Abstract Text Managment or prevention of bleeding of pseudoaneursym in pancreatitis or highly vascularized
tumors can be challanging. Gold-Standart therapy is DSA with coil embolization. However
in some cases this is not possible due to technical reasons such as inaccessible vascular
region, small caliber or short neck of the pseudoaneursym. We show two cases where
the role of EUS guided thrombin injection was crucial to avoid sugery. EUS guided
thrombin injection is a feasible and save alternative to coil embolisation in bleedings
of pseudoaneurysma and highly vascularised tumors.