Endoscopic ultrasound-guided coil combined with tissue glue embolization for the treatment of visceral artery pseudoaneurysm (with video)
10.3760/cma.j.cn321463-20250428-00175
- VernacularTitle:超声内镜引导下弹簧圈联合组织胶栓塞治疗腹腔动脉假性动脉瘤的初步应用（含视频）
- Author:
Guanjun KOU
1
;
Jingran SU
1
;
Xiaoli JIA
1
;
Ning ZHONG
1
Author Information
1. 山东大学齐鲁医院消化内科，济南 250010
- Publication Type:Journal Article
- Keywords:
Endoscopic ultrasound;
Pseudoaneurysm;
Therapeutic arterial embolization;
Tissue glue;
Coil
- From:
Chinese Journal of Digestive Endoscopy
2025;42(7):569-572
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the efficacy and safety of endoscopic ultrasound (EUS)-guided coil combined with tissue glue embolization for visceral arterial pseudoaneurysms (VAPA), clinical data of 4 patients who underwent this procedure at the Endoscopy Center of Qilu Hospital, Shandong University between June 2024 and March 2025 were retrospectively analyzed. Parameters including technical success rate, procedure time, postoperative complications, costs, and postoperative hospital stay were recorded. The technical success rate was 100%, with embolization time ranging from 100 seconds to 260 seconds. No severe complication occurred in any patient. The procedure costs varied between 7.6 thousand yuan and 13.6 thousand yuan, with postoperative hospitalization lasting 2-3 days. During the follow-up period of 2.0-11.0 months, no VAPA recurrence was observed in any case. This preliminary study demonstrates that EUS-guided coil combined with tissue glue may represent a feasible and safe novel therapeutic approach for VAPA. It is worth clinical application for no radiation, minimal invasiveness, short procedure time and cost-effectiveness .
