A Technical Review of EUS-Guided Variceal Eradication
Year: 2026
Type: article
Abstract: ABSTRACT: Gastric varices present a unique therapeutic challenge for endoscopists. Although the use of direct endoscopic cyanoacrylate glue injection is superior to band ligation, it carries a risk of systemic adverse events. This led to the development of endoscopic ultrasound (EUS)-guided therapy. EUS enables accurate measurement and targeting of vessels, allowing for the precise intravascular delivery of cyanoacrylate and/or coils. Doppler imaging can be used to confirm obliteration in real time. In this review, we highlight recent literature on varying embolization techniques and detail the technical considerations required for a successful EUS-guided approach.
Language: English
Subfield: Hepatology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,800
Funders: Jülich Supercomputing Centre, Forschungszentrum Jülich, Welch Foundation, Camille and Henry Dreyfus Foundation, UNICEF, Arkansas Biosciences Institute, Louisiana Transportation Research Center, Japan Agency for Medical Research and Development, Cooperative Research Centre for Developing Northern Australia, UK Research and Innovation, Ministerio de Ciencia, Innovación y Universidades, Göran Gustafssons Stiftelser, Purdue Institute for Drug Discovery, Kyorin Pharmaceutical, Horizon Therapeutics, Royal Society, European Commission, Royal Australasian College of Physicians, Deutsche Forschungsgemeinschaft, Agence Nationale de la Recherche, Institut National de la Santé et de la Recherche Médicale, Danmarks Grundforskningsfond, Deakin University, Fundação de Amparo à Pesquisa do Estado de São Paulo, National Natural Science Foundation of China, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Bundesministerium für Bildung und Forschung, Hunan Provincial Science and Technology Department, Cancerfonden, Natural Science Foundation of Fujian Province, Conselho Nacional de Desenvolvimento Científico e Tecnológico, National Research Foundation of Korea, Narodowe Centrum Nauki, Vetenskapsrådet, Natural Science Foundation of Gansu Province, University of Electronic Science and Technology of China, Fundação de Apoio ao Desenvolvimento do Ensino, Ciência e Tecnologia do Estado de Mato Grosso do Sul, Natural Science Foundation of Shandong Province, Région Auvergne-Rhône-Alpes, Université de Lyon, Taipei Veterans General Hospital, Townsville Hospital and Health Service, École Normale Supérieure de Lyon, Gauss Centre for Supercomputing, Commercializations Promotion Agency for R and D Outcomes, National Institutes of Health, National Institute of Food and Agriculture, U.S. Bureau of Land Management, Agricultural Research Service, Sichuan Province Science and Technology Support Program, Multidisciplinary University Research Initiative, Metro North Hospital and Health Service, HORIZON EUROPE Framework Programme, Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, Australian Research Council, Japan Society for the Promotion of Science, Instituto de Salud Carlos III, Agencia Estatal de Investigación, National Key Research and Development Program of China, Fundamental Research Funds for the Central Universities, Basic and Applied Basic Research Foundation of Guangdong Province, National Heart, Lung, and Blood Institute, National Institute of Allergy and Infectious Diseases, National Institute of Environmental Health Sciences, Division of Environmental Biology, Basic Energy Sciences, Technology Development, Wake Forest Clinical and Translational Science Institute, Wake Forest School of Medicine, Digital Health CRC
OpenAlex ID: W7126196182