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.
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.