ASGE DDW Videos from Around the World | 2026-EUS-DIRECTED PORTO-CAVAL MINIATURIZED SHUNT USING A 5 MM STENT- TECHNICAL FEASIBILITY AND ACUTE SAFETY STUDY

EUS-DIRECTED PORTO-CAVAL MINIATURIZED SHUNT USING A 5 MM STENT- TECHNICAL FEASIBILITY AND ACUTE SAFETY STUDY

Video Transcription

Video Summary

Researchers demonstrated that EUS-guided creation of a portosystemic shunt using a small-caliber vascular stent is technically feasible and acutely safe in a live porcine model. The procedure used endoscopic, ultrasound, and fluoroscopic guidance to access the hepatic and portal veins, place a stent, and confirm shunt patency with Doppler and venography. Bleeding was effectively controlled with hemostatic slurry, and necropsy showed no major complications. This approach may offer a minimally invasive option for rapid portal decompression when traditional TIPS is not feasible.

Asset Subtitle

Video Plenary II
Submitted by Kambiz Kadkhodayan

Meta Tag

Concept Endoscopic Ultrasound Guidance

Concept Portosystemic Shunt

Concept Portal Vein

Concept Hepatic Vein

Concept Vascular Stent

Keywords

EUS-guided portosystemic shunt

small-caliber vascular stent

portal decompression

endoscopic ultrasound guidance

TIPS alternative

Endoscopic Ultrasound Guidance

Portosystemic Shunt

Portal Vein

Hepatic Vein

Vascular Stent