ASGE DDW Videos from Around the World | 2022-EUS GUIDED GLUE + LIPIODOL INJECTION IN PSEUDOANEURYSM OF PANCREAODUODENAL ARTERY: WHAT WENT WRONG!

EUS GUIDED GLUE + LIPIODOL INJECTION IN PSEUDOANEURYSM OF PANCREAODUODENAL ARTERY: WHAT WENT WRONG!

Video Transcription

Video Summary

The video transcript describes a case of a 46-year-old male with multiple comorbidities who presented with gastrointestinal bleeding and was found to have a pseudoaneurysm in the superior pancreatico-duodenal artery. The patient underwent a guided angioembolization procedure using a mixture of glue and lipidol to fill and occlude the pseudoaneurysm. However, complications occurred post-procedure, including lactic acidosis and hepatic dysfunction. The patient was managed with medical treatment and later underwent laparoscopic cholecystectomy. The video discusses the importance of dilution of glue with lipidol to prevent needle blockage and increase the controlled delivery of glue, but also highlights the risk of embolization. Surgical consultation is recommended in such cases.

Keywords

gastrointestinal bleeding

pseudoaneurysm

angioembolization procedure

glue and lipidol mixture

complications post-procedure