EUS-guided embolization of refractory splenic pseudoaneurysm

Post written by Edward Villa, MD, from the Division of Gastroenterology and Hepatology, University of Illinois at Chicago Health, Chicago, Illinois, USA.


We present a case of a patient with recurrent GI bleeding with a previously treated splenic arterial pseudoaneurysm with residual pseudoaneurysm. Using an EUS-guided embolization with thrombin and cyanoacrylate glue without coils, we were able to obliterate the residual pseudoaneurysm.

EUS-guided vascular therapies have shown to be effective in certain situations, particularly those in which previous percutaneous transcatheter arterial therapies have been attempted but insufficient.

This case report presents the identification of yet another application of therapeutic EUS that allows for more options for patient care.

Villa_figureCT angiography showing splenic arterial pseudoaneurysm.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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