Dhar J, Samanta J. Endoscopic ultrasound-guided vascular interventions: An expanding paradigm. World J Gastrointest Endosc 2023; 15(4): 216-239 [PMID: 37138933 DOI: 10.4253/wjge.v15.i4.216]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
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
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.
