Endoscopic and Angiographic Diagnosis and Management of a Gastric Arteriovenous Malformation Jeffrey B. McCrary, Shou-jiang Tang, Ruonan Wu, Sajneet.

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Presentation transcript:

Endoscopic and Angiographic Diagnosis and Management of a Gastric Arteriovenous Malformation Jeffrey B. McCrary, Shou-jiang Tang, Ruonan Wu, Sajneet Khangura, Christina Marks, Bhavika Dave Video Journal and Encyclopedia of GI Endoscopy Volume 2, Issue 1, Pages 15-19 (April 2014) DOI: 10.1016/j.vjgien.2013.07.001 Copyright © 2014 The Authors Terms and Conditions

Figure 1 (A) Endoscopic image of the gastric arteriovenous malformation (AVM) in the fundus with a small erosion. (B) Spurting of the AVM at its arterial defect prior to endoclip (Instinct, Cook Medical) application. (C) Continuing bleeding after the first endoclip placement on the AVM downstream to the arterial defect. (D) Successful endoscopic hemostasis after endoclip applications. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 15-19DOI: (10.1016/j.vjgien.2013.07.001) Copyright © 2014 The Authors Terms and Conditions

Figure 2 Image of the newly available Instinct® clip (A) and two older versions of the endoclip: Resolution® clip (B) and QuickClip2® (C). Video Journal and Encyclopedia of GI Endoscopy 2014 2, 15-19DOI: (10.1016/j.vjgien.2013.07.001) Copyright © 2014 The Authors Terms and Conditions

Figure 3 (A). Angiographic image of the gastric AVM via selective cannulation of the left gastric artery. The size of the artery is estimated to be 5mm in diameter. It also shows previously placed endoclips on main feeding artery to AVM without active contrast extravasation. (B) Successful angioembolization of the main artery with helical hydrocoils. Video Journal and Encyclopedia of GI Endoscopy 2014 2, 15-19DOI: (10.1016/j.vjgien.2013.07.001) Copyright © 2014 The Authors Terms and Conditions