Samarasena Jason B, Chang Kenneth J
Division of Gastroenterology and Hepatology, H. H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center, Orange, CA, USA.
Clin Endosc. 2018 May;51(3):222-228. doi: 10.5946/ce.2018.079. Epub 2018 May 31.
A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications.
越来越多的研究探讨了内镜超声(EUS)引导下的血管插管术。EUS引导下门静脉穿刺的潜在临床应用包括血管造影、门体静脉压力梯度测量、EUS引导下经肝肝内门体分流术的创建以及门静脉采样以评估胃肠道癌症。以下文章回顾了这些应用中所采用的不同设备和技术。