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- Title
Orbital venous malformation: percutaneous treatment using an electrolytically detachable fibred coil.
- Authors
Diolaiuti, Sara; Iizuka, Tateyuki; Schroth, Gerhard; Remonda, Luca; Laedrach, Kurt; El-Koussy, Marwan; Frueh, Beatrice E.; Goldblum, David
- Abstract
Purpose: To report the efficacy of percutaneous treatment of an orbital venous malformation with an electrolytically detachable fibred coil. Methods: We report an instance of radiography-guided percutaneous treatment with an electrolytically detachable fibred coil in a 16-year-old boy with acute, spontaneous, painless proptosis on the left side, which progressed with time. Results: Magnetic resonance imaging, angiography and orbitophlebography revealed a low-flow, intraorbital venous malformation. Percutaneous puncture and drainage were followed by a short remission. Following an acute recurrence, a single detachable fibred coil was deployed via a percutaneous approach under angiographic guidance. No radiological or clinical recurrences were observed over 4 years. Conclusions: Embolization of a deep orbital venous malformation with detachable fibred coils via a percutaneous approach can be highly effective, and may be considered before proceeding with open surgery.
- Subjects
RADIOGRAPHY; SURGERY; THERAPEUTIC embolization; OPHTHALMOLOGY; ANGIOGRAPHY
- Publication
Acta Ophthalmologica (1755375X), 2009, Vol 87, Issue 2, p229
- ISSN
1755-375X
- Publication type
Article
- DOI
10.1111/j.1755-3768.2008.01236.x