Ultrasound-guided treatment of giant isolated gastric varices with gastric-renal shunt using coil, cyanoacrylate, and titanium clips

Ultrasound-guided treatment of giant isolated gastric varices with gastric-renal shunt using coil, cyanoacrylate, and titanium clips E-Videos Fig. 1 Preoperative abdominal and pelvic CTA revealed a massive variceal mass in the gas- tric fundus, which was connected to extramural vessels, indicating the presence of GRS. Fig. 2 a Direct endoscopy revealed a large tumor-like IGV; b Under direct endoscopy, titanium clips were observed blocking the blood vessel; c After titanium clips treatment, EUS measurement showed that the diameter of the blood vessel was approximately 21.56 mm; d EUS revealed a high-echoic shadow in the shape of ""; e DEI-CYA; f The varicose veins disappeared after treatment.