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Erschienen in: CardioVascular and Interventional Radiology 2/2015

01.04.2015 | Pictorial Essay

Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit

verfasst von: George Koshy Chiramel, Shyamkumar Nidugala Keshava, Vinu Moses, Suraj Mammen, Sarada David, Sudipta Sen

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 2/2015

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Abstract

Purpose

This manuscript describes the clinical features, imaging findings, treatment details, and short-term outcomes of a series of congenital slow-flow vascular malformations.

Methods

This was a prospective study of congenital slow-flow vascular malformations involving the orbital region treated at a single institution with percutaneous sclerotherapy.

Results

Ten patients presented during the study period, comprising eight venous malformations, one lymphatic malformation, and one veno-lymphatic malformation. Nine patients underwent percutaneous sclerotherapy under digital subtraction angiography guidance, of which three developed marked rise in intraocular pressure requiring lateral canthotomy. The treatments were performed in the presence of an ophthalmologist who measured the intraorbital pressure during and after the procedure. On follow-up, some of the patients required repeat sessions of sclerotherapy. All patients had improvement of symptoms on follow up after the procedure.

Conclusion

Congenital slow-flow vascular malformations of the orbital region are rare lesions that should be treated using a multidisciplinary approach. Monitoring of the intraorbital pressure is required both during and after the procedure to decide about the need for lateral canthotomy to reduce the transiently increased intraorbital pressure.
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Metadaten
Titel
Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit
verfasst von
George Koshy Chiramel
Shyamkumar Nidugala Keshava
Vinu Moses
Suraj Mammen
Sarada David
Sudipta Sen
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 2/2015
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-014-0971-5

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