Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment

The development of endoscopic ultrasound was driven by the need to develop less invasive alternatives to surgical and radiologic interventions for a wide variety of gastrointestinal conditions. During the past decade, there has been a very rapid growth in the clinical role and capabilities of endosc...

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Main Authors: Jiannis Anastasiou, Tyler M Berzin
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Saudi Journal of Medicine and Medical Sciences
Subjects:
Online Access:http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=61;epage=67;aulast=Anastasiou
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author Jiannis Anastasiou
Tyler M Berzin
author_facet Jiannis Anastasiou
Tyler M Berzin
author_sort Jiannis Anastasiou
collection DOAJ
description The development of endoscopic ultrasound was driven by the need to develop less invasive alternatives to surgical and radiologic interventions for a wide variety of gastrointestinal conditions. During the past decade, there has been a very rapid growth in the clinical role and capabilities of endoscopic ultrasound-guided therapeutic interventions. Endoscopic ultrasound offers both real-time imaging and access to structures within and adjacent to the gastrointestinal tract. The proximity of the gastrointestinal system to vascular structures throughout the abdomen and the mediastinum allows for endoscopic ultrasound-guided vascular access and therapy. The recent development of endoscopic ultrasound-guided vascular interventions has relied both on finding new applications for standard endoscopic accessories and on commandeering tools originally developed for use in interventional radiology. This article provides a review of the literature regarding the current state of endoscopic ultrasound for the management of variceal and nonvariceal bleeding, portal vein angiography and pressure measurements, intrahepatic portosystemic shunts, endoscopic ultrasound-guided fine-needle aspiration for portal vein sampling, drug administration and embolization as well as endoscopic ultrasound-guided cardiac access and treatment.
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spelling doaj.art-6fc70fafdf2846c989159d15dcc6f8762022-12-22T00:22:56ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2018-01-0162616710.4103/sjmms.sjmms_131_17Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatmentJiannis AnastasiouTyler M BerzinThe development of endoscopic ultrasound was driven by the need to develop less invasive alternatives to surgical and radiologic interventions for a wide variety of gastrointestinal conditions. During the past decade, there has been a very rapid growth in the clinical role and capabilities of endoscopic ultrasound-guided therapeutic interventions. Endoscopic ultrasound offers both real-time imaging and access to structures within and adjacent to the gastrointestinal tract. The proximity of the gastrointestinal system to vascular structures throughout the abdomen and the mediastinum allows for endoscopic ultrasound-guided vascular access and therapy. The recent development of endoscopic ultrasound-guided vascular interventions has relied both on finding new applications for standard endoscopic accessories and on commandeering tools originally developed for use in interventional radiology. This article provides a review of the literature regarding the current state of endoscopic ultrasound for the management of variceal and nonvariceal bleeding, portal vein angiography and pressure measurements, intrahepatic portosystemic shunts, endoscopic ultrasound-guided fine-needle aspiration for portal vein sampling, drug administration and embolization as well as endoscopic ultrasound-guided cardiac access and treatment.http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=61;epage=67;aulast=AnastasiouEndoscopic ultrasoundtherapeutic EUSvascular interventions
spellingShingle Jiannis Anastasiou
Tyler M Berzin
Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
Saudi Journal of Medicine and Medical Sciences
Endoscopic ultrasound
therapeutic EUS
vascular interventions
title Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
title_full Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
title_fullStr Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
title_full_unstemmed Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
title_short Endoscopic ultrasound-guided vascular interventions: From diagnosis to treatment
title_sort endoscopic ultrasound guided vascular interventions from diagnosis to treatment
topic Endoscopic ultrasound
therapeutic EUS
vascular interventions
url http://www.sjmms.net/article.asp?issn=1658-631X;year=2018;volume=6;issue=2;spage=61;epage=67;aulast=Anastasiou
work_keys_str_mv AT jiannisanastasiou endoscopicultrasoundguidedvascularinterventionsfromdiagnosistotreatment
AT tylermberzin endoscopicultrasoundguidedvascularinterventionsfromdiagnosistotreatment