Reply To: FAT CAT vs SUPER CAT What’s New in FATE?
Thanks for these great questions, I’ll try to answer as best I can.
In terms of peripheral vs central glucose, absolutely, if this helps a clinician being more confident in their diagnosis then this is something that is reliable and can be performed relatively easily and quickly.
We rarely use TPA at Liverpool, we infrequently get suitable cases referred to us. There are many dosing regimes to choose from but we generally use the doses as per the more recent papers, not because we have any good clinical/ research data. There is still work to be done (and this is ongoing in the states) to see if TPA is efficacious and what doses we should be using.
In terms of the ethical question – it’s a good one. Owners should be offered the choice of treatment or euthanasia. The prognosis is often terrible, but with survival times in some cats reported in the literature to be between 185-990days with clopidogrel (although only 60%cats were bilaterally affected)it is worth considering as long as pain can be managed. Although this number is based only on cats that survived to discharge. We need a better way of identifying those cats that will respond to treatment vs those that don’t. Ultimately, there is no right or wrong answer to this question but I think it comes down to the experience of the vet and owner preferences.
I’d be interested to hear your thoughts on this and anyone else’s for that matter.