Regional antibiotic perfusion through the lateral saphenous vein in two horses with septic calcaneal osteitis

• Published in: Journal of Veterinary Medical Science Vol. 85; no. 1; pp. 55 - 61
• Main Authors: MIZUGUCHI, Yuya, KATO, Atsushi, AIZU, Marina
• Format: Journal Article
• Language: English
• Published: Japan JAPANESE SOCIETY OF VETERINARY SCIENCE 01.01.2023; Japan Science and Technology Agency; The Japanese Society of Veterinary Science
• Subjects: Administration, Intravenous - veterinary; Animals; Anti-Bacterial Agents - therapeutic use; antibiotic; calcaneal osteitis; Calcaneus; Chronic infection; horse; Horse Diseases - drug therapy; Horse Diseases - surgery; Horses; Intravenous administration; lateral saphenous vein; Osteitis; Osteitis - veterinary; Perfusion; Perfusion - veterinary; regional limb perfusion; Saphenous Vein; Surgery; antibiotic; horse; regional limb perfusion; lateral saphenous vein; calcaneal osteitis
• ISSN: 0916-7250; 1347-7439
• DOI: 10.1292/jvms.22-0377

In this case report, two horses with chronic refractory infections in the tuber calcanei were successfully managed via intravenous antibiotic regional limb perfusion through the lateral saphenous vein after failure of conventional treatment approaches, including surgery and intravenous regional limb perfusion using the cranial branch of the medial saphenous vein. Surgical delay in these cases may have allowed the development of chronic infection, which prevented the conventional regional perfusion from working effectively. The spatial difference of the vessels relative to the tuber calcanei possibly contributed to the treatment outcome in these horses. This report describes a novel approach for regional antimicrobial perfusion to the equine plantar hock region using the lateral saphenous vein.