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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.
- BMJ Case Rep. 2015 Jun 24; 2015.
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.2015 BMJ Publishing Group Ltd.
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