If your small dog has a persistent, honking cough, wheezing, or difficulty breathing, they may be suffering from a collapsed windpipe—a condition also known as tracheal collapse. At Veterinary Specialists of the Rockies, we’re proud to offer placement of intraluminal tracheal stents, a specialized, non-surgical airway treatment to improve breathing and comfort for severely affected dogs.

Veterinary Specialists of the Rockies is the ONLY veterinary hospital in the southern Denver front range that has a Critical Care Specialist trained in tracheal stent placement with a supply of tracheal stents on hand. This means most patients (>80%) require only one anesthetic episode, and we can act quickly in emergency situations, minimizing complications and anesthesia time.

What Is Tracheal Collapse in Dogs?

Tracheal collapse in dogs results from a flattening of the cartilaginous rings of the trachea or windpipe. It leads to narrowing of the airway, making it harder for air to move in and out of the lungs.

The disease can be identified in both young and old dogs and is generally progressive. It is especially common in small breed dogs like:

• Yorkshire Terriers
• Pomeranians
• Chihuahuas

Symptoms of a Collapsed Windpipe in Dogs

“Why does my dog have a honking cough that sounds like a goose?” If you’re asking this question, you’re not alone. Classic symptoms of tracheal collapse in dogs include:

• A honking cough that may worsen with excitement, eating, drinking, or exercise
• Noisy breathing or wheezing
• Gagging or retching, especially after activity
• Exercise intolerance
• Blue gums or tongue (cyanosis) in severe cases
• Episodes of collapse or respiratory distress

How is the Diagnosis Made for Tracheal Collapse in Dogs?

Often, the diagnosis can be made through routine radiographs (X-rays), but advanced imaging such as fluoroscopy, CT, or tracheobronchoscopy may be necessary.

Many dogs may also have other illnesses that need to be addressed, including:

• Other airway-related diseases such as bronchitis, brachycephalic airway syndrome, laryngeal paralysis, and others.
• Heart-related diseases such as pulmonary hypertension or other heart disease.
• Other diseases such as diabetes, hyperadrenocorticism, or obesity.

Treatment Options for Breathing Problems in Dogs

Most dogs with tracheal collapse will require medical management, which may include cough suppressants, sedatives, weight management and sometimes antibiotics, steroids, or bronchodilators. Dogs with severe disease or that aren’t responding may require more aggressive treatment such as surgery or placement of an intraluminal stent, which is the new standard of care. A stent is a self-expanding nickel-titanium alloy wire mesh that goes inside the trachea.

Patients are placed under general anesthesia and monitored closely with advanced monitoring equipment. The airway is examined with an endoscope and samples are collected. Then, the trachea is measured with a special device to determine the appropriate size stent. There is no surgery involved.

Over 80% of dogs can have the stent placed immediately thanks to our onsite supply. Most go home within 12 to 24 hours.

Are There Risks or Complications for Tracheal Stents in Dogs?

As with any medical procedure, there are risks to be aware of. The complication rate for tracheal stents may be up to 50%, although many issues are minor and most are manageable with follow-up care. Possible complications include:

• Tracheitis (inflammation of the trachea)
• Infections
• Stent migration or fracture
• Granuloma formation (scar tissue)
• Collapse of the mainstem bronchi, which may worsen prognosis

Overall, reported median survival times in recent studies are 3 to 3.6 years, but the first 2 weeks after placement are critical to a smooth recovery. Veterinary Specialists of the Rockies provides detailed discharge instructions and ongoing support to help with the recovery process.

What Does It Cost to Treat a Collapsing Trachea in Dogs?

If your dog is having difficulty breathing, they should be brought to an emergency veterinarian immediately. In addition, selected appointments are available with our emergency and critical care specialist, Dr. Andrew Linklater, DVM, DACVECC.

The cost of placing a tracheal stent varies depending on the tests that need to be performed. An individualized estimate will be provided to you at the time of examination. The cost includes:

• Specialized equipment (including endoscopy and radiographs).
• Stent materials.
• Preanesthetic workup and evaluation of samples collected during the procedure
• Hospitalization and follow-up care.
• Specialist expertise.

What to Expect After Tracheal Stent Placement

Following tracheal stent placement, most dogs need:

• Strict rest and medication for 2–4 weeks
• A recheck and radiographs before resuming normal activity
• Long-term follow-up every 6 months (or sooner if problems arise)

While progression of the disease is expected over time, the majority of dogs experience a dramatic improvement in their quality of life.

Ready to Help Your Dog Breathe Easier?

If your dog has a honking cough, breathing trouble, or has been diagnosed with tracheal collapse, help is available.

At Veterinary Specialists of the Rockies, we’re proud to offer cutting-edge airway support for dogs, including intraluminal tracheal stenting, right here in southern Denver.

Call us today to schedule an appointment with Dr. Linklater or visit us immediately if your pet is in respiratory distress.