Singh Sahib, Chandan Saurabh, Inamdar Sumant, Kadkhodayan Kambiz S, Dhar Jahnvi, Samanta Jayanta, Facciorusso Antonio
Department of Internal Medicine, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
Center for Interventional Endoscopy (CIE), Advent Health, Orlando, FL 32803, USA.
J Clin Med. 2024 Aug 16;13(16):4835. doi: 10.3390/jcm13164835.
Endoscopic ultrasound (EUS)-guided vascular interventions were first reported in 2000 in a study that evaluated the utility of EUS in sclerotherapy of esophageal varices. Currently, gastric variceal therapy and portosystemic pressure gradient (PPG) measurements are the most widely utilized applications. Ectopic variceal obliteration, splenic artery embolization, aneurysm/pseudoaneurysm treatment, portal venous sampling, and portosystemic shunt creation using EUS are some of the other emerging interventions. Since the release of the American Gastroenterological Association (AGA)'s commentary in 2023, which primarily endorses EUS-guided gastric variceal therapy and EUS-PPG measurement, several new studies have been published supporting the use of EUS for various vascular conditions. In this review, we present the recent advances in this field, critically appraising new studies and trials.
内镜超声（EUS）引导下的血管介入治疗最早于2000年在一项评估EUS在食管静脉曲张硬化治疗中的效用的研究中被报道。目前，胃静脉曲张治疗和门体压力梯度（PPG）测量是应用最广泛的领域。EUS引导下的异位静脉曲张闭塞、脾动脉栓塞、动脉瘤/假性动脉瘤治疗、门静脉采样以及门体分流术是其他一些新兴的介入治疗方法。自美国胃肠病学会（AGA）于2023年发表评论以来，该评论主要支持EUS引导下的胃静脉曲张治疗和EUS-PPG测量，已有多项新研究发表，支持将EUS用于各种血管疾病。在本综述中，我们介绍了该领域的最新进展，对新的研究和试验进行了批判性评估。
