-title":"Short-Term Surgical Outcomes and Histomorphological Evaluation of Thermal Injury Following Palatoplasty Performed with Diode Laser or Air Plasma Device in Dogs with Brachycephalic Airway Obstructive Syndrome","volume":"253","author":"Tamburro","year":"2019","journal-title":"Vet. J."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Lacitignola, L., Desantis, S., Izzo, G., Staffieri, F., Rossi, R., Resta, L., and Crovace, A. (2020). Comparative Morphological Effects of Cold-Blade, Electrosurgical, and Plasma Scalpels on Dog Skin. Vet. Sci., 7.","DOI":"10.3390\/vetsci7010008"},{"key":"ref_18","unstructured":"(2018). Creation and Validation of the Italian Version of the Glasgow Composite Measure Pain Scale-Short Form (ICMPS-SF). Vet. Ital., 54, 251\u2013260."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/j.1939-1676.1991.tb00953.x","article-title":"Intracavitary Cisplatin Chemotherapy Experience with Six Dogs","volume":"5","author":"Moore","year":"1991","journal-title":"J. Vet. Intern. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1111\/vco.12777","article-title":"Clinical Presentation, Treatment and Outcome of Canine Malignant Mesothelioma: A Retrospective Study of 34 Cases","volume":"20","author":"Moberg","year":"2022","journal-title":"Vet Comp. Oncol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1053\/jvet.1999.0061","article-title":"Use of Omentum as a Physiologic Drain for Treatment of Chylothorax in a Dog","volume":"28","author":"Williams","year":"1999","journal-title":"Vet. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"312","DOI":"10.5326\/0460312","article-title":"Chylothorax Treated Via Thoracic Duct Ligation and Omentalization","volume":"46","author":"Stewart","year":"2010","journal-title":"J. Am. Anim. Hosp. Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Weisse, C., and Berent, A. (2015). Veterinary Image-Guided Interventions, John Wiley & Sons, Ltd.","DOI":"10.1002\/9781118910924"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"278","DOI":"10.3389\/fvets.2019.00278","article-title":"Successful Treatment of Pneumothorax in a Dog with Sterile Pleural Fibrosis Caused by Chylothorax","volume":"6","author":"Rehbein","year":"2019","journal-title":"Front. Vet. Sci."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/j.1939-1676.2004.tb02550.x","article-title":"Thoracic Duct Ligation and Pericardectomy for Treatment of Idiopathic Chylothorax","volume":"18","author":"Fossum","year":"2004","journal-title":"J. Vet. Intern. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"107","DOI":"10.2460\/javma.239.1.107","article-title":"Long-Term Outcome of Dogs Treated Surgically for Idiopathic Chylothorax: 11 Cases (1995\u20132009)","volume":"239","author":"Monnet","year":"2011","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/vsu.13322","article-title":"Treatment of Idiopathic Chylothorax in Dogs and Cats: A Systematic Review","volume":"49","author":"Reeves","year":"2020","journal-title":"Vet. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1111\/j.1532-950X.2009.00623.x","article-title":"Thoracoscopic Thoracic Duct Ligation and Thoracoscopic Pericardectomy for Treatment of Chylothorax in Dogs","volume":"39","author":"Allman","year":"2010","journal-title":"Vet. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2460\/javma.22.08.0381","article-title":"Resolution, Recurrence, and Chyle Redistribution after Thoracic Duct Ligation with or without Pericardiectomy in Dogs with Naturally Occurring Idiopathic Chylothorax","volume":"261","author":"Mayhew","year":"2022","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.2460\/javma.1995.207.08.1059","article-title":"Progressive Lymphangiectasis and Recurrent Chylothorax in a Dog after Thoracic Duct Ligation","volume":"207","author":"Kerpsack","year":"1995","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_31","first-page":"586","article-title":"Complications and Management of a Long-Term Pleural Access Port in a Dog with Chronic Chylothorax Associated with Lung Lobe Torsion","volume":"62","author":"Chang","year":"2021","journal-title":"Can. Vet. J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1292\/jvms.69.201","article-title":"Palliative Intravenous Cisplatin Treatment for Concurrent Peritoneal and Pleural Mesothelioma in a Dog","volume":"69","author":"Seo","year":"2007","journal-title":"J. Vet. Med. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1756-9966-27-6","article-title":"Piroxicam and Intracavitary Platinum-Based Chemotherapy for the Treatment of Advanced Mesothelioma in Pets: Preliminary Observations","volume":"27","author":"Spugnini","year":"2008","journal-title":"J. Exp. Clin. Cancer Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"647","DOI":"10.5858\/arpa.2012-0214-OA","article-title":"Guidelines for Pathologic Diagnosis of Malignant Mesothelioma: 2012 Update of the Consensus Statement from the International Mesothelioma Interest Group","volume":"137","author":"Husain","year":"2013","journal-title":"Arch. Pathol. Lab. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1111\/vco.12843","article-title":"Outcome of Dogs Treated with Chemotherapy for Mesothelioma: A Retrospective Clinical Study on 40 Cases and a Literature Review","volume":"20","author":"Lajoinie","year":"2022","journal-title":"Vet. Comp. Oncol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jfms.2005.03.006","article-title":"Palliative Intracavitary Carboplatin Therapy in a Cat with Suspected Pleural Mesothelioma","volume":"7","author":"Sparkes","year":"2005","journal-title":"J. Feline Med. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2636","DOI":"10.1200\/JCO.2003.11.136","article-title":"Phase III Study of Pemetrexed in Combination with Cisplatin Versus Cisplatin Alone in Patients with Malignant Pleural Mesothelioma","volume":"21","author":"Vogelzang","year":"2003","journal-title":"JCO"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/j.1748-5827.2008.00694.x","article-title":"Retrospective Analysis of the Relationship between Time of Thoracostomy Drain Removal and Discharge Time","volume":"50","author":"Marques","year":"2009","journal-title":"J. Small Anim. 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