Video Tip: Endoscopic Ultrasound-guided Portal Pressure Measurement | April 2023-Endoscopic Ultrasound Guided Portal Pressure Measurement

Endoscopic Ultrasound Guided Portal Pressure Measurement

Video Transcription

Video Summary

In this video, the speaker explains the equipment setup and procedure for EUS-guided portal pressure gradient measurement. The currently FDA approved device is similar to the original device shown. The speaker demonstrates using a 25 gauge FNA needle, a manometer, and heparanized saline. The procedure involves puncturing the hepatic vein and then the portal vein using EUS. The speaker explains that going through liver tissue before reaching the vessel makes the procedure safe. Measurements are taken in the hepatic vein and an average is calculated. The portal venous pressure was 26, hepatic venous pressure was 12, resulting in a portal pressure gradient of 14, indicating clinically significant portal hypertension. This video tip is brought to you by Braintree's educational grant.

Keywords

EUS-guided portal pressure gradient measurement

equipment setup

procedure

portal pressure gradient

portal hypertension