AGA Clinical Practice Update on Interventional EUS for Vascular Investigation and Therapy: Commentary

Ryou, Marvin; DeWitt, John M.; Das, Koushik K.; Shami, Vanessa M.

doi:10.1016/j.cgh.2023.03.027

Cited by 9 publications

(4 citation statements)

References 34 publications

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“…Coil embolization has been used off label for EUS-guided embolization of gastric varices and recently rectal varices. 5,7 EUS-guided coil embolization was also reported as a successful salvage therapy for visceral arterial aneurysm and pseudoaneurysm. 7 Coil embolization of the submucosal arteriole does not have the potential risk of systemic embolization as in the case of venous or variceal coil deployment and may have less risk of ischemia followed by fibrosis and luminal stricture as with IR embolization of a feeding artery to a larger segment of the GI tract.…”

Section: Discussionmentioning

confidence: 99%

“…5,7 EUS-guided coil embolization was also reported as a successful salvage therapy for visceral arterial aneurysm and pseudoaneurysm. 7 Coil embolization of the submucosal arteriole does not have the potential risk of systemic embolization as in the case of venous or variceal coil deployment and may have less risk of ischemia followed by fibrosis and luminal stricture as with IR embolization of a feeding artery to a larger segment of the GI tract. We report the first case of successful EUS-guided coil embolization of a feeding arteriole to prevent recurrent rectal Dieulafoy bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding

Mai,

Panicker,

Restrepo

et al. 2024

ACG Case Rep J

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Hematochezia due to recurrent bleeding from rectal Dieulafoy can be challenging for endotherapy. We report the first case of successful endoscopic ultrasound-guided coil embolization of a feeding arteriole to the peripheral Dieulafoy vessels in the region of a colorectal anastomosis. The patient presented with recurrent lower gastrointestinal hemorrhage despite multiple previous conventional endoscopic treatment modalities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding

Mai,

Panicker,

Restrepo

et al. 2024

ACG Case Rep J

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“…EUS-guided vascular intervention has an increasing role in the diagnosis and treatment of various diseases ranging from portal venous pressure measurement to vascular embolization and shunt placement. [ 25 , 26 ] EUS-guided portal venous measurement was initially performed in a live pig model. [ 27 ] Portal hypertension was induced by injection of polyvinyl alcohol into the portal vein.…”

Section: Model For Eus-guided Vascular Interventionmentioning

confidence: 99%

Revolution of hands-on model for interventional EUS: How to make a training model

Chantarojanasiri,

Siripun,

Pinyotheppratarn

et al. 2024

Endosc Ultrasound

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EUS interventions have an increasing role in the treatment for hepatobiliary-pancreatic diseases. However, the procedure itself is not frequently performed, needs expertise, and carries a high risk of complications. With these limitations, the hands-on practice model is very important for the endoscopist in training for EUS intervention. There have been various hands-on models for EUS interventions, ranging from in vivo living pig model to all-synthetic model. Although a living model provides realistic sensation, the preparation is complex and increases concerns for zoonotic issues. All-synthetic models are easier to prepare and store but not realistic and still need the room for improvement. Hybrid ex vivo model is more widely available and provides various training procedures but still needs special preparation for the porcine tissue.

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“…Some of the commonly performed EUS-guided procedures include gastric varices coil and glue injection, pseudoaneurysm, and EUS-guided portal pressure gradient (EUS-PPG) measurement. 5 Our review will focus on EUS-PPG measurement and EUS-guided liver biopsy (EUS-LB).…”

Section: Brief Case Scenariomentioning

confidence: 99%

Liver Biopsy and Pressure Hemodynamics: GI Perspective

Kesar,

Monkemuller

et al. 2023

Digestive Disease Interventions

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Endoscopic ultrasound (EUS) has come a long way from mere diagnostic modality to performing interventional procedures like fine needle aspiration, gastric varices glue and coiling, and management of pancreatic fluid collection along with necrosectomy. Recently, EUS-guided biopsy of the liver has gained traction. This coupled with the ability to access the portal vein and measure portal pressure has made comprehensive liver evaluation possible using endoscopic route. In this review, we will discuss evolution and techniques of performing EUS-guided liver biopsy and portal pressure gradient. We will also compare the merits and demerits as compared with the other conventional techniques.

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AGA Clinical Practice Update on Interventional EUS for Vascular Investigation and Therapy: Commentary

Cited by 9 publications

References 34 publications

Endoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding

Endoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding

Revolution of hands-on model for interventional EUS: How to make a training model

Liver Biopsy and Pressure Hemodynamics: GI Perspective

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