Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions.

Author: Jason B SAMARASENA ¹ ; Kenneth J CHANG
Author Information

1. Division of Gastroenterology and Hepatology, H. H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center, Orange, CA, USA. jsamaras@uci.edu
Publication Type:Review
Keywords: Endosonography; Portal pressure gradient; Hepatic venous portal gradient; Portal vein sampling; Transhepatic intrahepatic portosystemic shunt
MeSH: Angiography; Endosonography; Gastrointestinal Neoplasms; Portal Pressure*; Portal Vein; Portasystemic Shunt, Surgical; Ultrasonography; Vascular Access Devices
From:Clinical Endoscopy 2018;51(3):222-228
CountryRepublic of Korea
Language:English
Abstract: 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.