ASGE International Sampler (On-Demand) | 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

Keywords

ERCP

embolization coils

portal vein cannulation

cirrhosis

hemostasis