Carval syndrome is a severe heartworm infection where the worms have migrated to the right atrium and vena cava; this condition is associated with a myriad of clinical signs. Several non-surgical and interventional methods are currently used for mechanical worm removal. However, the success rate and complications related to these methods are heavily dependent on methodology and retrieval devices used. In this study, we developed a catheter-guided heartworm removal method using a retrieval basket that can easily access pulmonary arteries and increase the number of worms removed per procedure. With this technique, we successfully treated four dogs with caval syndrome.
Animals ; Dirofilaria immitis/*growth & development ; Dirofilariasis/*parasitology/*surgery ; Dog Diseases/*parasitology/*surgery ; Dogs ; Female ; Heart Atria/parasitology/surgery ; Heart Catheterization/instrumentation/methods/*veterinary ; Male ; Venae Cavae/parasitology/surgery

The status of Dirofilaria immitis infection was assessed in pet dogs of Busan, Korea, and chemoprophylactic effects of microfilaricidal medication were evaluated. A total of 294 pet dogs older than 6 mo were examined, 217 of which had been maintained indoors, and 77 had been kept outdoors. The Snap(R) kit and direct microscopic examinations of the peripheral blood were used. The mean overall parasite positive rates were 10.2% and 6.5%, respectively. Outdoor dogs evidenced adult worm infection rate of 31.2% and microfilaria infection rate of 18.2%. The indoor dogs, however, evidenced adult worm infection rate of 2.8% and microfilaria infection rate of 2.3%. The prevalence in males was more than 2 times that of females. The changing pattern of infection rates by age evidenced a gradual increase, from 2- to 6-year-old dogs, after which, a decrease in infection rates was noted. With regard to chemoprophylaxis, the infection rates of complete and incomplete chemoprophylaxis groups were found to be 2-3 times lower than that of the non-chemoprophylaxis group. The results of the present study indicate that the risk of exposure to D. immitis in pet dogs is quite high, particularly in male outdoor dogs, and chemoprophylactic measures were quite effective.
Animals ; Chemoprevention ; Dirofilaria immitis/growth & development/*isolation & purification ; Dirofilariasis/blood/*epidemiology/parasitology/prevention & control ; Dog Diseases/blood/*epidemiology/parasitology/prevention & control ; Dogs ; Female ; Heart/parasitology ; Korea/epidemiology ; Male ; Mosquito Control ; Prevalence