EUS-guided angiotherapy is a growing concept that allows for precise delivery of intravascular
therapies to afferent vessels and real-time confirmation of thrombosis. The medical
literature supports EUS-guided therapy for gastric varices by using coil deployment
and cyanoacrylate. In theory, the coil minimizes the cyanoacrylate volume necessary
because the coil acts as a scaffold, and this may decrease the risk of systemic embolization.
This video (Video 1, available online at www.giejournal.org) demonstrates 3 cases of GI bleeding that were successfully managed by using EUS-guided
angiotherapy.
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Publication history
Todd H. Baron, MD, G. S. Raju, MD, Editors for VideoGIE
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© 2014 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
