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farriery
veterinary
biomechanics
anatomy
nutrition
physiotherapy
2019
Case Report

Ultrasound-guided injection of the cranial tibial artery for stem cell administration in horses.

Authors: Torrent A, Spriet M, Espinosa-Mur P, Clark K C, Whitcomb M B, Borjesson D L, Galuppo L D

Journal: Equine veterinary journal

Summary

# Editorial Summary: Ultrasound-Guided Cranial Tibial Artery Injection for Equine Stem Cell Therapy Intra-arterial mesenchymal stem cell (MSC) delivery has shown promise for treating soft tissue injuries in the equine forelimb via median artery catheterisation, yet a comparable validated technique for hindlimb pathology remained underdeveloped. Torrent and colleagues established and validated an ultrasound-guided protocol for delivering MSCs directly into the cranial tibial artery, providing a targeted distal hindlimb approach analogous to existing forelimb methods. The technique successfully demonstrated reliable arterial access and cell administration, expanding the anatomical reach of intra-arterial stem cell therapy beyond previous forelimb-only applications. For practitioners managing distal hindlimb soft tissue injuries—particularly those affecting the distal metacarpal/metatarsal region and digital structures—this validated approach offers a minimally invasive alternative delivery route that may improve therapeutic cell localisation compared with systemic administration. Farriers, veterinarians, and rehabilitation specialists should recognise this methodology as a clinically relevant option when collaborating on advanced regenerative treatments for hindlimb cases, though further clinical outcome studies comparing intra-arterial versus other delivery routes remain necessary.

Read the full abstract on PubMed

Practical Takeaways

  • Ultrasound-guided intra-arterial stem cell injection is now a validated option for treating soft tissue injuries in both front and hind limbs
  • The cranial tibial artery provides an accessible route for hindlimb cell therapy delivery, expanding treatment options beyond forelimb techniques
  • Practitioners should consider this minimally invasive approach as part of regenerative medicine protocols for distal limb soft tissue injuries

Key Findings

  • An ultrasound-guided technique for intra-arterial injection of mesenchymal stem cells via the cranial tibial artery has been established for hindlimb administration in horses
  • This technique extends previous work with median artery injection validated for front limbs to the hindlimb vasculature

Conditions Studied

soft tissue injuries of the equine distal limbhindlimb injuries