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Willows says it is currently the only centre in the UK to offer the procedure, and one of very few in the world.
Simon Swift, an RCVS and European specialist in small animal cardiology (pictured right), heads the cardiology team at Willows.
He said: “Transcatheter edge-to-edge mitral valve repair (TEER) is already considered an alternative to surgical repair in human patients and there have been some very promising early clinical results in dogs.
“The procedure is performed under general anaesthesia through a small incision in the chest wall.
“Access within the beating heart is achieved by a needle puncture at the apex of the heart which is highlighted by continuous X-ray images and an ultrasound of the heart via a probe placed in the oesophagus.
“This allows correct positioning of a V-clamp across the mitral valve to reduce the amount of leakage.
“It’s a procedure that delivers meaningful results and an improved quality of life and, because it’s a minimally invasive process, patients are typically discharged from hospital within two days.”
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The service is being led by Isuru Gajanayake, a board-certified specialist in veterinary nutrition. He said: “Since launching our clinical nutrition service last year, we have seen a number of cases in which patients have been either dehydrated or malnourished, sometimes both.
“Working alongside our other services in a truly multidisciplinary approach, we have been able to offer suitable treatment to support a significant number of dogs and cats.
“With the launch of the parenteral nutrition service, we can now expand this offering and, in doing so, become one of only a very few referral centres across the UK to provide this as a specialist service.
“Patients who are given parenteral nutrition will be hospitalised in our advanced intensive care unit to ensure they can be monitored closely by our specialist emergency and critical care (ECC) team, who provide exceptional expertise in critical care and treatment for every patient when they need it most.
Isuru added that the addition of the clinical nutrition and parenteral nutrition services at Willows ensures that there is a much greater emphasis on nutrition and hydration for all patients at the centre, whatever their underlying illness.
For more information, visit www.willows.uk.net or search for Willows Veterinary Centre and Referral Service on Facebook.
Willows' Head of Imaging Andrew Parry, an RCVS and European Specialist in Diagnostic Imaging (pictured on the left with Clinical Director, Toby Gemmill), said: "There are very few veterinary hospitals anywhere in the country which would have the case-load or the complexity of cases to justify such a sizeable investment. Additionally, this magnet will bring multiple opportunities for clinical research which could ultimately lead to improvements in animal health."
Andrew added: “To my knowledge, we are the only centre in the UK that has fully replaced a high-field magnet MRI with a complete new solution.
"This is very unusual as scanners tend to be upgraded from a high field to higher field, rather than replaced altogether.
"However, our aim wasn’t to purely upgrade the equipment, it was to have access to the best diagnostic imaging equipment available, in order to ensure high quality images are obtained and interpreted, providing the most accurate and rapid diagnosis for our patients. This can make a significant difference to the level of care we are able to provide for pets."
For more information, visit: willows.uk.net
The programme, which is open to experienced veterinary nurses, will give successful candidates the opportunity to train alongside world-leading specialists, highly-trained clinicians and experienced specialist RVNs, working within the specialisms of emergency and critical care and internal medicine.
Tracey Morley Jewkes, Managing Director at Willows, said: "We intend this to be a professionally-rounded training programme which offers opportunities not only to work alongside the world-renowned specialist vets and highly-skilled referral nurses here at Willows but to also cover areas such as public speaking development and article writing."
Tom Reilly, head of clinical support services at Willows, led the design of the residency programme and is hoping it will provide much-needed pathways of professional progression for RVNs and retention of talent within veterinary nursing. He said: "This residency is a three-year programme which follows a similar pattern to the veterinary surgeons’ specialist residency programme.
"Each resident nurse will have a specialist vet or nurse mentor and will spend the first year working solely in the area of their chosen discipline.
"The second year will see our resident nurses undergo training in the American Veterinary Technician Specialist qualification, benefiting from the volume and complexity of cases within the working environment at Willows.
"In the final year, residents will attend an international conference in the US in their area of specialism where they will also sit their internationally recognised exams to complete their residency."
For more information, visit www.willows.uk.net.
The clinic will assess cats and dogs under six months old where a heart murmur has been detected.
Willows will then recommend a course of action and, if required, carry out keyhole surgery.
Chris Linney, head of cardiology at Willows, said: "This is the first specialist-led, congenital heart disease clinic in the country and will use some of the latest and most advanced equipment available in the veterinary world. As well as advanced ultrasound, we also have state-of-the-art CT available for assessment of complex cases.
"With the support of the 24/7 hospital service and other specialist disciplines here at Willows, it means we can offer excellent care to our patients, their owners and referring vets.
"All young animals with murmurs may benefit from the clinic, but those that are always recommended to undergo assessment are puppies with murmurs grade three (out of six) and over, and kittens with murmurs grade four (out of six) and over.
"By reviewing these animals at a younger age, we hope to be able to put care plans in place that can improve their long-term health.
"We will also offer a precise diagnosis, outlook and prognosis on the cause of the heart murmur and, where needed, carry out minimally-invasive keyhole surgery.
"Often, the earlier these are performed the better the outlook for the patient."
Led by Jacques Ferreira, an RCVS and European Specialist in Veterinary Anaesthesia and Analgesia (pictured right), the new clinic will provide a bespoke pain management plan for pets referred both by external first opinion practices or internally by colleagues in other disciplines at the centre.
Jacques, who joined Willows in 2018 having previously lectured in Veterinary Anaesthesia at the University of Liverpool after specialising in the same subject in his native South Africa, said: "Just as with humans, our pets are living longer and, with that, there is an increased risk of developing chronic pain conditions.
"Traditionally, the most common patients are cats and dogs with chronic joint disease such as osteoarthritis but patients with a history of back problems and trapped nerves, cats with chronic cystitis and even those with some forms of cancer may benefit.
"We will work with first opinion vets who refer their patients to us, as well as internal referrals. The management of chronic pain is obviously ongoing but the aim for us would be to get to a stage where pain is effectively managed through the most appropriate avenue and check-ups are only needed every few months.
The wellbeing room is designed to offer staff a comfortable space to relax during breaks, or before or after shifts. It has comfortable seating and a small library of books covering topics such as personal development, mindfulness and stress reduction.
There are also two 'jars of joy' staff can dip into which feature top tips for emotional, mental and physical wellbeing. Employees are also being invited to put forward their own top tips on wellbeing to share with colleagues.
It is hoped that the room will also provide employees with a sanctuary from social media, emails and telephones.
Sounds like a great idea to me, although the library titles look a bit uninspiring for my taste. My ideal wellbeing room would have a few John Grishams on the shelves, limitless music, a Sony playstation, oh, and a minibar.
The clinic is led by Sebastien Behr MRCVS, an RCVS Specialist in Neurology. Patients will benefit from access to the referral centre's MRI scanner and its specialist imaging, anaesthesia and neurology teams.
Dr Behr said: "We are very excited to have launched this specialist clinic. Following detailed consultations with pet owners, the animals will be treated to the very highest level and bespoke care designed for each patient."
The practice is offering a fixed price package for routine diagnostic procedures.
For more information, visit www.willows.uk.net or contact the neurology team on 0121 721 7070.
Ludivine, who graduated in 2008, has come over from America to take up the new post, having just completed a three-year residency at the University of Pennsylvania in Philadelphia.
She said: "I’m really enjoying working as part of a great team and working with the various different disciplines here.
"I’m passionate about my ECC speciality and I have a keen interest in respiratory diseases, trauma and acid base disturbances.
"I also like teaching and being updated about the most recent studies in ECC to ensure I can deliver the most up-to-date care possible for our patients."
Ludivine was born in France and originally studied at her home town university in Lyon, progressing to a rotating internship there after graduation.
In 2012, she worked as an emergency veterinary surgeon in several general practices across France and Switzerland, before moving to the United States in 2014 to see how ECC medicine was practiced overseas.
First, she undertook an ECC internship at the University of California, followed by a three-year residency at the University of Pennsylvania.
Away from work, Ludivine enjoys horse riding, running, work-outs and practising her skiing in the French Alps. She also has two dogs Dalhi her Golden Retriever and Baya her German Shepherd.
For more information, visit www.willows.uk.net/en-GB/specialist-services.
Scans had showed that as a result of the PDA failing to close after birth, Teddy's heart had become significantly enlarged, with fluid building up on his lungs, causing dyspnoea.
The closure operation required a 1cm incision and involved passing catheters via an artery in the hind leg and then plugging the PDA. The whole procedure, including anaesthetic, took about 90 minutes to complete.
Mike Martin, RCVS Specialist Veterinary Cardiologist at Willows who led the operation, said: "Teddy was already suffering heart failure, with severe heart enlargement. His breathing was very heavy and fast due to the fluid build-up in his lungs. He was not going to survive another week without the PDA being plugged.
"We’ve gained a lot of experience over the years and we’re pushing the boundaries as best we can. We had previously operated on dogs weighing around four or five kilos, then three kilos, but Teddy, at 2.2kg, has been our smallest by some way.
"It all went according to plan and Teddy was up, running and playing happily the same afternoon. There was a slight added pressure to the procedure, in that maybe he would be too small, but we made his owners aware of the fact it may not be successful and he might need traditional surgery. He’d been prepped and was ready for that if needed.
"A lot of little dogs such as Yorkies and Chihuahuas suffer from heart problems when they are too small for cardiac catheterisation but instead have to undergo traditional surgery, so this type of interventional procedure is increasingly important."
To find out more information about Willows Referral Service, visit www.willows.uk.net.