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Endoscopic ultrasound hemostasis techniques.

Everson L A Artifon1, Dayse P S Aparicio2, Jose P Otoch2

  • 1Servicio de Endoscopía, Hospital Ana Costa. Santos. San Pablo, Brasil; Sector de Endoscopia Biliopancreática (CPRE), Servicio de Endoscopía, Hospital de Clínicas de la Facultad de Medicina, Universidad de San Pablo. San Pablo, Brasil.

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Endoscopic ultrasound (EUS) is now a key therapeutic tool, enabling vascular interventions beyond the gastrointestinal tract. This review details the EUS approach for vascular therapy in thoracic and abdominal vessels.

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Area of Science:

  • Gastroenterology and Hepatology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Endoscopic ultrasound (EUS) has transitioned from a diagnostic modality to a therapeutic intervention.
  • EUS offers real-time imaging of thoracic and abdominal vasculature.
  • Vascular interventions can be performed using needle puncture with a curved linear array echoendoscope.

Purpose of the Study:

  • To review the application of endoscopic ultrasound (EUS) in vascular therapy.
  • To describe the EUS approach for interventions outside the gastrointestinal wall.

Main Methods:

  • Literature review of studies on EUS-guided vascular interventions.
  • Description of techniques for accessing and treating vessels using EUS.

Main Results:

  • EUS facilitates real-time imaging of major thoracic and abdominal vessels.
  • Needle puncture via echoendoscope enables vascular interventions.
  • EUS-guided therapy is effective for vascular treatments outside the GI tract.

Conclusions:

  • Endoscopic ultrasound is a valuable tool for vascular therapy.
  • EUS enables minimally invasive vascular interventions in the thorax and abdomen.
  • Further research can expand EUS applications in vascular treatments.