Review
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Apr 16, 2023; 15(4): 216-239
Published online Apr 16, 2023. doi: 10.4253/wjge.v15.i4.216
Endoscopic ultrasound-guided vascular interventions: An expanding paradigm
Jahnvi Dhar, Jayanta Samanta
Jahnvi Dhar, Gastroenterology, Sohana Multispeciality Hospital, Mohali 140308, India
Jayanta Samanta, Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Dhar J contributed to conception and design, data acquisition and analysis draft of the article; Samanta J contributed to conception and design, data interpretation, critical revision and intellectual content of the draft; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare no potential conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jayanta Samanta, MD, Associate Professor, Gastroenterology, Post Graduate Institute of Medical Education and Research, PGIMER, Sector-12, Chandigarh 160012, India. dj_samanta@yahoo.co.in
Received: November 17, 2022
Peer-review started: November 17, 2022
First decision: December 26, 2022
Revised: January 9, 2023
Accepted: March 15, 2023
Article in press: March 15, 2023
Published online: April 16, 2023
Processing time: 147 Days and 12.7 Hours
Core Tip

Core Tip: Therapeutic endoscopic ultrasound (EUS) has rapidly expanded into the field of vascular interventions. Published literature has shown that EUS-guided endovascular therapy is safe and scores over conventional endoscopic techniques achieving high obliteration rates with minimum re-intervention in variceal bleeding. EUS currently acts as a “rescue therapy” in cases of re-bleed or refractory bleeding from non-variceal sources, especially a pseudoaneurysm. In addition, portal vein access, portal pressure gradient measurement, and variceal assessment with liver biopsy have shown that EUS can act as a "one-stop-shop" for “Endo-hepatology”. This ever-expanding role of EUS-related vascular interventions has been thoroughly detailed in this comprehensive review.