ASGE DDW Videos from Around the World | 2022-EUS GUIDED COIL EMBOLIZATION OF SPLENIC ARTERY PSEUDOANEURYSM

EUS GUIDED COIL EMBOLIZATION OF SPLENIC ARTERY PSEUDOANEURYSM

Video Transcription

Video Summary

This video discusses the case of a 58-year-old male with autosomal-dominant polycystic kidney disease and end-stage renal disease who had a splenic artery pseudoaneurysm. After a coiling procedure with interventional radiology, subsequent imaging showed persistent flow within the aneurysm sac and an increase in the size of the splenic artery. A multidisciplinary discussion led to the decision to pursue EOS-guided coil embolization. Under direct ultrasound guidance, tornado coils were placed into the pseudoaneurysm, resulting in resolution of residual flow. Follow-up examinations showed a successfully treated pseudoaneurysm. The video emphasizes the rarity of splenic artery pseudoaneurysms and their high morbidity and mortality if left untreated, and highlights EUS-guided coil therapy as a viable option. (Word count: 137)

Keywords

autosomal-dominant polycystic kidney disease

end-stage renal disease

splenic artery pseudoaneurysm

coiling procedure

EOS-guided coil embolization