Innovative EUS-guided approach improves hemodynamic control in patients with large gastric varices, suggesting better outcomes.
Endoscopic ultrasound (EUS)-guided therapy has emerged as a pivotal advancement in interventional endoscopy for portal hypertension management. While conventional EUS-guided coil-assisted cyanoacrylate injection targeting variceal clusters has demonstrated efficacy in reducing glue-related complications, optimal material utilization remains challenging in cases of extensive varices [1] [2] [3]. We present an innovative approach utilizing EUS-guided selective inflow vessel devascularization (EUS-SIVD) to achieve precise hemodynamic control.
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Qin et al. (2025) studied this question.
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