Endoscopy 2020; 52(S 01): S314
DOI: 10.1055/s-0040-1705012
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

EUS-GUIDED COMPLETE EMBOLIZATION OF VOLUMINOUS GASTRIC VARICES USING COILS AND GLUE INJECTIONS IN ONE SESSION

A Garcia-Sumalla
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
S Maisterra
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
J Velasquez-Rodriguez
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
F Bas-Cutrina
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
A Amador
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
J Castellote
1   Hospital Universitari de Bellvitge, Barcelona, Spain
,
JB Gornals
1   Hospital Universitari de Bellvitge, Barcelona, Spain
› Institutsangaben
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Publikationsdatum:
23. April 2020 (online)

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Complete embolization technique of bulky IGV1 in a single session, using a combined placement of coils and glue injection, guided by EUS and fluoroscopy. A 78-year-old patient with autoimmune liver cirrhosis had hematemesis with hemodynamic instability.

  • EUS-guided puncture with 19G needle;

  • Placement of 3 coils (35-7-18; 35-7-14 Nester, Cook);

  • Glue injection (NBCA-MS combined with contrast (etiolized acid) in a 1: 1 ratio (toal: 4.5 mL glue; 9mL mixture).

Total 3 punctures (1 transcrural; 2 transgastric route). Immediate obliteration of Doppler flow. EUS follow up at 8 weeks: complete obliteration with absence of Doppler signal.