Samarasena Jason B, Chang Kenneth J
Division of Gastroenterology and Hepatology, University of California - Irvine, 333 The Boulevard West, Suite 400, Orange, CA 92868, USA.
Division of Gastroenterology and Hepatology, University of California - Irvine, 333 The Boulevard West, Suite 400, Orange, CA 92868, USA.
Gastrointest Endosc Clin N Am. 2019 Apr;29(2):311-320. doi: 10.1016/j.giec.2018.12.004. Epub 2019 Feb 2.
The number of endoscopic ultrasound (EUS)-guided interventions is rapidly growing within advanced endoscopy. EUS offers high-resolution imaging of mediastinal and intra-abdominal vasculature, which can be targeted for various interventions, hence a growing number of studies have explored EUS-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, and EUS-guided transhepatic intrahepatic portosystemic shunt creation. This article reviews different devices and techniques used in these applications.
在内镜超声（EUS）引导下的介入操作数量在先进内镜领域正迅速增长。EUS能够对纵隔和腹内血管系统进行高分辨率成像，这些血管可作为各种介入操作的目标，因此越来越多的研究探索了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以及EUS引导下经肝肝内门体分流术的创建。本文综述了这些应用中使用的不同设备和技术。
