%0 Journal Article %T EUS-guided portal pressure measurement (with videos). %A Samarasena JB %A Yu AR %A Chang KJ %J Endosc Ultrasound %V 7 %N 4 %D Jul-Aug 2018 %M 30117489 %F 5.275 %R 10.4103/eus.eus_35_18 %X A growing number of studies have explored EUS-guided vascular catheterization due to the relative proximity of the gastrointestinal tract to the major blood vessels of the mediastinum and abdomen. In particular, EUS-guided access of the portal vein (PV) may be favorable given the relative difficulty of PV access through standard percutaneous routes. Two major diagnostic applications of EUS-guided vascular access include angiography and assessment of intravascular pressure. This review will outline the different devices and techniques employed to obtain angiographic visualization and/or direct pressure measurements of the portal circulation. Ease of access, safety, and important lessons learned from each approach will be highlighted.