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Related Experiment Videos

Embolisation of orbital varix

A Takechi1, T Uozumi, K Kiya

  • 1Department of Neurosurgery, Hiroshima University School of Medicine, Japan.

Neuroradiology
|August 1, 1994
PubMed
Summary

Endovascular embolisation effectively treated orbital varix causing exophthalmos. This minimally invasive approach is recommended before surgical options for orbital vascular malformations.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Orbital varices are vascular malformations that can cause proptosis or exophthalmos.
  • Traditional treatment involves surgical resection, which carries significant risks.

Observation:

  • A 34-year-old male presented with intermittent exophthalmos due to a large right orbital varix.
  • The patient underwent percutaneous transfemoral venous catheterization and embolization.

Findings:

  • A Tracker 18 microcatheter was navigated through the inferior petrosal sinus, cavernous sinus, and superior ophthalmic vein into the varix.
  • Superselective venography confirmed the varix, which was then packed with 204 platinum microcoils.
  • The patient experienced significant resolution of exophthalmos post-procedure.

Implications:

  • Endovascular embolization offers a less invasive alternative to surgical resection for orbital varices.
  • This technique demonstrates high efficacy in resolving symptoms associated with orbital varices.
  • Recommends considering endovascular embolization as a primary treatment modality.

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