Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases

Abstract Endoscopic ultrasound (EUS)‐guided coil deployment (EUS‐coiling) has been newly developed for treating isolated gastric varices (iGV). This report describes three cases of EUS‐coiling for iGV using a 0.035‐inch hydrocoil (Azur; Terumo Corp., Tokyo, Japan). When used for EUS‐coiling, this hy...

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Main Authors: Kazunori Nagashima, Ken Kashima, Yasuhito Kunogi, Fumi Sakuma, Koh Fukushi, Akira Yamamiya, Yoko Abe, Keiichi Tominaga, Makoto Iijima, Kenichi Goda, Rafael Romero-Castro, Atsushi Irisawa
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:DEN Open
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Online Access:https://doi.org/10.1002/deo2.252
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author Kazunori Nagashima
Ken Kashima
Yasuhito Kunogi
Fumi Sakuma
Koh Fukushi
Akira Yamamiya
Yoko Abe
Keiichi Tominaga
Makoto Iijima
Kenichi Goda
Rafael Romero-Castro
Atsushi Irisawa
author_facet Kazunori Nagashima
Ken Kashima
Yasuhito Kunogi
Fumi Sakuma
Koh Fukushi
Akira Yamamiya
Yoko Abe
Keiichi Tominaga
Makoto Iijima
Kenichi Goda
Rafael Romero-Castro
Atsushi Irisawa
author_sort Kazunori Nagashima
collection DOAJ
description Abstract Endoscopic ultrasound (EUS)‐guided coil deployment (EUS‐coiling) has been newly developed for treating isolated gastric varices (iGV). This report describes three cases of EUS‐coiling for iGV using a 0.035‐inch hydrocoil (Azur; Terumo Corp., Tokyo, Japan). When used for EUS‐coiling, this hydrocoil provides the following benefits: Its electrically detachable system allows pull back. It has smooth and dense deployment. Moreover, it has a strong blood‐flow blocking effect because of its long length and large diameter with internal swelling functions of the hydrogel. Technical success of coiling was achieved in all cases. After coiling, additional treatments such as cyanoacrylate and sclerosant injection were performed as deemed appropriate. All iGVs were obliterated successfully. No adverse event occurred during the procedure or during the mean follow‐up of six months. Our findings indicate that this 0.035‐inch hydrocoil can be used to treat iGV safely and effectively.
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institution Kabale University
issn 2692-4609
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publishDate 2024-04-01
publisher Wiley
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spelling doaj-art-8818406234724c569f926fbbb7ba5d5d2025-08-20T03:59:36ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.252Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three casesKazunori Nagashima0Ken Kashima1Yasuhito Kunogi2Fumi Sakuma3Koh Fukushi4Akira Yamamiya5Yoko Abe6Keiichi Tominaga7Makoto Iijima8Kenichi Goda9Rafael Romero-Castro10Atsushi Irisawa11Department of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanEndoscopy Unit Gastroenterology Division Virgen Macarena University Hospital SevilleSpainDepartment of Gastroenterology Dokkyo Medical University School of Medicine TochigiJapanAbstract Endoscopic ultrasound (EUS)‐guided coil deployment (EUS‐coiling) has been newly developed for treating isolated gastric varices (iGV). This report describes three cases of EUS‐coiling for iGV using a 0.035‐inch hydrocoil (Azur; Terumo Corp., Tokyo, Japan). When used for EUS‐coiling, this hydrocoil provides the following benefits: Its electrically detachable system allows pull back. It has smooth and dense deployment. Moreover, it has a strong blood‐flow blocking effect because of its long length and large diameter with internal swelling functions of the hydrogel. Technical success of coiling was achieved in all cases. After coiling, additional treatments such as cyanoacrylate and sclerosant injection were performed as deemed appropriate. All iGVs were obliterated successfully. No adverse event occurred during the procedure or during the mean follow‐up of six months. Our findings indicate that this 0.035‐inch hydrocoil can be used to treat iGV safely and effectively.https://doi.org/10.1002/deo2.252EUS‐coilingEUS‐guided coil deploymenthydrocoilinterventional ultrasoundisolated gastric varices
spellingShingle Kazunori Nagashima
Ken Kashima
Yasuhito Kunogi
Fumi Sakuma
Koh Fukushi
Akira Yamamiya
Yoko Abe
Keiichi Tominaga
Makoto Iijima
Kenichi Goda
Rafael Romero-Castro
Atsushi Irisawa
Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
DEN Open
EUS‐coiling
EUS‐guided coil deployment
hydrocoil
interventional ultrasound
isolated gastric varices
title Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
title_full Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
title_fullStr Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
title_full_unstemmed Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
title_short Treatment of endoscopic ultrasound‐guided coil deployment for isolated gastric varices using 0.035‐inch hydrocoil: Experience of three cases
title_sort treatment of endoscopic ultrasound guided coil deployment for isolated gastric varices using 0 035 inch hydrocoil experience of three cases
topic EUS‐coiling
EUS‐guided coil deployment
hydrocoil
interventional ultrasound
isolated gastric varices
url https://doi.org/10.1002/deo2.252
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