ASGE DDW Videos from Around the World | 2025-EUS-GUIDED COIL ASSISTED OCCLUSION OF SHUNT EFFERENT FOR GASTRIC VARICES

EUS-GUIDED COIL ASSISTED OCCLUSION OF SHUNT EFFERENT FOR GASTRIC VARICES

Video Transcription

Video Summary

Endoscopic ultrasound-guided coil-assisted retrograde transgastric occlusion (ECARTO) is presented as an effective method for managing gastric variceal bleeding, especially when multiple feeders make embolization difficult. This technique targets the single outflow tract rather than multiple feeders, offering an alternative to interventional radiology. A case involving a 41-year-old man with chronic liver disease and unresolved gastric varices through glue injection is detailed. The procedure used coils and n-butyl cyanoacrylate glue, achieving successful obliteration and preventing further bleeding, highlighting ECARTO's feasibility and safety for complex cases.

Asset Subtitle

Video Plenary Session 1
Rizwan Ahamed

Keywords

ECARTO

gastric variceal bleeding

endoscopic ultrasound

coil-assisted occlusion

chronic liver disease