EUS-guided portal vein interventions 2017
Oct 12, 2017, 16:28
EUS combines real-time imaging and minimally invasive therapeutic capabilities. Vascular access and therapy are an emerging application for EUS-based interventions.1 The proximity of vessels to the GI tract enables detailed visualization and an alternative port of entry to conventional femoral, jugular, or subclavian approaches.1, 2 EUS, with its unique view and access to the portal vein (PV), has the potential to expand our diagnostic and therapeutic armamentarium in both benign and malignant conditions. Previous studies have confirmed the feasibility of EUS-guided PV imaging and access.3, 4, 5, 6, 7, 8
This document reviews the various potential applications for EUS-guided PV interventions including staging of hepatocellular carcinoma, sampling PV blood for circulating tumor cells in pancreaticobiliary malignancies, targeted drug delivery to the liver, PV angiography and pressure measurement, creation of portosystemic shunts, and selective PV embolization in patients with liver metastases, as shown in Table 1.
Prepared by: ASGE Technology Committee, Guru Trikudanathan, MD , Rahul Pannala, MD, MPH , Manoop S. Bhutani, MD, FASGE , Joshua Melson, MD , Udayakumar Navaneethan, MD , Mansour A. Parsi, MD, MPH, FASGE , Nirav Thosani, MD , Arvind J. Trindade, MD , Rabindra R. Watson, MD , John T. Maple, DO, FASGE (Chair) PlumX Metrics
Title :
EUS-guided portal vein interventions 2017
URL :
Doi org link :
http://dx.doi.org/10.1016/j.gie.2017.02.019
Volume :
Gastrointest Endosc May 2017, Volume 85, Issue 5, Pages 883–888
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Content created :
May 18, 2017, 00:00
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Categories :
- Endoscopic Ultrasound (EUS)
PIIS0016510717301219