CardioVascular and Interventional Radiology

, Volume 41, Issue 7, pp 1112–1115 | Cite as

Balloon and Coil Occlusion of a Superior Sagittal Sinus Cortical Vein Facilitates Percutaneous Supraorbital Venous Malformation Sclerotherapy

  • Jacob J. Bundy
  • Anthony N. Hage
  • Jeffrey Forris Beecham Chick
  • Ravi N. Srinivasa
  • Joseph J. Gemmete
Case Report


Venous malformations are the most common of all vascular anomalies. Venous malformations are treated using a multidisciplinary approach with sclerotherapy representing the primary treatment modality. While rare, sclerotherapy in the central nervous system carries the risk of venous thrombosis, non-target embolization, and venous infarction and hemorrhage. Options for controlling venous outflow when treating venous malformations in the head and neck are limited. This report details the use of balloon and coil occlusion of a superior sagittal sinus cortical vein to facilitate percutaneous sclerotherapy of a supraorbital venous malformation.


Sclerotherapy Balloon occlusion Coil occlusion Superior sagittal sinus Vascular malformations Venous malformation 


Author Contributions

All authors have read and contributed to this manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors whose names are listed immediately below certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical Standards

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.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Hage AN, Chick JFB, Srinivasa N, Bundy J, Chauhan NR, Acord M, Gemmete JJ. Treatment of venous malformations: the data, where we are, and how it’s done. Tech Vasc Interv Radiol. 2018. Scholar
  2. 2.
    James CA, Braswell LE, Wright LB, Roberson PK, Moore MB, Waner M, Buckmiller LM. Preoperative sclerotherapy of facial venous malformations: impact on surgical parameters and long-term follow-up. J Vasc Interv Radiol. 2011;22:953–60.CrossRefPubMedGoogle Scholar
  3. 3.
    Temple M. Pediatric interventional radiology: handbook of vascular and non-vascular interventions. Berlin: Springer Science & Business Media; 2014. p. 410.CrossRefGoogle Scholar
  4. 4.
    Zheng JW, Mai HM, Zhang L, Wang YA, Fan XD, Su LX, et al. Guidelines for the treatment of head and neck venous malformations. Int J Clin Exp Med. 2013;6(5):377–89.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Duckwiler GR, Dion JE, Viñuela F, Reichman A. Delayed venous occlusion following embolotherapy of vascular malformations in the brain. AJNR Am J Neuroradiol. 1992;13(6):1571–9.PubMedGoogle Scholar
  6. 6.
    Mulligan PR, Prajapati HJS, Martin LG, et al. Vascular anomalies: classification, imaging characteristics and implications for interventional radiology treatment approaches. Br J Radiol. 2014;87:20130392. Scholar
  7. 7.
    Orlando JL, Caldas JGMP, Campos HGDA, Nishinari K, Krutman M, Wolosker N. Ethanol sclerotherapy of head and neck venous malformations. Einstein (Sao Paulo). 2014;12(2):181–5.CrossRefGoogle Scholar
  8. 8.
    Hage A, Chick JFB, Srinivasa RN, Kuo KW, Kohne JG, Campbell AD, Gemmete JJ. Disseminated intravascular coagulation and acute liver injury from ethanol embolization of an arteriovenous malformation. J Vasc Interv Radiol. 2018;29(3):437–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Kane WJ, Morris S, Jackson IT, Woods JE. Significant hemangiomas and vascular malformations of the head and neck: clinical management and treatment outcomes. Ann Plast Surg. 1995;35(2):133–43.CrossRefPubMedGoogle Scholar
  10. 10.
    Legiehn GM, Heran MK. Classification, diagnosis, and interventional radiologic management of vascular malformations. Orthop Clin North Am. 2006;37:435.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  • Jacob J. Bundy
    • 1
  • Anthony N. Hage
    • 1
  • Jeffrey Forris Beecham Chick
    • 1
  • Ravi N. Srinivasa
    • 1
  • Joseph J. Gemmete
    • 1
  1. 1.Division of Vascular and Interventional Radiology, Department of RadiologyUniversity of Michigan Health SystemAnn ArborUSA

Personalised recommendations