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Related Experiment Video

Updated: May 22, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Published on: August 8, 2025

EUS-guided vascular access and therapy.

Frank Weilert1, Kenneth F Binmoeller

  • 1Peter Stokes Endoscopy Unit, Waikato District Health Board, Waikato Hospital, Pembroke Street, Hamilton 3200, New Zealand.

Gastrointestinal Endoscopy Clinics of North America
|May 29, 2012
PubMed
Summary
This summary is machine-generated.

Interventional endoscopic ultrasound (EUS) offers a novel approach for gastrointestinal vascular access. Further trials are essential to confirm the safety and effectiveness of EUS-guided vascular therapies.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Interventional Endoscopy

Background:

  • The gastrointestinal tract offers unique access to mediastinal and abdominal vascular structures.
  • Interventional endoscopic ultrasound (EUS) facilitates access using standard fine-needle aspiration.
  • EUS-guided treatment of varices is primarily a rescue therapy for refractory bleeding.

Purpose of the Study:

  • To explore the potential of EUS-guided vascular therapies.
  • To highlight the theoretical advantages of EUS over conventional endoscopic treatments.
  • To identify the need for further clinical research.

Main Methods:

  • Review of current applications and theoretical benefits of EUS-guided vascular interventions.
  • Discussion of existing data limitations.
  • Identification of areas for future research and tool development.

Main Results:

  • EUS provides a minimally invasive route to vascular structures.
  • EUS-guided variceal treatment shows promise but lacks extensive clinical data.
  • Current data are insufficient to establish widespread clinical effectiveness and safety.

Conclusions:

  • EUS represents a promising tool for vascular access and therapy within the GI tract.
  • More multicenter, prospective controlled trials are required to validate EUS-guided vascular interventions in humans.
  • Development of specialized tools for EUS-guided vascular therapy is necessary to advance the field.