内窥镜超声（EUS）作为当代医学中的诊断和治疗方式具有许多先进的应用。通过管腔内放置，EUS提供实时多普勒引导的内窥镜可视化，并可进入腹内脉管系统，以前使用历史方法是无法访问的。我们的目标是对当前和未来EUS引导的血管应用的关键研究进行全面审查。这篇综述详细介绍了基于EUS的门静脉压力测量的血管诊断技术，用于肝脏疾病的预后和门静脉采样，用于在癌症诊断中获得循环肿瘤细胞。从介入的角度来看，我们描述了EUS引导的有效治疗方法,即通过卷取和氰基丙烯酸酯注射胃静脉曲张和内脏动脉假性动脉瘤.研究者针对每种基于EUS的应用描述的疗效和程序技术的临床研究得到了特别的关注。我们探索新颖和未来新兴的基于EUS的干预措施，如肝肿瘤消融和肝内门体分流术。
Endoscopic ultrasound (EUS) has numerous advanced applications as a diagnostic and therapeutic modality in contemporary medicine. Through intraluminal placement, EUS offers a real-time Doppler-guided endoscopic visualization and access to intra-abdominal vasculature, which were previously inaccessible using historical methods. We aim to provide a comprehensive review of key studies on both current and future EUS-guided vascular applications. This review details EUS-based vascular diagnostic techniques of portal pressure measurements in the prognostication of liver disease and portal venous sampling for obtaining circulating tumor cells in the diagnosis of cancer. From an interventional perspective, we describe effective EUS-guided treatments via coiling and cyanoacrylate injections of gastric varices and visceral artery pseudoaneurysms. Specific attention is given to clinical studies on efficacy and procedural techniques described by investigators for each EUS-based application. We explore novel and future emerging EUS-based interventions, such as liver tumor ablation and intrahepatic portosystemic shunt placement.
