ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC ULTRASOUND-GUIDED THROMBIN INJECTION WITH SUCCESSFUL EMBOLIZATION OF A SPLENIC ARTERY PSEUDOANEURYSM AFTER FAILED IR ATTEMPT AT SELECTIVE EMBOLIZATION

ENDOSCOPIC ULTRASOUND-GUIDED THROMBIN INJECTION WITH SUCCESSFUL EMBOLIZATION OF A SPLENIC ARTERY PSEUDOANEURYSM AFTER FAILED IR ATTEMPT AT SELECTIVE EMBOLIZATION

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Video Transcription

Video Summary

A 45-year-old male with chronic pancreatitis and splenic artery pseudoaneurysm was successfully treated using endoscopic ultrasound (EUS)-guided thrombin embolization. Initially, interventional radiology was unsuccessful at an outside hospital, prompting a transfer for advanced care. Given the risk of splenic infarction and proximity to the gastric wall, EUS-guided embolization was chosen over traditional methods. The procedure effectively reduced the pseudoaneurysm size and the patient was discharged complication-free. This case illustrates the effective use of EUS-guided treatment as a radiation-free alternative, especially in patients unsuitable for radiation, though larger studies are needed to evaluate its long-term efficacy.

Asset Subtitle

Zachery Eagle

Keywords

chronic pancreatitis

splenic artery pseudoaneurysm

EUS-guided thrombin embolization

radiation-free alternative

interventional radiology