BACKGROUND AND AIMS: Visceral artery pseudoaneurysm (VAPA) is an uncommon complication associated with pancreatitis. This study aimed to assess the safety and efficacy of endoscopic ultrasound (EUS)-guided coil and glue embolization for pseudoaneurysm (PsA). METHODS: Patients with VAPA who underwent EUS-guided embolization as a first-line procedure , were included. The primary outcome was clinical success, defined as the complete obliteration of PsA at 12 weeks. RESULTS: Nineteen patients with 20 pseudoaneurysms were included. The mean age was 38.63±13.87 years, and 89.5% were males. Splenic artery pseudoaneurysm was the most common (75%). The median size of the pseudoaneurysm was 2.5 cm (IQR: 1.5-4.1 cm). There was a 100% technical success rate and 85% clinical success rate. Post procedure one patient developed splenic abscess. No recurrence was seen after a median follow of 37 months. CONCLUSION: EUS-guided coil and glue embolization is an effective first-line procedure for splenic artery pseudoaneurysms.