1 What is the TEER procedure in dogs?
The TEER procedure is a minimally invasive intervention used to repair mitral valve disease in dogs by using a catheter-based approach to treat issues with the heart valves.
2 When is the TEER procedure recommended for dogs?
The TEER procedure is recommended when a dog has stage B2 or early stage C mitral valve disease.
3 What heart conditions can the TEER procedure address in dogs?
The TEER procedure is primarily used to treat mitral valve regurgitation associated with chronic degenerative valve disease in dogs.
4 How does the TEER procedure work?
During the TEER procedure, a small incision is made between the ribs to expose the heart. A catheter is then placed directly into the heart which allows a device to be used to repair the mitral valve by connecting the 2 edges of the valve together, effectively reducing or eliminating the leak.
5 Is the TEER procedure performed under anesthesia?
Yes, the procedure is performed under general anesthesia to ensure the dog remains comfortable and immobile during the surgery.
6 Who is qualified to perform the TEER procedure on dogs?
Veterinary cardiologists who have undergone advanced training with the company that developed the TEER device (Hongyu Medical) or another certified TEER Centers are allowed to perform the procedure on dogs.
7 How long does the TEER procedure typically take to complete?
Overall anesthetic procedural time is ~ 90 minutes with device positioning and deployment taking approximately 30 minutes.
8 What is the success rate of the TEER procedure in dogs?
Currently the TEER procedure is successfully completed in 95% of patients and this procedure will often provide significant improvement in a dog's quality of life and can extend their lifespan.
9 What are the potential risks and complications associated with the TEER procedure?
Risks may include infection, bleeding, arrhythmias, or device-related issues. This risks and others will be discussed during the initial evaluation.
10 How long is the recovery period for dogs after the TEER procedure?
Recovery time varies but typically involves restricted activity for 4 to 6 weeks or until the v-clamp heals in position. Patients will also require post-operative monitoring having recheck evaluations with a veterinary cardiologist at 2 weeks, 1 month, 3 months, 6 months, and 12 months postop.
11 Can all dogs with heart conditions undergo the TEER procedure?
No, the suitability of the TEER procedure depends on the specific heart condition and the dog's overall health, as well as the anatomy of the mitral valve. Your veterinary cardiologist / TEER Center will assess eligibility.
12 Are there any age or size restrictions for dogs undergoing the TEER procedure?
Age and size can be factors, but the dog's overall health and the severity of the heart condition are more important considerations. However, this procedure is generally recommended for patients less than 12 years of age and weighing between 4 and 15 kg (8.5 to 33 pounds).
13 Will my dog need follow-up appointments after the TEER procedure?
Follow-up with a veterinary cardiologist is recommended at 2 weeks, 1 month, 3 months, 6 months and 12 months postop to monitor for proper healing and recovery from the procedure. However, patients will likely need to have lifelong follow-up care for their cardiac condition.
14 What can I expect in terms of lifestyle changes for my dog after the procedure?
Depending on the success of the TEER procedure, your dog may experience improved energy levels and a better quality of life. However, some lifestyle changes, such as medication and restricted activity, may be necessary.
15 How can I monitor my dog's progress post-TEER procedure?
Regular check-ups, monitoring for symptoms, and adhering to the prescribed treatment / monitoring plan are essential for managing your dog's progress.
16 Can the TEER procedure be combined with other treatments?
The TEER procedure is often combined with medical cardiac treatments in order to provide comprehensive care.
17 What is the cost of the TEER procedure for dogs, and is it covered by pet insurance?
The overall cost of the TEER procedure can vary but should be between $16,000-19,000. This cost is split into 2 groups or categories. First is the cost of the V-Clamp system which is ~$8500. The second is the cost of the pre-op evaluation, procedure, anesthesia, hospitalization, and follow-up care which is ~ $ 7,000-9,000. The severity of the patient’s condition and other factors may also increase the cost.
Whether it's covered by pet insurance depends on your specific policy and provider.
18 Are there alternative treatments for dogs with the same heart condition?
Yes, there are alternative treatments, such as medication and open-heart surgery. The best opition for patients varies and optimal treatment of your pets cardiac condition should be discussed with your veterinary cardiologist.
19 How do I prepare my dog for the TEER procedure?
Your veterinary cardiologist will provide specific pre-operative instructions, which may include fasting your dog prior to the procedure.
20 Can the TEER procedure prolong a dog's life?
The TEER procedure has the potential to improve a dog's quality of life and may extend their lifespan, especially when performed in the earlier stages of heart disease. However, individual results can vary.
