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Endoscopic ultrasound (EUS)-guided coil deployment is a promising technique for the endoscopic management of gastric varices. However, coil migration may occur in patients with large drainage collaterals. This study aimed to evaluate the safety and efficacy of using clips in combination with coils for treating gastric varices. In this retrospective study, clips were placed before EUS-guided coil deployment in each patient with gastric varices and a large spontaneous portosystemic shunt. The pressure of gastric varices was directly measured by puncturing the varix with a needle connected to a pressure transducer, before and after clip placement. The occurrence of ectopic embolization or coil migration was recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fundal gastric varices associated with a large spontaneous portosystemic shunt (>1cm) | Clips were placed before EUS-guided coil deployment |
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| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of ectopic embolization | Within the day of the endoscopic intervention (after the operation) |
| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of coil migration | Within the day of the endoscopic intervention (after the operation) |
| Measure | Description | Time Frame |
|---|---|---|
| Gastric variceal pressure gradient | During the endoscopic intervention |
Inclusion Criteria:
Exclusion Criteria:
The spontaneous portosystemic shunt was narrow (diameter < 1.0 cm).
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Patients with fundal gastric varices, admitted for endoscopic intervention
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Zhejiang University School of Medicine | Hangzhou | China |
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