Role of endoscopic ultrasound in vascular interventions:Where are we now?

作     者：Alessandro Fugazza Kareem Khalaf Matteo Colombo Silvia Carrara Marco Spadaccini Glenn Koleth Edoardo Troncone Roberta Maselli Alessandro Repici Andrea Anderloni 

作者机构：Division of Gastroenterology and Digestive EndoscopyDepartment of GastroenterologyHumanitas Research HospitalRozzano 20089Italy Department of Biomedical SciencesHumanitas UniversityPieve Emanuele 20090Italy Department of Systems MedicineUniversity of Rome"Tor Vergata"Roma 00133Italy 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第6期

页      面：354-366页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Endoscopic ultrasound Cyanoacrylate Coil injection Gastric varices Gastrointestinal bleeding Vascular endoscopic treatments 

摘      要：From a mere diagnostic tool to an imperative treatment modality,endoscopic ultrasound(EUS)has evolved and revolutionized safer efficient options for vascular *** it is an alternative treatment option in the management of gastrointestinal bleeding,primarily variceal type *** treatment option prior to EUS incorporation had limited efficiency and high adverse *** characterization and detail provided by EUS gives a cutting edge towards a holistically successful management *** indicates that EUS-guided combination therapy of coil embolization and glue injection has the higher efficacy for the treatment of ***,similar treatment options that exist for esophageal and other ectopic variceal bleeding was also *** conclusion,many studies refer that a combination therapy of coil and glue injection under EUS guidance provides higher technical success with fewer recurrence and adverse events,making its adaptation in the guideline extremely ***-hepatology is a novel disciple with a promising future outlook,we reviewed topics regarding portal vein access,pressure gradient measurement,and thrombus biopsy that are crucial interventions as alternative of radiological *** purpose of this review is to provide an update on the latest available evidence in the literature regarding the role of EUS in vascular *** reviewed the role of EUS in variceal bleeding in recent studies,especially gastric varices and novel approaches aimed at the portal vein.