Clin Endosc.  2020 Sep;53(5):519-524. 10.5946/ce.2020.222.

Endoscopic Ultrasound-Guided Vascular Procedures: A Review

• Staudenmann DA
• Kaffes AJ
• Saxena P

• KMID: 2507584
• DOI: http://doi.org/10.5946/ce.2020.222

Abstract

Since the 1980s, endoscopic ultrasound has advanced from being purely diagnostic to an interventional modality. The gastrointestinal tract offers an exceptional window for assessing the vascular structures in the mediastinum and in the abdomen. This has led to a rapidly growing interest in endoscopic ultrasound-controlled vascular interventions as a minimally invasive alternative to surgical and radiological procedures.

Keyword

Endoscopic ultrasound; Endoscopic ultrasound-guided interventions; Vascular interventions

Figure

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  Fig. 1. Celiac artery aneurysm. Endoscopic ultrasound image of a celiac artery aneurysm (white arrow) is obtained using a linear echoendoscope. Reproduced from Saxena et al.[2] under the permission of Spring Publishing.

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  Fig. 2. Gastrointestinal stromal tumor (GIST). (A) Endoscopic image of a large ulcer in the antrum of the stomach. (B) Endoscopic ultrasound demonstrates a hypoechoic mass arising from the muscularis propria at the level of the antral ulcer, suggestive of a GIST. (C) Color Doppler of the GIST reveals a vessel feeding into the tumor, the likely cause of recurrent bleeding. (D) Endoscopic appearance of the ulcer post endoscopic ultrasound-guided injection of cyanoacrylate into the feeding vessel. The ulcer has reduced considerably in size. Reproduced from Saxena et al.[2] under the permission of Spring Publishing.

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