EUS-Guided Vascular Procedures: A Literature Review
Endoscopic ultrasound (EUS) is continuously stepping into the therapeutic arena, simultaneously evolving in different directions, such as the management of pancreatic and biliary diseases, celiac neurolysis, delivering local intratumoral therapy, and EUS-guided endosurgery. EUS-guided vascular proce...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/865945 |
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| author | Tomislav Bokun Ivica Grgurevic Milan Kujundzic Marko Banic |
| author_facet | Tomislav Bokun Ivica Grgurevic Milan Kujundzic Marko Banic |
| author_sort | Tomislav Bokun |
| collection | DOAJ |
| description | Endoscopic ultrasound (EUS) is continuously stepping into the therapeutic arena, simultaneously evolving in different directions, such as the management of pancreatic and biliary diseases, celiac neurolysis, delivering local intratumoral therapy, and EUS-guided endosurgery. EUS-guided vascular procedures are also challenging, considering the variety of vascular pathology, proximity of the vascular structures to the GI tract wall, high resolution, and real-time guidance offering an attractive access route and precise delivery of the intervention. The literature on vascular therapeutic EUS demonstrates techniques for the management of upper GI variceal and nonvariceal bleeding, pseudoaneurysms, and coiling and embolization procedures, as well as the creation of intrahepatic portosystemic shunts. The paucity of studies, diversity of study designs, and the number of animal model studies hamper a systematic approach to the conclusion and decision making important to clinicians and healthcare policy makers. Nevertheless, theoretical benefits and findings up to date concerning technical feasibility, efficacy, and safety of the procedures drive further research and development in this rather young therapeutic arena. |
| format | Article |
| id | doaj-art-2317d90ff4e04b568f5cac9e4e6decf4 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-2317d90ff4e04b568f5cac9e4e6decf42025-08-20T03:54:48ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/865945865945EUS-Guided Vascular Procedures: A Literature ReviewTomislav Bokun0Ivica Grgurevic1Milan Kujundzic2Marko Banic3Department of Gastroenterology, University Hospital Dubrava, Zagreb University School of Medicine, Avenue Gojka Suska 6, 10 040 Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Dubrava, Zagreb University School of Medicine, Avenue Gojka Suska 6, 10 040 Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Dubrava, Zagreb University School of Medicine, Avenue Gojka Suska 6, 10 040 Zagreb, CroatiaDepartment of Gastroenterology, University Hospital Dubrava, Zagreb University School of Medicine, Avenue Gojka Suska 6, 10 040 Zagreb, CroatiaEndoscopic ultrasound (EUS) is continuously stepping into the therapeutic arena, simultaneously evolving in different directions, such as the management of pancreatic and biliary diseases, celiac neurolysis, delivering local intratumoral therapy, and EUS-guided endosurgery. EUS-guided vascular procedures are also challenging, considering the variety of vascular pathology, proximity of the vascular structures to the GI tract wall, high resolution, and real-time guidance offering an attractive access route and precise delivery of the intervention. The literature on vascular therapeutic EUS demonstrates techniques for the management of upper GI variceal and nonvariceal bleeding, pseudoaneurysms, and coiling and embolization procedures, as well as the creation of intrahepatic portosystemic shunts. The paucity of studies, diversity of study designs, and the number of animal model studies hamper a systematic approach to the conclusion and decision making important to clinicians and healthcare policy makers. Nevertheless, theoretical benefits and findings up to date concerning technical feasibility, efficacy, and safety of the procedures drive further research and development in this rather young therapeutic arena.http://dx.doi.org/10.1155/2013/865945 |
| spellingShingle | Tomislav Bokun Ivica Grgurevic Milan Kujundzic Marko Banic EUS-Guided Vascular Procedures: A Literature Review Gastroenterology Research and Practice |
| title | EUS-Guided Vascular Procedures: A Literature Review |
| title_full | EUS-Guided Vascular Procedures: A Literature Review |
| title_fullStr | EUS-Guided Vascular Procedures: A Literature Review |
| title_full_unstemmed | EUS-Guided Vascular Procedures: A Literature Review |
| title_short | EUS-Guided Vascular Procedures: A Literature Review |
| title_sort | eus guided vascular procedures a literature review |
| url | http://dx.doi.org/10.1155/2013/865945 |
| work_keys_str_mv | AT tomislavbokun eusguidedvascularproceduresaliteraturereview AT ivicagrgurevic eusguidedvascularproceduresaliteraturereview AT milankujundzic eusguidedvascularproceduresaliteraturereview AT markobanic eusguidedvascularproceduresaliteraturereview |