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Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions

  • Samarasena, Jason B. (Division of Gastroenterology and Hepatology, H. H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center) ;
  • Chang, Kenneth J. (Division of Gastroenterology and Hepatology, H. H. Chao Comprehensive Digestive Disease Center, University of California, Irvine Medical Center)
  • Received : 2018.05.08
  • Accepted : 2018.05.21
  • Published : 2018.05.30

Abstract

A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications.

Keywords

References

  1. Lai L, Poneros J, Santilli J, Brugge W. EUS-guided portal vein catheterization and pressure measurement in an animal model: a pilot study of feasibility. Gastrointest Endosc 2004;59:280-283. https://doi.org/10.1016/S0016-5107(03)02544-6
  2. Magno P, Ko CW, Buscaglia JM, et al. EUS-guided angiography: a novel approach to diagnostic and therapeutic interventions in the vascular system. Gastrointest Endosc 2007;66:587-591. https://doi.org/10.1016/j.gie.2007.01.011
  3. Giday SA, Ko CW, Clarke JO, et al. EUS-guided portal vein carbon dioxide angiography: a pilot study in a porcine model. Gastrointest Endosc 2007;66:814-819. https://doi.org/10.1016/j.gie.2007.05.056
  4. Giday SA, Clarke JO, Buscaglia JM, et al. EUS-guided portal vein catheterization: a promising novel approach for portal angiography and portal vein pressure measurements. Gastrointest Endosc 2008;67:338-342. https://doi.org/10.1016/j.gie.2007.08.037
  5. Brugge WR. EUS is an important new tool for accessing the portal vein. Gastrointest Endosc 2008;67:343-344. https://doi.org/10.1016/j.gie.2007.10.011
  6. Hawkins IF, Caridi JG. Carbon dioxide ($CO_2$) digital subtraction angiography: 26-year experience at the University of Florida. Eur Radiol 1998;8:391-402. https://doi.org/10.1007/s003300050400
  7. Liss P, Eklof H, Hellberg O, et al. Renal effects of $CO_2$ and iodinated contrast media in patients undergoing renovascular intervention: a prospective, randomized study. J Vasc Interv Radiol 2005;16:57-65. https://doi.org/10.1097/01.RVI.0000144807.81633.79
  8. Bosch J, Garcia-Pagan JC, Berzigotti A, Abraldes JG. Measurement of portal pressure and its role in the management of chronic liver disease. Semin Liver Dis 2006;26:348-362. https://doi.org/10.1055/s-2006-951603
  9. Groszmann RJ, Bosch J, Grace ND, et al. Hemodynamic events in a prospective randomized trial of propranolol versus placebo in the prevention of a first variceal hemorrhage. Gastroenterology 1990;99:1401-1407. https://doi.org/10.1016/0016-5085(90)91168-6
  10. Albillos A, Banares R, Gonzalez M, et al. Value of the hepatic venous pressure gradient to monitor drug therapy for portal hypertension: a meta- analysis. Am J Gastroenterol 2007;102:1116-1126. https://doi.org/10.1111/j.1572-0241.2007.01191.x
  11. D'Amico G, Garcia-Pagan JC, Luca A, Bosch J. Hepatic vein pressure gradient reduction and prevention of variceal bleeding in cirrhosis: a systematic review. Gastroenterology 2006;131:1611-1624. https://doi.org/10.1053/j.gastro.2006.09.013
  12. Perello A, Escorsell A, Bru C, et al. Wedged hepatic venous pressure adequately reflects portal pressure in hepatitis C virus-related cirrhosis. Hepatology 1999;30:1393-1397. https://doi.org/10.1002/hep.510300628
  13. Tsushima Y, Koizumi J, Yokoyama H, Takeda A, Kusano S. Evaluation of portal pressure by splenic perfusion measurement using dynamic CT. AJR Am J Roentgenol 1998;170:153-155. https://doi.org/10.2214/ajr.170.1.9423623
  14. Suk KT. Hepatic venous pressure gradient: clinical use in chronic liver disease. Clin Mol Hepatol 2014;20:6-14. https://doi.org/10.3350/cmh.2014.20.1.6
  15. Thalheimer U, Bellis L, Puoti C, Burroughs AK. Should we routinely measure portal pressure in patients with cirrhosis, using hepatic venous pressure gradient (HVPG) as a guide for prophylaxis and therapy of bleeding and rebleeding? No. Eur J Intern Med 2011;22:5-7. https://doi.org/10.1016/j.ejim.2010.12.006
  16. Sarin SK, Khanna R. Non-cirrhotic portal hypertension. Clin Liver Dis 2014;18:451-476. https://doi.org/10.1016/j.cld.2014.01.009
  17. Pomier-Layrargues G, Kusielewicz D, Willems B, et al. Presinusoidal portal hypertension in non-alcoholic cirrhosis. Hepatology 1985;5:415-418. https://doi.org/10.1002/hep.1840050312
  18. Buscaglia JM, Shin EJ, Clarke JO, et al. Endoscopic retrograde cholangiopancreatography, but not esophagogastroduodenoscopy or colonoscopy, significantly increases portal venous pressure: direct portal pressure measurements through endoscopic ultrasound-guided cannulation. Endoscopy 2008;40:670-674. https://doi.org/10.1055/s-2008-1077341
  19. Schulman AR, Thompson CC, Ryou M. EUS-guided portal pressure measurement using a digital pressure wire with real-time remote display: a novel, minimally invasive technique for direct measurement in an animal model. Gastrointest Endosc 2016;83:817-820. https://doi.org/10.1016/j.gie.2015.11.038
  20. Schulman AR, Thompson CC, Ryou M. Endoscopic ultrasound-guided direct portal pressure measurement using a digital pressure wire with real-time remote display: a survival study. J Laparoendosc Adv Surg Tech A 2017;27:1051-1054. https://doi.org/10.1089/lap.2017.0032
  21. Huang JY, Samarasena JB, Tsujino T, Chang KJ. EUS-guided portal pressure gradient measurement with a novel 25-gauge needle device versus standard transjugular approach: a comparison animal study. Gastrointest Endosc 2016;84:358-362. https://doi.org/10.1016/j.gie.2016.02.032
  22. Fujii-Lau LL, Leise MD, Kamath PS, Gleeson FC, Levy MJ. Endoscopic ultrasound-guided portal-systemic pressure gradient measurement. Endoscopy 2014;46 Suppl 1 UCTN:E654-E656. https://doi.org/10.1055/s-0034-1390845
  23. Huang JY, Samarasena JB, Tsujino T, et al. EUS-guided portal pressure gradient measurement with a simple novel device: a human pilot study. Gastrointest Endosc 2017;85:996-1001. https://doi.org/10.1016/j.gie.2016.09.026
  24. Buscaglia JM, Dray X, Shin EJ, et al. A new alternative for a transjugular intrahepatic portosystemic shunt: EUS-guided creation of an intrahepatic portosystemic shunt (with video). Gastrointest Endosc 2009;69:941-947. https://doi.org/10.1016/j.gie.2008.09.051
  25. Binmoeller KF, Shah JN. EUS-guided transgastric intrahepatic portosystemic shunt using the Axios stent. Gastrointest Endosc 2011;73(Suppl 4):AB167.
  26. Schulman AR, Ryou M, Aihara H, et al. EUS-guided intrahepatic portosystemic shunt with direct portal pressure measurements: a novel alternative to transjugular intrahepatic portosystemic shunting. Gastrointest Endosc 2017;85:243-247. https://doi.org/10.1016/j.gie.2016.07.041
  27. Esmaeilsabzali H, Beischlag TV, Cox ME, Parameswaran AM, Park EJ. Detection and isolation of circulating tumor cells: principles and methods. Biotechnol Adv 2013;31:1063-1084. https://doi.org/10.1016/j.biotechadv.2013.08.016
  28. Mizuno N, Kato Y, Izumi Y, Irimura T, Sugiyama Y. Importance of hepatic first-pass removal in metastasis of colon carcinoma cells. J Hepatol 1998;28:865-877.
  29. Massague J, Obenauf AC. Metastatic colonization by circulating tumour cells. Nature 2016;529:298-306. https://doi.org/10.1038/nature17038
  30. Zhou Z, Qutaish M, Han Z, et al. MRI detection of breast cancer micrometastases with a fibronectin-targeting contrast agent. Nat Commun 2015;6:7984. https://doi.org/10.1038/ncomms8984
  31. Funaki B. Islet cell transplantation. Semin Intervent Radiol 2006;23:295-297. https://doi.org/10.1055/s-2006-948762
  32. Catenacci DV, Chapman CG, Xu P, et al. Acquisition of portal venous circulating tumor cells from patients with pancreaticobiliary cancers by endoscopic ultrasound. Gastroenterology 2015;149:1794-1803.e4. https://doi.org/10.1053/j.gastro.2015.08.050

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