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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Conflict of Interest
Dr. George Koshy Chiramel, Dr. Shyamkumar Nidugala Keshava, Dr. Vinu Moses, Dr. Suraj Mammen, Dr. Sarada David, Dr. Sudipta Sen have no conflict of interest.
Disclaimers
No grant support to acknowledge. No conflict of interest exists.
Informed Consent
Consent was obtained from all individual participants included in the study.
Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Chiramel, G.K., Keshava, S.N., Moses, V. et al. Percutaneous Sclerotherapy of Congenital Slow-Flow Vascular Malformations of the Orbit. Cardiovasc Intervent Radiol 38, 270–279 (2015). https://doi.org/10.1007/s00270-014-0971-5
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DOI: https://doi.org/10.1007/s00270-014-0971-5