Endoscopic ultrasound-guided vascular interventions
Atsushi Irisawa1, Kazunori Nagashima1, Akira Yamamiya1
1Department of Gastroenterology, Dokkyo Medical University School of Medicine, Tochigi, Japan.
Summary
Interventional endoscopic ultrasound (EUS) enables diagnosis and treatment of portal hypertension complications like varices and hemorrhage. EUS-guided vascular interventions show promise for future clinical applications.
Area of Science:
- Interventional Endoscopic Ultrasound (EUS)
- Vascular Interventions
- Gastroenterology
Background:
- Interventional endoscopic ultrasound (EUS) is a developing modality.
- EUS-guided vascular interventions are gaining clinical and research attention.
- Portal hypertension and its complications are significant clinical challenges.
Purpose of the Study:
- To review the current evidence for EUS-guided vascular interventions.
- To highlight the diagnostic and therapeutic applications of EUS in vascular conditions.
- To explore the future potential of EUS-guided vascular procedures.
Main Methods:
- Review of current literature on EUS-guided vascular interventions.
- Analysis of diagnostic applications for portal hypertension.
- Evaluation of therapeutic uses including embolic materials and shunt formation.
Main Results:
- EUS can diagnose portal hypertension and treat related gastrointestinal varices and hemorrhage.
- Effective embolic materials include cyanoacrylates, sclerosants, thrombin, and coils.
- Feasibility of EUS-guided portal vein stenting and shunt formation demonstrated in animal studies.
Conclusions:
- EUS-guided vascular intervention is a promising future technique.
- The modality offers effective treatment options for portal hypertension complications.
- Further research and clinical application are anticipated.
Keywords:
endoscopic ultrasoundgastric varicesgastrointestinal hemorrhageportal hypertensionpseudoaneurysm
