coil assisted retrograde transvenous obliteration

The use of Endoscopic ultrasound facilitates evaluation of peri-gastric and perforating vessels, which are directly involved in variceal development. It offers the advantage of directly visualizing the varices and delivering targeted therapy.Ī standard endoscopic examination only allows the evaluation of superficial varices. EUS-guided therapy includes EUS guided Cyanoacrylate injection alone or in combination with EUS-guided coiling. The rate of hemostasis has been reported to be as high as 91-100% but the rebleeding rate from gastric varices still present.Įndoscopic ultrasound (EUS) guided therapy has recently been introduced as a more effective and safer option than endoscopic therapy for gastric varices. However, the bleeding is usually significant and severe.Ĭurrent guidelines recommend endoscopic glue injection as the first line of treatment for gastric variceal bleeding.Īlthough this technique has been shown to be effective, it is associated with many severe adverse events including systemic embolization, fever, chest pain, and even death. The risk of bleeding from gastric varices is relatively low. Gastrointestinal bleeding is a common complication of liver cirrhosis which caused by esophageal and gastric varices.

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Coil assisted retrograde transvenous obliteration