Endoscopic ultrasound-guided intravascular therapy

被引:11
作者
Binmoeller, Kenneth F. [1 ,2 ]
Sendino, Oriol [1 ,2 ]
Kane, Steven D. [1 ,2 ]
机构
[1] Calif Pacific Med Ctr, Paul May Intervent Endoscopy Serv, San Francisco, CA 94115 USA
[2] Calif Pacific Med Ctr, Frank Stein Intervent Endoscopy Serv, San Francisco, CA 94115 USA
关键词
Endoscopic ultrasound; Gastrointestinal bleeding; Vascular access; PORTAL-VEIN CATHETERIZATION; ESOPHAGEAL COLLATERAL VEINS; ARGON PLASMA COAGULATION; GASTRIC FUNDAL VARICES; RANDOMIZED-TRIAL; PEPTIC-ULCER; PRESSURE MEASUREMENT; PORTOSYSTEMIC SHUNT; COIL EMBOLIZATION; EUS;
D O I
10.1002/jhbp.183
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The gastrointestinal tract provides a unique window to access vascular structures in the mediastinum and abdomen. The advent of interventional endoscopic ultrasound (EUS) has enabled access to these structures with a standard fine-needle aspiration (FNA) needle. Sclerosants, cyanoacrylate, and coils can be delivered through the lumen of the FNA needle. EUS-guided treatment of gastric varices has theoretical advantages over conventional endoscopy-guided treatment. Controlled studies are needed to determine the role of EUS-guided treatment for primary and secondary prevention of variceal bleeding. There is a growing list of novel indications for EUS-guided vascular therapy that include portal vein angiography and pressure measurements, intrahepatic portosystemic shunt placement, and micro coil embolization of vascular structures. Additionally, access and therapy of the heart and surrounding structures appears feasible.
引用
收藏
页码:44 / 50
页数:7
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