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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Intraorbital arteriovenous malformation treated by transarterial embolization: technical case report
Kenichi Sato1, Yasushi Matsumoto, Ryushi Kondo
1Department of Neuroendovascular Therapy, Kohnan Hospital, 4-20-1 Nagamachi-minami, Taihaku-ku, Sendai, Japan. satoken@kohnan-sendai.or.jp
Neurosurgery
|March 11, 2011
Summary
This study reports a successful treatment for a rare intraorbital arteriovenous malformation (AVM) using transarterial embolization. The minimally invasive procedure effectively eliminated the AVM, resolving the patient's symptoms without visual impairment.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Ophthalmology
Background:
- Intraorbital arteriovenous malformations (AVMs) are uncommon vascular anomalies with debated treatment strategies.
- This case highlights a successful intervention for a complex orbital AVM.
Observation:
- A 53-year-old male presented with pulsating exophthalmos, chemosis, and ocular pain due to an intraorbital AVM.
- Diagnostic angiography identified feeders from the left ophthalmic artery.
Findings:
- Transarterial embolization using diluted glue was performed via microcatheter selectively into the AVM feeders.
- Immediate symptom resolution and complete AVM disappearance on follow-up angiography were achieved.
- Central retinal artery angiography was conducted without adverse visual effects.
Implications:
- Transarterial embolization represents a viable and potentially curative treatment option for intraorbital AVMs.
- This technique offers a minimally invasive approach to managing challenging orbital vascular lesions.
- Successful embolization can lead to rapid symptom relief and prevent further complications.