Suematsu et al: Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study
Veterinary Surgery 1, 2026

Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study

🔍 Key Findings

  • Dogs with W-shaped tracheal collapse (WTC) had significantly more stridor and labored breathing preoperatively than those with traditional collapse (TTC) (p < .0001 and p = .0419).
  • WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
  • All dogs (TTC and WTC) survived to discharge after CETP placement; no intraoperative deaths occurred.
  • Postoperative laryngeal paralysis occurred in 5 dogs (7.2%), with similar rates between TTC and WTC groups.
  • Recurrent tracheal collapse occurred in 3 dogs (1 TTC, 2 WTC), all requiring additional stenting.
  • 36-month survival was 75.7% (TTC) and 90.9% (WTC), not statistically different.
  • Multivariate analysis showed Yorkshire Terriers (HR = 19.3) and older age (HR = 1.35 per year) were significantly associated with reduced survival.
  • CETP was safe and effective for WTC, despite more severe preoperative signs, offering a viable alternative to stenting.

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Suematsu et al: Long‐term outcomes of dogs with W‐shaped or traditional tracheal collapse treated with a continuous extraluminal tracheal prosthesis: A retrospective study
Veterinary Surgery 1, 2026

🔍 Key Findings

  • Dogs with W-shaped tracheal collapse (WTC) had significantly more stridor and labored breathing preoperatively than those with traditional collapse (TTC) (p < .0001 and p = .0419).
  • WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
  • All dogs (TTC and WTC) survived to discharge after CETP placement; no intraoperative deaths occurred.
  • Postoperative laryngeal paralysis occurred in 5 dogs (7.2%), with similar rates between TTC and WTC groups.
  • Recurrent tracheal collapse occurred in 3 dogs (1 TTC, 2 WTC), all requiring additional stenting.
  • 36-month survival was 75.7% (TTC) and 90.9% (WTC), not statistically different.
  • Multivariate analysis showed Yorkshire Terriers (HR = 19.3) and older age (HR = 1.35 per year) were significantly associated with reduced survival.
  • CETP was safe and effective for WTC, despite more severe preoperative signs, offering a viable alternative to stenting.

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Multiple Choice Questions on this study

In Suematsu 2026 et al., on W-shaped tracheal collapse, what breed was significantly associated with decreased survival following CETP?

A. Shih Tzu
B. Pomeranian
C. Chihuahua
D. Yorkshire Terrier
E. Toy Poodle

Answer: Yorkshire Terrier

Explanation: Yorkshire Terriers had a hazard ratio of 19.3 for reduced survival post-CETP.
In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the approximate odds ratio for preoperative oxygen support in WTC compared to TTC dogs?

A. 3.5
B. 6.8
C. 9.2
D. 12.1
E. 18.4

Answer: 12.1

Explanation: WTC dogs were 12.1× more likely to require preoperative oxygen support than TTC dogs.
In Suematsu 2026 et al., on W-shaped tracheal collapse, what preoperative clinical sign was significantly more common in dogs with WTC than TTC?

A. Labored breathing
B. Goose honking cough
C. Dry harsh cough
D. Heart murmur
E. Cyanosis

Answer: Labored breathing

Explanation: Statistical analysis showed significantly higher rates of labored breathing in WTC dogs (p = .0419).
In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the 36-month survival rate for dogs with WTC after CETP placement?

A. 68.9%
B. 75.7%
C. 81.0%
D. 90.9%
E. 96.4%

Answer: 90.9%

Explanation: WTC dogs had a 36-month survival of 90.9%, slightly higher than TTC but not statistically different.
In Suematsu 2026 et al., on W-shaped tracheal collapse, what was the overall recurrence rate of tracheal collapse after CETP in all dogs?

A. 2%
B. 6%
C. 10%
D. 18%
E. 25%

Answer: 6%

Explanation: Recurrent tracheal collapse occurred in 3/69 dogs (1 TTC, 2 WTC), or 6% overall.

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