EUS-guided coil versus cyanoacrylate therapy for the treatment of gastric varices: a multicenter study (with videos)

Romero-Castro, Rafael; Ellrichmann, Mark; Ortiz–Moyano, Carlos; Súbtil-Íñigo, José Carlos; Junquera-Florez, Felix; Gornals, Joan B.; Repiso-Ortega, Alejandro; Vila, Juan J.; Marcos-Sánchez, Francisco; Muñoz-Navas, Miguel; Romero–Gómez, Manuel; Brullet-Benedi, Enric; Romero-Vázquez, Javier; Caunedo-Álvarez, Ángel; Pellicer-Bautista, Francisco; Herrerías‐Gutiérrez, Juan Manuel; Fritscher-Ravens, Annette

doi:10.1016/j.gie.2013.05.009

Cited by 202 publications

(257 citation statements)

References 45 publications

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“…[10][11][12][13][14][15][16] Fig. 3 illustrate GV obliteration by EUSguided CYA injection with Doppler monitoring.…”

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

“…[10][11][12][13][14][15][16] In general, a 19 G or 22 G standard EUS needle can be used for EUSguided intravascular puncture of the target varices. [10][11][12][13][14][15][16] Tissue adhesives in the form of CYA (e.g., N-butyl-2-CYA, 2-Octyl-CYA) with or without lipiodol, or sclerosing agents (e.g., ethanolamine) have been used for EUS-guided injection therapy of gastroesoph- A B ageal varices. [10][11][12][13][14][15][16] While fluoroscopy is not required during injection therapy of varices with CYA under EUS guidance, fluoroscopy can be beneficial during EUS-guided coiling procedures with or without CYA injection.…”

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

“…[10][11][12][13][14][15][16] Tissue adhesives in the form of CYA (e.g., N-butyl-2-CYA, 2-Octyl-CYA) with or without lipiodol, or sclerosing agents (e.g., ethanolamine) have been used for EUS-guided injection therapy of gastroesoph- A B ageal varices. [10][11][12][13][14][15][16] While fluoroscopy is not required during injection therapy of varices with CYA under EUS guidance, fluoroscopy can be beneficial during EUS-guided coiling procedures with or without CYA injection. After injection therapy, EUS Doppler is used to provide real-time monitoring of variceal flow obliteration.…”

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

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Endoscopic ultrasound-guided vascular intervention for portal hypertension

Tang

2017

Int J Gastrointest Interv

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A B S T R A C TAs endoscopic ultrasound (EUS) equipment improves, the diagnostic and therapeutic applications of EUS in patients with portal hypertension (pHTN) have been increasingly explored. Various EUS-guided vascular interventions for pHTN have been evaluated in human or animal studies. EUS has been shown to be useful in variceal and perforating feeding veins identification, prediction of variceal recurrence/rebleeding, and assessment of response to pharmacological therapy for pHTN. When compared to conventional endoscopic therapies, EUS-guided therapy for varices and/or perforating feeding veins can ensure intra-variceal delivery of injection therapy, allow real-time monitoring of variceal obliteration, and provide injection therapy under pure EUS guidance when the target varix is endoscopically obscured. While the feasibility of EUS-guided assessment of portal hemodynamics and creation of intrahepatic portosystemic shunt has been evaluated, further studies would be needed to assess the long term outcomes before routine application.

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“…[10][11][12][13][14][15][16] Fig. 3 illustrate GV obliteration by EUSguided CYA injection with Doppler monitoring.…”

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

Section: Eus-guided Therapy Of Gastroesophageal and Ectopic Varicesmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic ultrasound-guided vascular intervention for portal hypertension

Tang

2017

Int J Gastrointest Interv

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“…A comparison of EUS-guided variceal obliteration to rubber-band ligation has not been reported. The efficacy of EUS-guided coil vs. cyanoacrylate therapy has been compared in consecutive patients with gastric varices in a non-randomized study where EUS-guided coil application required fewer endoscopies and reported fewer adverse events compared with EUS-guided cyanoacrylate injection [64]. Experience from this study and case series indicates that the EUS-guided technique is effective in reducing the amount of glue injected but does not completely eliminate the risk of glue embolization.…”

Section: Introductionmentioning

confidence: 99%