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Neuroradiology

, Volume 36, Issue 6, pp 487–489 | Cite as

Embolisation of orbital varix

  • A. Takechi
  • T. Uozumi
  • K. Kiya
  • T. Yano
  • M. Sumida
  • S. Yoshikawa
  • B. Pant
Interventional Neuroradiology

Abstract

A 34-year-old man with intermittent exophthalmos, found to have a large varix in the right orbit, was treated by endovascular surgery. Percutaneous transfemoral venous catheterisation and embolisation of the orbital varix was performed on two occasions. A tracker 18 microcatheter was introduced through the righ inferior petrosal sinus, cavernous sinus, superior ophthalmic vein and then into the varix, following a guidewire. Superselective venography of the right ophthalmic vein showed the varix. A total of 204 platinum microcoils was used to pack the varix. At the time of discharge, the exophthalmos had largely resolved. As this technique is much less invasive than surgical resection, we recommend an attempt at endovascular embolisation of orbital varices prior to surgical removal.

Key words

Orbital varix Endovascular surgery Embolisation Superior ophthalmic vein Platinum micro coils 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • A. Takechi
    • 1
  • T. Uozumi
    • 1
  • K. Kiya
    • 1
  • T. Yano
    • 1
  • M. Sumida
    • 1
  • S. Yoshikawa
    • 1
  • B. Pant
    • 1
  1. 1.Department of NeurosurgeryHiroshima University School of MedicineHiroshimaJapan

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