Endoscopic Ultrasound-Guided Vascular Interventions: From Diagnosis to Treatment

Overview

Journal Saudi J Med Med Sci

Specialty General Medicine

Date 2019 Feb 22

PMID 30787823

Citations 5

Authors

Jiannis Anastasiou

Tyler M Berzin

Affiliations

Soon will be listed here.

Abstract

The development of endoscopic ultrasound was driven by the need to develop less invasive alternatives to surgical and radiologic interventions for a wide variety of gastrointestinal conditions. During the past decade, there has been a very rapid growth in the clinical role and capabilities of endoscopic ultrasound-guided therapeutic interventions. Endoscopic ultrasound offers both real-time imaging and access to structures within and adjacent to the gastrointestinal tract. The proximity of the gastrointestinal system to vascular structures throughout the abdomen and the mediastinum allows for endoscopic ultrasound-guided vascular access and therapy. The recent development of endoscopic ultrasound-guided vascular interventions has relied both on finding new applications for standard endoscopic accessories and on commandeering tools originally developed for use in interventional radiology. This article provides a review of the literature regarding the current state of endoscopic ultrasound for the management of variceal and nonvariceal bleeding, portal vein angiography and pressure measurements, intrahepatic portosystemic shunts, endoscopic ultrasound-guided fine-needle aspiration for portal vein sampling, drug administration and embolization as well as endoscopic ultrasound-guided cardiac access and treatment.

Citing Articles

Endoscopic ultrasound in portal hypertension: navigating venous hemodynamics and treatment efficacy.

Dragomir I, Pojoga C, Hagiu C, Seicean R, Procopet B, Seicean A Gastroenterol Rep (Oxf). 2024; 12:goae082.

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EUS-guided coil placement and cyanoacrylate glue injection for gastric variceal bleeding with obvious spontaneous portosystemic shunts.

Tang L, Li X, Cui J, Huang L Endosc Ultrasound. 2022; 12(1):84-89.

PMID: 36510864 PMC: 10134932. DOI: 10.4103/EUS-D-22-00006.

Role of endoscopic ultrasound in vascular interventions: Where are we now?.

Fugazza A, Khalaf K, Colombo M, Carrara S, Spadaccini M, Koleth G World J Gastrointest Endosc. 2022; 14(6):354-366.

PMID: 35978714 PMC: 9265255. DOI: 10.4253/wjge.v14.i6.354.

Endoscopic ultrasound-guided vascular interventions: Current insights and emerging techniques.

Mann R, Goyal H, Perisetti A, Chandan S, Inamdar S, Tharian B World J Gastroenterol. 2021; 27(40):6874-6887.

PMID: 34790012 PMC: 8567466. DOI: 10.3748/wjg.v27.i40.6874.

Endoscopic advances in the management of non-variceal upper gastrointestinal bleeding: A review.

Naseer M, Lambert K, Hamed A, Ali E World J Gastrointest Endosc. 2020; 12(1):1-16.

PMID: 31942229 PMC: 6939122. DOI: 10.4253/wjge.v12.i1.1.

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