• J Neurointerv Surg · Aug 2016

    Case Reports

    Transvenous sclerotherapy of a large symptomatic orbital venous varix using a microcatheter balloon and bleomycin.

    • Venu Vadlamudi, Joseph J Gemmete, Neeraj Chaudhary, Aditya S Pandey, and Alon Kahana.
    • Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA.
    • J Neurointerv Surg. 2016 Aug 1; 8 (8): e30.

    AbstractAn orbital venous varix is rare and can present with diplopia, proptosis, or hemorrhage. Treatment can be challenging, especially if the varix is in a posterior location within the orbit, since surgical exposure becomes difficult. A few case reports have been published describing transcatheter embolization of an orbital varix with coils, direct percutaneous injection of n-butyl cyanoacrylate glue, and the percutaneous injection of bleomycin. We present a case of a symptomatic orbital venous varix of the left inferior ophthalmic vein successfully treated with transvenous endovascular sclerotherapy using a microcatheter balloon and bleomycin.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

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