tbuckley/cabot-search huggingface dataset:
Long-term follow-up of the PROTDILAT study; LONG-PROTDILAT Prospective multicenter randomized comparative study of endoscopic treatment of strictures in Crohn&amp;apos;s disease (CD): self-expandable metal stent (SEMS) vs endoscopic balloon dilatation (EBD)
Authors: P. Ruiz- Ramírez, C. Loras, J. B. Gornals, M. Maia Bosca-Watts, E. Brunet, E. Iglesias, J. Barrio, B. Sicilia, C. Dueñas, J. R. Foruny-Olcina, M. J. Martín-Arranz, D. Busquets, E. Cerrillo, N. García-Morales, D. Monfort, F. Pérez-Roldán, E. Pijoan, B. Gonzalez, J. Reyes, G. Torres, E. Maristany, V. Sanchiz-Soler, J. Guardiola, M. Esteve
Journal: Endoscopy (2024)

Aims Background and Aims: The PROTDILAT study (Loras et al. Lancet Gastroenterol Hepatol. 2022) at 1-year follow-up showed greater efficacy of EBD vs SEMS for the treatment of short strictures in CD. Aims: To assess the long-term evolution of patients included in PROTDILAT study. 1). Percentage of patients free of surgery; 2) Factors related to surgery; 3) Need for endoscopic retreatments; 4) Effectiveness related to the type of initial endoscopic treatment (EBD vs SEMS); 5) Complications related to endoscopic or surgical treatment.
A rare case of exfoliative esophagitis induced by apixaban
Authors: A. I. Coseru, I. Ciortescu, V. L. Drug, R. Nemteanu, S. Ilie, D. Dumitru, C. Sfrijan, A. Plesa
Journal: Endoscopy (2024)

Abstract Text Novel direct oral anticoagulants (DOACs) have revolutionized the management of the aging population offering a better control of the thrombotic events frequently related to the presence of atrial fibrillation. However, all oral anticoagulants carry a risk of gastrointestinal (GI) bleeding. For example, cases of Dabigatran induced exfoliatiave esofagitis and esophageal ulcers are increasingly being reported. We report a case of a female patient who developed upper GI bleeding due to exfoliative esophagitis shortly after taking Apixaban 5 mg daily. The endoscopic evaluation identified the presence of significant esophageal damage and the patient was managed conservative by switching to low molecular heparin and oral proton pump inhibitor. The follow up endoscopy at 2 months showed normal esophageal mucosa. Patients and physicians should be advised about the risk of developing exfoliative esophagitis. [1] [2]
Is EUS-guided angioembolisation a comparable alternative to Balloon-occluded Retrograde Transvenous Obliteration (BRTO) for the management of gastric varices with significant portosystemic shunts: A multicenter tertiary-care experience
Authors: J. Samanta, Z. Nabi, R. Sasidharan, R. Ahamed, J. Dhar, C. A. Philips, S. Lakhtakia, N. R. Duvvur
Journal: Endoscopy (2024)

Aims Gastric fundal varices (GV) are conventionally managed with endoscopic glue injection, but can re-bleed, specifically in the setting of significant portosystemic shunts (PSS). Balloon-occluded Retrograde Transvenous Obliteration (BRTO) is a viable option for managing such cases. While endoscopic ultrasound (EUS) guided therapy using combination of coils and glue is a relatively recent modality [1], sparse data exist on the comparison between the two modalities with respect to safety and efficacy on follow-up. Hence this study was designed to compare these two modalities for management of GV with significant PSS.
Development of an artificial intelligence model to identify duodenal polyps in patients with Familial Adenomatous Polyposis (FAP)
Authors: D. Schupack, S. Sood, S. Shalini, J. Fetzer, C. Leggett, L. Boardman, N. Coelho-Prabhu
Journal: Endoscopy (2024)

Aims To develop an convolutional neural network model to identify duodenal polyps in patients with familial adenomatous polyposis.
Faecal volatile organic compounds to detect colorectal neoplasia in Lynch syndrome – a prospective multicentre study
Authors: E. van Liere, D. Ramsoekh, E. Daulton, M. Dakkak, J. Van Lingen, E. Dekker, M. Jacobs, J. J. Koornstra, J. Kuijvenhoven, M. Van Leerdam, M. Spaander, J. Covington, N. De Boer
Journal: Endoscopy (2024)

Aims Colonoscopy surveillance for Lynch syndrome is burdensome and post-colonoscopy colorectal cancer (CRC) still occurs. Non-invasive faecal volatile organic compounds (VOCs) might guide optimal colonoscopy intervals.
Utility of endoscopic follow-up after acute diverticulitis and risk of neoplasia: 10 years research
Authors: D. Robles De La Osa, L. F. Aguilar Argeñal, C. Pérez Urra, P. Espinel Pinedo, F. Santos Santamarta, E. González de Castro, J. Santos Fernández, L. Pérez Citores, M. Cimavilla Román, J. Barcenilla Laguna, F. J. Rancel Medina, B. A. Moreira Da Silva, S. Maestro Antolín, M. Curieses Luengo, L. López Allúe, I. Valentín-Gamazo González, L. Hervés González, A. G. Pérez Millán
Journal: Endoscopy (2024)

Aims Evaluate the relevance of follow-up colonoscopy after an acute episode of diverticulitis (AD), considering that medical guidelines recommend this test to rule out a concomitant colorectal cancer (CRC) despite the low incidence in uncomplicated cases (UCAD).
Risk factors for proximal gastric adenomas in patients with familial adenomatous polyposis
Authors: H. Bouchiba, A. Aelvoet, B.A. J. Bastiaansen, P.M. M. Bossuyt, E. Dekker
Journal: Endoscopy (2024)

Aims Gastric cancer is a more recently recognized challenge in the management of familial adenomatous polyposis (FAP). Proximal gastric adenomas are believed to be precursor lesions. This study aimed to describe the incidence of these gastric adenomas in patients with FAP and identify potential risk factors for their development.
Microglial lipid droplet accumulation in tauopathy brain is regulated by neuronal AMPK
Authors: Yajuan Li, Daniel Munoz-Mayorga, Yuhang Nie, Ningxin Kang, Yuren Tao, Jessica Lagerwall, Carla Pernaci, Genevieve Curtin, Nicole G. Coufal, Jerome Mertens, Lingyan Shi, Xu Chen
Journal: Cell Metabolism (2024)
Comparable un-passed patency capsule rates among Crohn’s disease patients during Clinical remission using different preparation protocols
Authors: O. Ukashi, A. Dotan, T. Borkovsky, A. Talan Asher, T. Thurm, A. Hirsch, N. Maharshak, R. Eliakim, S. Ben-Horin, U. Kopylov, L. Deutsch
Journal: Endoscopy (2024)

Aims Patency capsule (PC) ingestion has been proven to be a useful tool in assessing small-bowel patency before ingestion of capsule endoscope. However, false positive results of un-passed PC due to colonic hypomotility/constipation, may wrongfully preclude the use of CE in this population. Therefore, we aimed to evaluate the efficacy of intense bowel-preparation protocol before PC ingestion versus standard clear fluid-diet to reduce un-passed PC rates in patients with Crohn's disease (CD) in clinical remission.
Influence of the morphology and consistency of the papilla on the success rate of biliary cannulation
Authors: A. Arrubla, L. Villalonga, L. Uribarri, P. De Miguel, J. Carrascosa, V. Jusué, D. Ruiz-Clavijo, J. J. Vila, I. Fernandez-Urien
Journal: Endoscopy (2024)

Aims Papillary morphology has been related to the cannulation success in different studies. However, papillary consistency is not such an analysed factor and could also intervene.
Endoscopic ultrasonography-guided gastroenterostomy for palliation of malignant gastric outlet obstruction: predictors of technical and clinical success
Authors: Y. van de Pavert, A. Bijlsma, A. Bogte, M. J. Bruno, H. Van Dullemen, P. Fockens, A. Inderson, W. Lammers, N. G. Venneman, R. P. Voermans, R. Van Wanrooij, T. De Wijkerslooth, L.M. G. Moons, F. Vleggaar
Journal: Endoscopy (2024)

Aims Malignant gastric outlet obstruction (GOO) is a debilitating condition that frequently develops in patients with gastric, duodenal, or pancreatic cancer. Recently, endoscopic ultrasonography-guided gastroenterostomy (EUS-GE) with a lumen-apposing metal stent (LAMS) was proposed as a promising alternative to surgical gastroenterostomy or duodenal stent placement as treatment for malignant GOO. EUS-GE is a complex procedure, with a risk of complications such as LAMS misdeployment, perforation, or peritonitis. Therefore, it is important to identify patient and disease characteristics that influence outcomes after EUS-GE to (de)select patients for this procedure. The present study evaluated considered risk factors for technical and clinical success, such as biliary obstruction, ascites, and peritoneal carcinomatosis.
Nurse Endoscopist facilitated Colonoscopy Training for Junior Surgeons and Gastroenterologists
Authors: J. McGeer, T. Petersen
Journal: Endoscopy (2024)

Aims In Denmark, there is no tradition for standardised training programs for junior surgeons and gastroenterologists and limited resources for supervision are provided by consultant endoscopists. Thus, training programmes run by experienced nurse endoscopists may be a solution to reduce junior doctors' learning curve. We aimed to assess the feasibility of a nurse-run course.
Factors associated with early variceal eradication after endoscopic ligation
Authors: M. Piazzolla, N. Favia, A. Iannone, S. Rizzi, A. Di Leo, G. Losurdo
Journal: Endoscopy (2024)

Aims Esophageal varices are present in up to 40% and 85% of patients with compensated and decompensated cirrhosis, respectively. Endoscopic treatment of esophageal varices is used for the prevention of first variceal bleeding, treatment of active variceal bleeding, and prevention of rebleeding. Endoscopic variceal ligation (EVL) is the most common treatment. Multiple EVL sessions are often required to eradicate them. We aimed to detect factors predicting lower number of endoscopic treatments.
EUS-guided Hepaticogastrostomy in Patients with Whipple&amp;apos;s procedure: Deceived by Fluoroscopy, EUS vision to rescue
Authors: R. Chavan, S. Rajput
Journal: Endoscopy (2024)

Abstract Text Endoscopic ultrasound guided hepatico-gastrostomy (EUS-HGS) is technically challenging procedure. Guidewire manipulation during EUS-HGS is a rate limiting step. Primarily we rely on fluoroscopy during guidewire manipulation. In this case we have demonstrated how EUS vision helped in accurate positioning of guidewire when it got mal-positioned into hepatic parenchyma during EUS HGS.
Utilizing Social Media Sentiment Analysis to Enhance Ulcerative Colitis Management Strategies
Authors: R. M. Ram mohan, M. Joy, D. Natt, S. G. Magam, S. R. Magam, L. Pannikodu, J. Desai, P. Mustacchia
Journal: Endoscopy (2024)

Aims Social media platforms, internet applications that foster user interaction and content sharing, have increasingly been used for managing chronic diseases. Sentiment Analysis, a budding technology, helps understand people's views on medical conditions or their management. Our study seeks to understand physicians' perspectives on the revised AGA Clinical Practice Guidelines for managing moderate to severe Ulcerative Colitis.
A clinical predictive model can effectively stratify the risk of colorectal cancer among patients undergoing colonoscopy. A multicenter, prospective derivation and validation study
Authors: L. Frazzoni, C. Spada, G. Manes, C. Fabbri, A. Mussetto, M. Di Marco, H. Bertani, R. Conigliaro, F. Radaelli, M. Manno, P. Fusaroli, A. Facciorusso, G. E. Tontini, F. Ferrara, A. Anderloni, G. Aragona, P. Cecinato, A. Fantin, R. Di Mitri, C. Hassan, G. Antonelli, M. Dinis-Ribeiro, L. Fuccio
Journal: Endoscopy (2024)

Aims The balance between prescription of colonoscopies and healthcare resources has been broken, leading to long waiting lists. Therefore, a triage system to define colonoscopy priority is needed. We recently demonstrated that Italian RAO criteria can effectively stratify CRC risk among patients undergoing colonoscopy. Aim of the present study was to derive and validate a predictive model for colorectal cancer (CRC) based on such criteria, aiming to risk-stratify patients undergoing colonoscopy outside organized screening programs.
Risk stratification of Submucosal Invasive Cancer in Non-Granular Laterally Spreading Tumors: a Western tertiary referral centre experience
Authors: S. Giannitti, L. Dottori, P. L. Marmo, S. Angeletti, E. Pilozzi, G. Esposito, B. Annibale
Journal: Endoscopy (2024)

Aims According to European guidelines, Non-Granular Laterally Spreading Tumors (LST-NGs) require en-bloc resection due to the increased risk of covert submucosal invasive cancer (SMIC). The overall reported SMIC of LST-NGs is 11.7%, varying from near 5% for flat elevated (FE) to near 30% for pseudodepressed (PD) subtypes. However, this risk stratification is mainly based on data from Asian cohorts, while Western data on LST-NGs management are heterogeneous and poor.Thus, we aimed to evaluate risk stratification of SMIC in a Western cohort of LST-NGs according to endoscopical features.
Quality of Life Assessment in Patients with Polyposis Syndromes and Ileoanal Surgery: Implications for Comprehensive Care
Authors: G. Von Römer, K. Hartong, C. Flock, T. Bugaj, R. Koschny, C. Wehling
Journal: Endoscopy (2024)

Aims Familial Adenomatous Polyposis coli (FAP) as the most prevalent polyposis syndrom is a condition associated with an almost one hundred percent likelihood of developing colorectal carcinoma. Current therapy involves prophylactic proctocolectomy with ileal pouch anal anastomosis (IPAA) or ileorectal anastomosis (IRA) and lifetime regular endoscopic monitoring of duodenal and pouch adenomas. However, data regarding the longterm outcome of quality of life (QoL) is scarce although this represents a crucial factor in the therapeutic trajectory of these patients.
Different roles of endoscopy nurse in endoscopic submucosal dissection (ESD) by a novel bipolar type of ESD knife compared to a standard knife
Authors: S. Boljesic, M. Vedris, J. Erceg, R. A. Ivancic
Journal: Endoscopy (2024)

Aims Our aim was to compare roles and workload of endoscopy nurse in endoscopic submucosal dissection procedures performed with a standard needle-type knife (DualKnife, Olympus) and a novel bipolar knife (Speedboat, Creo Medical).
The Gastroscopy RAte of Cleanliness Evaluation (GRACE) Scale: time to establish a Grading Scale for Upper Gastrointestinal Endoscopy
Authors: G. Esposito, I. Ligato, E. Dilaghi, D. Libanio, J. Chaves, V. N. Arantes, R. Moresi, B. Weusten, S. Bac, L. Elvas, M. I. Viegas, J. Bergman, K. Boonstra, R. Bisschops, P. Sinonquel, G. Andrisani, F. M. Di Matteo, N. Citterio, A. Ebigbo, M. Ayoub, M. Ferlitsch, A. Frick, V. Giljaca, I. Tahir, C. Hassan, A. Capogreco, A. Dal Buono, T. Hucl, P. Macinga, P. J. De Jonge, S. E. Van De Ven, R. Kuvaev, K. Filimendikova, P. Leclercq, O. Plomteux, S. Angeletti, E. Dell'unto, M. Le Rhun, V. Prouvost, M. Yuichi, N. Halvorsen, A. Moss, S. Nicolaides, E. Perez-Cuadrado-Robles, E. Tenorio Gonzalez, R. Pouw, B. Meijer, D. K. Rex, J. Guardiola, E. Rodriguez De Santiago, I. Chivato, P. D. Siersema, N. Borren, T. C. Tham, K. Tang, K. Triantafyllou, N. Samarentzis, A. M. Voiosu, V. Dragan, M. Dinis-Ribeiro, M. Areia
Journal: Endoscopy (2024)

Aims To develop and validate a new scale for mucosal visualization of the upper gastrointestinal tract during esophagogastroduodenoscopy (EGD), the Gastroscopy RAte of Cleanliness Evaluation (GRACE), as a quality standard tool through the application of a standardized, reliable, and validated scoring system.
Comparative study of treatment outcomes between ESD and TOVS (transoral videolaryngoscopic surgery)for superficial epithelial pharyngeal tumors
Authors: T. Ochiai, O. Dohi, H. Mukai, M. Seya, K. Yamauchi, H. Miyazaki, H. Fukui, N. Iwai, K. Inoue, N. Yoshida, H. Konishi, Y. Itoh
Journal: Endoscopy (2024)

Aims Recently, endoscopic dissection (ESD) and transoral videolaryngoscopic surgery (TOVS) have become widely used as minimally invasive treatment for pharyngeal cancer in Japan. ESD in the pharynx is performed by a gastroenterologist under general anesthesia using a folding laryngoscope to expand the larynx. TOVS is a technique that has developed uniquely in Japan, in which an otolaryngologist performs tumor resection orally using a rigid endoscope,straight forceps and electrocautery.There have been no reports comparing the outcomes of ESD and TOVS. In this study, we compared the outcomes of patients who underwent ESD and those who underwent TOVS for superficial pharyngeal lesions.
1 mm of preserved muscularis propria on MRI accurately identifies rectal cancers suitable for local excision in the intermuscular plane
Authors: L. van der Schee, R. Carten, S. C. Albers, J. Van Den Bergh, M. Braat, A. Goede, S. Kol, M. Lacle, B. Mearadji, S. Moos, I. Nota, N. Peters, J. Prince, J. Reimerink, A. Farina Sarasqueta, J. Van Vooren, J. H. Van Waesberghe, B. A. Bastiaansen, F. Vleggaar, L.M. G. Moons, K. Horsthuis, G. Brown
Journal: Endoscopy (2024)

Aims Adequate case selection for intermuscular local excision (LE) of early rectal cancer (RC) using optical diagnosis and radiological imaging remains challenging and may lead to both unnecessary radical surgery, as well as incomplete LE of≥pT2 RC. We aimed to investigate whether preservation of at least 1 mm of muscularis propria on MRI, evaluated using a systematic reporting approach, can identify RC suitable for LE in the intermuscular plane.
Clinical validation of priority criteria for indication to colonoscopy: a multicenter prospective study
Authors: L. Frazzoni, L. Laterza, C. Fabbri, M. Di Marco, H. Bertani, R. Conigliaro, A. Mussetto, P. Cecinato, P. Fusaroli, G. Aragona, F. Cortellini, G. Gibiino, C. Hassan, G. Antonelli, M. Dinis-Ribeiro, L. Fuccio
Journal: Endoscopy (2024)

Aims Colonoscopy is one of the most frequent endoscopic examinations and represents a significant burden for patients and providers. Thus, adequacy for colonoscopy have been systematized namely by EPAGE-II (European Panel for Appropriateness in Gastrointestinal Endoscopy), ASGE (American Society for Gastrointestinal Endoscopy) and recently RAO criteria in Italy. Such criteria were proposed by a consensus of experts but were not clinically validated. The primary aim of this study was to validate in clinical practice the RAO criteria and to compare them to EPAGE-II and ASGE criteria.
VACStent in the colorectum: first results of the treatment of anastomotic leakages and avoidance of protective stoma in colorectal surgery
Authors: M. Heiss, J. Lange, J. Knievel, U. Hügle, A. Dormann, C. Eisenberger
Journal: Endoscopy (2024)

Aims Clinical applications of the VACStent in the upper GI tract show that reliable closure of an intestinal wall leak or anastomotic insufficiency with simultaneous drainage of a wound cavity by intraluminal endoscopic vacuum therapy (EVT) is very well possible. The suction of the sponge cylinder on the intestinal wall reliably immobilizes the VACStent and leaves the intestinal passage open. This principle should now be transferred to the lower GI tract and initial experience gained.
Hot vs cold EMR: a well-known dualism in a north-eastern Italian experience
Authors: M. Bucci, G. Corrà, A. Gubbiotti, L. Peraro, D. Caroli, E. Guido, E. Rosa Rizzotto
Journal: Endoscopy (2024)

Aims Cold-EMR is nowadays thought to be associated with similar technical success rate and lower incidence of adverse events when compared with Hot-EMR. In our study, we aimed at comparing hot and cold-EMR, performed for colonic laterally spreading tumors (LST) and duodenal adenomas.
The influence of periampullary diverticulum on the symptomatology of cholelithiasis and success of ercp cannulation
Authors: D. Paikos, I. Moschos, N. Perchanidis, T. Goudelis, A. Paikos, G. Petridis
Journal: Endoscopy (2024)

Aims Periampulary diverticulum (PAD) is an incidental finding in many ERCP procedures (up to 30%) and might influence the cannulation rate. Its incidence increases with age. PDA is associated with CBD stones and is considered a supplementary risk factor for bile duct obstruction, cholangitis and pancreatitis. However the impact of PAD on the clinical presentation and consequences in patient with cbd stones is unclear.
Fully covered stent associated to vacuum therapy (VACStent) as rescue treatment of refractory esophageal leak
Authors: E. Santos Pérez, B. Agudo, C. Esteban Fernández-Zarza, F. Pons Renedo, D. De Frutos Rosa, P.D.C.A. M. Martins, M. González-Haba Ruiz
Journal: Endoscopy (2024)

Abstract Text A 70y/o male, developed an esophagopleural fistula after lung surgery. Despite attempts with over the scope clip and conventional self-expandable metal stent (SEMS), persistent leakage led to VACstent placement (which combines SEMS and sponge cylinder associated to a vaccum system).
Accuracy of transabdominal ultrasound 2D Shear Wave Elastography compared to endoscopic ultrasound in the diagnosis of chronic pancreatitis
Authors: C. Jung, C. Binda, E. Liverani, E. Dajti, C. Abbatiello, L. Cristofaro, V. Alemanni, A. Sartini, C. Coluccio, G. Gibiino, S. Fabbri, C. Serra, C. Fabbri
Journal: Endoscopy (2024)

Aims Diagnosis of chronic pancreatitis (CP) is still challenging, especially in early stages, when typical clinical signs and parenchymal changes are lacking. By now, evaluation of the pancreatic gland by endoscopic ultrasound (EUS) using Rosemont criteria (RC) is the gold-standard, although it is limited by invasiveness, cost and suboptimal accuracy.
Outcomes after perforation following colorectal endoscopic submucosal dissection an predictive factors : results from a large prospective multicentric cohort of 4025 procedures
Authors: M. Schaefer, S. Bailly, P. Mathieu, T. Wallenhorst, T. Degand, Y. Le Baleur, A. Berger, M. Barret, P. Leclercq, B. Brieau, E. Chabrun, G. Rahmi, R. Legros, V. Lepilliez, J. Rivory, S. Chaussade, J. Albouys, R. Florian, D. Martin, L. Hugo, J. B. Zeevaert, C. Yzet, A. Belle, T. Lambin, L. Alfarone, J. B. Chevaux, S. Leblanc, J. Jacques
Journal: Endoscopy (2024)

Aims Despite higher en-bloc and curative resection rates, better carcinologic outcomes and lower recurrence rates, colorectal endoscopic submucosal dissection (ESD) development is limited in the West regarding the higher rate of adverse events, especially perforations, than piece-meal endoscopic mucosal resection. This study aims to analyze prevalence, risk factors and clinical outcomes of perforations following colorectal ESD.
Traction-assisted versus conventional endoscopic submucosal dissection for superficial gastrointestinal neoplasms: a systematic review and meta-analysis of randomized controlled trials
Authors: P. Bertoldi, J. Aguirre, E. Barbosa
Journal: Endoscopy (2024)

Aims A promising option called traction-assisted endoscopic submucosal dissection (T-ESD) has emerged to overcome the limitations of the conventional approach (C-ESD); thus, this systematic review and meta-analysis aimed to compare the procedure time, efficacy, and safety between T-ESD and C-ESD approach to superficial gastrointestinal (GI) neoplasms.
Band-assisted EMR as the method of choice in the treatment of duodenal NET
Authors: E. Didenko, O. Denysenko, O. Kiosov, A. Steshenko
Journal: Endoscopy (2024)

Aims Neuroendocrine neoplasms of the duodenum are submucosal, often small (up to 10 mm) neoplasms that require correct tactics for endoscopic removal. Therefore, our main aim was to define this tactic.
Endoscopic Ultrasound (EUS) guided coiling with thrombin injection of partially thrombosed splenic artery pseudoaneurysm
Authors: J. Ansari, K. Sabu, P. Javed, R. Kavitha, K. Vivek, V. K. Vijosh
Journal: Endoscopy (2024)

Abstract Text Aims:Endoscopic ultrasound (EUS)-guided coiling with thrombin injection of partially thrombosed splenic artery pseudoaneurysm(SAP).Methods:57-Y chronic pancreatitis-CECT abdomen 6x4cm partially thrombosed SAP and pseudocyst.EUS-SAP with flow in the patent portion-30x26mm.22G Fine Needle Biopsy (FNB) needle – 14 cm x 10 mm coil injected into SAP followed by 100 IU of thrombin injection.Results:Color doppler reassessment & follow-up imaging-complete occlusion of SAP.Conclusion:Combination of coil+thrombin injection, use of 22G FNB needle and thrombin over glue highlighted as key aspects [1].