EUS-guided vascular access and therapy.
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 standard fine-needle aspiration. EUS-guided treatment of varices has been largely reserved as rescue therapy for refractory bleeding but has theoretic advantages over conventional endoscopy-guided treatment. Data are limited and multicenter, prospective controlled trials are needed to show clinical effectiveness and safety in humans. The development of new tools designed for EUS-guided vascular therapy is needed.
Peter Stokes Endoscopy Unit, Waikato District Health Board, Waikato Hospital, Pembroke Street, Hamilton 3200, New Zealand.
Frank
F
Weilert
Kenneth F
KF
Binmoeller
D000792:Angiography; D001808:Blood Vessels / Q000000981:diagnostic imaging; D003487:Cyanoacrylates / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000379:methods*; D019160:Endosonography; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D017082:Portal Pressure; D011169:Portal Vein / Q000000981:diagnostic imaging; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D014014:Tissue Adhesives / Q000008:administration & dosage; D018084:Ultrasonography, Interventional
D003487:Cyanoacrylates; D014014:Tissue Adhesives