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Anatomic and hemodynamic findings during endoscopic ultrasound-guided angiography of gastric varices: a note of caution for endoscopic ultrasound-guided therapy

2022; Thieme Medical Publishers (Germany); Volume: 54; Issue: S 02 Linguagem: Inglês

10.1055/a-1884-9245

1438-8812

Rafael Romero-Castro, Victoria Alejandra Jiménez-García, Atsushi Irisawa, Isabel Carmona-Soria, Angel Caunedo-Álvarez, Anthony Yuen Bun Teoh, Marc Giovannini,

Organ Transplantation Techniques and Outcomes

Endoscopic ultrasound (EUS)-guided therapy of gastric varices, first reported as the use of a cyanoacrylate (CYA) injection [1], now includes the deployment of coils without CYA [2] and the combined method, involving deployment of one to two coils followed by an injection of CYA [3]. Regardless of the method used, EUS-guided therapy of gastric varices is increasingly performed because of its safety profile and accuracy. EUS-guided angiography can be used to assess fluidodynamics, the anatomy of gastric varices, and gastrorenal shunt (GRS) patency.