Clip and Coil in Fundal Gastric Varices With a Large Shunt

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

31 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-20

Study Completion Date

2025-10-31

Brief Summary

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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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Detailed Description

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Conditions

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Fundal Gastric Varices Endoscopic Ultrasound (EUS)-Guided Coil Deployment Titanium Clips Ectopic Embolization Gastric Variceal Pressure

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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Fundal gastric varices associated with a large spontaneous portosystemic shunt (>1cm)

Clips were placed before EUS-guided coil deployment

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. presence of a spontaneous portosystemic shunt, including gastrorenal or splenorenal collateral shunts;
2. use of both clips and coils during endoscopic intervention.