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

Abstract

PurposeThis manuscript describes the clinical features, imaging findings, treatment details, and short-term outcomes of a series of congenital slow-flow vascular malformations.MethodsThis was a prospective study of congenital slow-flow vascular malformations involving the orbital region treated at a single institution with percutaneous sclerotherapy.ResultsTen 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.ConclusionCongenital 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.

Authors:
;  [1];  [2];  [3]
  1. Christian Medical College, Department of Radiology (India)
  2. Christian Medical College, Department of Ophthalmology (India)
  3. Christian Medical College, Department of Pediatric Surgery (India)
Publication Date:
OSTI Identifier:
22469998
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 38; Journal Issue: 2; Conference: BSIR 2014: Britisch Society of Interventional Radiology 2014 annual meeting, Liverpool (United Kingdom), 12-14 Nov 2014; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; BLOOD VESSELS; CONGENITAL DISEASES; MALFORMATIONS; PATIENTS; SYMPTOMS; WHO

Citation Formats

Chiramel, George Koshy, E-mail: gkchiramel@gmail.com, Keshava, Shyamkumar Nidugala, E-mail: aparna-shyam@yahoo.com, Moses, Vinu, Mammen, Suraj, David, Sarada, and Sen, Sudipta. Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit. United States: N. p., 2015. Web. doi:10.1007/S00270-014-0971-5.
Chiramel, George Koshy, E-mail: gkchiramel@gmail.com, Keshava, Shyamkumar Nidugala, E-mail: aparna-shyam@yahoo.com, Moses, Vinu, Mammen, Suraj, David, Sarada, & Sen, Sudipta. Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit. United States. https://doi.org/10.1007/S00270-014-0971-5
Chiramel, George Koshy, E-mail: gkchiramel@gmail.com, Keshava, Shyamkumar Nidugala, E-mail: aparna-shyam@yahoo.com, Moses, Vinu, Mammen, Suraj, David, Sarada, and Sen, Sudipta. 2015. "Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit". United States. https://doi.org/10.1007/S00270-014-0971-5.
@article{osti_22469998,
title = {Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit},
author = {Chiramel, George Koshy, E-mail: gkchiramel@gmail.com and Keshava, Shyamkumar Nidugala, E-mail: aparna-shyam@yahoo.com and Moses, Vinu and Mammen, Suraj and David, Sarada and Sen, Sudipta},
abstractNote = {PurposeThis manuscript describes the clinical features, imaging findings, treatment details, and short-term outcomes of a series of congenital slow-flow vascular malformations.MethodsThis was a prospective study of congenital slow-flow vascular malformations involving the orbital region treated at a single institution with percutaneous sclerotherapy.ResultsTen 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.ConclusionCongenital 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.},
doi = {10.1007/S00270-014-0971-5},
url = {https://www.osti.gov/biblio/22469998}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 2,
volume = 38,
place = {United States},
year = {Wed Apr 15 00:00:00 EDT 2015},
month = {Wed Apr 15 00:00:00 EDT 2015}
}