ASGE DDW Videos from Around the World | 2024-EUS GUIDED COIL EMOBLIZATION OF A REFRACTORY PSEUDOANEURYSM

Video Transcription

Video Summary

A 30-year-old male with a history of alcohol use disorder and severe necrotizing pancreatitis presented with hematemesis and was found to have a large pseudoaneurysm. Despite initial difficulties with traditional interventions, endoscopic ultrasound-guided coil embolization was successfully performed. Using a fine needle aspiration needle, an embolization coil was deployed within the vessel, leading to immediate cessation of flow. The patient recovered well post-procedure, with no further bleeding episodes. Follow-up imaging confirmed complete obliteration of the pseudoaneurysm, and the patient experienced no recurrent bleeding for a year. This case highlights the efficacy of EUS-guided coil embolization as a viable treatment option for pseudoaneurysms when traditional methods are not feasible.

Asset Subtitle

Allison Schulman

Meta Tag

Concept Necrotizing Pancreatitis

Concept Pseudoaneurysm

Concept Pseudoaneurysm Rupture

Concept Hemosuccus Pancreaticus

Concept EUS-guided Intervention

Concept EUS-guided Coil and Glue Obliteration

Keywords

30-year-old male

alcohol use disorder

necrotizing pancreatitis

pseudoaneurysm

endoscopic ultrasound-guided coil embolization

Necrotizing Pancreatitis

Pseudoaneurysm

Pseudoaneurysm Rupture

Hemosuccus Pancreaticus

EUS-guided Intervention

EUS-guided Coil and Glue Obliteration