ASGE DDW Videos from Around the World | 2024-RED OUT CANNULATION: THROUGH-THE-SCOPE VASCULAR COILING AS A NOVEL AND IMMEDIATE APPROACH TO STOP HIGH GRADE BLEEDING DUE TO PORTAL VEIN CANNULATION DURING ERCP

RED OUT CANNULATION: THROUGH-THE-SCOPE VASCULAR COILING AS A NOVEL AND IMMEDIATE APPROACH TO STOP HIGH GRADE BLEEDING DUE TO PORTAL VEIN CANNULATION DURING ERCP

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Video Transcription

Video Summary

A 64-year-old woman underwent an ERCP for bile duct evaluation, complicated by high-grade bleeding from portal vein cannulation. After failed attempts to achieve biliary cannulation, interventional radiology was consulted to deploy embolization coils through the endoscope, stopping the bleeding. The patient later underwent imaging showing improved vascular abnormalities and was diagnosed with early cirrhosis and alcohol-associated hepatitis. ERCP-related bleeding is typically managed with stents, but this case required a unique approach using embolization coils. This demonstrates the importance of innovative solutions in complex cases, showcasing the use of coils through the endoscope for hemostasis.

Asset Subtitle

Brandon Rodgers

Meta Tag

Concept Endoscopic Retrograde Cholangiopancreatography

Concept Severe Bleeding

Concept Portal Venous Cannulation

Concept Portal Vein

Concept Vascular Injury

Keywords

ERCP

bile duct evaluation

portal vein cannulation

embolization coils

alcohol-associated hepatitis

Endoscopic Retrograde Cholangiopancreatography

Severe Bleeding

Portal Venous Cannulation

Portal Vein

Vascular Injury