Endoscopic ultrasound guided coil and glue as a first-line treatment for visceral artery pseudoaneurysm: A long term follow-up study with a proposed algorithmic approach.
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Abstract
Background and aims: Visceral artery pseudoaneurysm (VAPA) is an uncommon complication associated with pancreatitis. This study aimed to assess the safety and efficacy of endoscopic ultrasound (EUS)-guided coil and glue embolization for pseudoaneurysm (PsA).
Methods: Patients with VAPA who underwent EUS-guided embolization as a first-line procedure , were included. The primary outcome was clinical success, defined as the complete obliteration of PsA at 12 weeks.
Results: Nineteen patients with 20 pseudoaneurysms were included. The mean age was 38.63±13.87 years, and 89.5% were males. Splenic artery pseudoaneurysm was the most common (75%). The median size of the pseudoaneurysm was 2.5 cm (IQR: 1.5-4.1 cm). There was a 100% technical success rate and 85% clinical success rate. Post procedure one patient developed splenic abscess. No recurrence was seen after a median follow of 37 months.
Conclusion: EUS-guided coil and glue embolization is an effective first-line procedure for splenic artery pseudoaneurysms.
期刊介绍：
Gastrointestinal Endoscopy is a journal publishing original, peer-reviewed articles on endoscopic procedures for studying, diagnosing, and treating digestive diseases. It covers outcomes research, prospective studies, and controlled trials of new endoscopic instruments and treatment methods. The online features include full-text articles, video and audio clips, and MEDLINE links. The journal serves as an international forum for the latest developments in the specialty, offering challenging reports from authorities worldwide. It also publishes abstracts of significant articles from other clinical publications, accompanied by expert commentaries.
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