Pulse - February 2024 - 13

UC DAVIS UPDATE
UC Davis Achieves First
Percutaneous Stone Removal
Rob Warren, UC Davis VMTH Communications & Marketing Officer
N
oodle, a 3-year-old male
poodle mix, was exhibiting
blood in his urine. His primary
care veterinarian discovered
an abnormality on imaging of
his kidneys, most likely the formation
of stones. Two years of
specialist referrals, medical
treatments, and diet alterations
followed with no resolution to
his kidney stone issue, so Noodle
ultimately landed at the UC
Davis veterinary hospital in
late 2022.
Once at UC Davis, Noodle was in the care
of Drs. Carrie Palm and Dennis Woerde,
board-certified internists with special interests
in urology and nephrology.
Throughout his 2-year ordeal, Noodle
remained relatively healthy, and his
owners held out hope that the problem could
be resolved medically. But when different medical
and diet options didn't work, the next best
step was surgery.
In a similar previous case, Drs. Palm and
Woerde achieved the first ever percutaneous
removal of kidney stones in a dog. While the
previous case needed lithotripsy to break down
the stones before removal, Noodle's stones
were small enough to be removed without the
shockwave therapy of downsizing the stones.
" Luckily, Noodle's stones were tiny, so they
didn't need to be broken up, " said Dr. Palm, cochief
of the Internal Medicine Service. " Instead
of opening his abdomen, we were confident in
our ability to gain percutaneous access to the
kidney with a needle and a wire and utilize a
scope to pull and flush the stones out. "
So, by spring of 2023, Noodles was set to
become only the second patient ever to have
percutaneous stone removal surgery, and the
first without initial lithotripsy.
Assisted by the Anesthesia and Diagnostic
PULSE
FEBRUARY 2024
Noodle became only the second patient ever to have percutaneous stone removal surgery,
and the first without initial lithotripsy.
Imaging Services, Drs. Palm and Woerde were
joined by Dr. Bill Culp, chief of the Soft Tissue
Surgery Service, to perform Noodle's surgery.
Ultrasound was used to gain percutaneous
access to Noodle's kidney followed by the use
of fluoroscopy to establish access into the kidney,
where the imaging allowed guidance of
a scope into the renal pelvis to remove more
than 100 tiny stones. After suctioning and
flushing the stones, a stent was placed from
Noodle's kidney to his bladder to help keep
the ureter open to prevent any potential stone
fragments from blocking his ureter.
The incision needed for the procedure was
so small that the tissue closed immediately
upon removal of the needle, and no sutures
were needed.
Noodle was hospitalized for five nights,
13
where he was cared for by a highly skilled
team of veterinary technicians and made a
full recovery.
With two successful surgeries, Drs. Palm
and Woerde look to increase the application of
this new minimally invasive effort, even implementing
the approach on horses. They have
presented preliminary information on the procedure
at one veterinary conference already and
are pursuing publication of the data soon. P

Pulse - February 2024

Table of Contents for the Digital Edition of Pulse - February 2024

Pulse - February 2024
Chapter Meetings & Calendar
President’s Perspective
Pulsepoints
SCVMA Profiles
Practical Pathology
Canine Support Program Helps LAFD First Responders Cope with Trauma
UC Davis Update
Tools for Success
Angel Fund
AVMA Diplomates
Digital Photography for Veterinarians
Resources
Disease Table
From the SCVMA Office
Pulse - February 2024 - Pulse - February 2024
Pulse - February 2024 - Cover2
Pulse - February 2024 - Chapter Meetings & Calendar
Pulse - February 2024 - 2
Pulse - February 2024 - President’s Perspective
Pulse - February 2024 - Pulsepoints
Pulse - February 2024 - 5
Pulse - February 2024 - SCVMA Profiles
Pulse - February 2024 - 7
Pulse - February 2024 - Practical Pathology
Pulse - February 2024 - Canine Support Program Helps LAFD First Responders Cope with Trauma
Pulse - February 2024 - 10
Pulse - February 2024 - 11
Pulse - February 2024 - 12
Pulse - February 2024 - UC Davis Update
Pulse - February 2024 - Tools for Success
Pulse - February 2024 - Angel Fund
Pulse - February 2024 - AVMA Diplomates
Pulse - February 2024 - Digital Photography for Veterinarians
Pulse - February 2024 - 18
Pulse - February 2024 - 19
Pulse - February 2024 - Resources
Pulse - February 2024 - Disease Table
Pulse - February 2024 - 22
Pulse - February 2024 - 23
Pulse - February 2024 - 24
Pulse - February 2024 - 25
Pulse - February 2024 - 26
Pulse - February 2024 - 27
Pulse - February 2024 - 28
Pulse - February 2024 - 29
Pulse - February 2024 - 30
Pulse - February 2024 - 31
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Pulse - February 2024 - 33
Pulse - February 2024 - 34
Pulse - February 2024 - 35
Pulse - February 2024 - 36
Pulse - February 2024 - 37
Pulse - February 2024 - 38
Pulse - February 2024 - 39
Pulse - February 2024 - From the SCVMA Office
Pulse - February 2024 - Cover3
Pulse - February 2024 - Cover4
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