Document Detail


Diagnosis and treatment of a superficial upper eyelid arteriovenous malformation.
MedLine Citation:
PMID:  18716969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Combined embolization and surgical excision as a safe treatment for a high flow superficial upper eyelid anteriovenous malformation. INTRODUCTION: Orbital arteriovenous malformations (AVM) may cause significant morbidity including chronic pain and cosmetic disfigurement. These rare lesions require a multidisciplinary approach. A case of an orbital high-flow AVM treated subsequently by an mterventional radiologist and oculoplastic surgeon is presented. MATERIALS AND METHODS: Clinical assessment, computed tomography and digital substruction angiography revealed a high-flow AVM. Transvenous and percutaneous embolization was followed by surgical excision. RESULTS: A 1.5 cm, slowly growing, compressible pulsating lesion in the left upper eyelid of a 23 year old man was found. Eye motility and ophthalmologic examination were normal. Valsava manoeuvre didn't increase the size. Imaging revealed a high-flow AVM feeded by the arteria temporalis superficialis (itself feeded by the a. supraorbitalis and supratrochlearis). Draining vessels were the superior ophthalmic vein and a superficial lateral orbital vein. This malformation was first embolized. To prevent iatrogenic embolization of the sinus cavernous, the vein draining into the superior ophthalmic was occluded by a transvenous approach, followed by a percutaneous injection with diluted glue (equal amounts of glubran-2 and lipiodol). The remaining low-flow lesion was then safely excised. CONCLUSION: High-flow orbital AVM represent a considerable treatment challenge. Good cosmetical and functional outcome was obtained safely by subsequent embolization and surgical excision. When treating these rare malformations it is of the highest importance to coordinate the interdisciplinary efforts.
Authors:
Christian Decock; Reynders Stefaan; C Vandenbroecke; I Claerhout; L Defreyne
Related Documents :
7252599 - Glucose and lactate absorption and metabolic interrelationships in steers changed from ...
3518409 - Clinical and portal hemodynamic features in cirrhotic patients having a large spontaneo...
17705819 - Cavo-portal transposition in rat: a new simple model.
11786759 - Simultaneous detection of colonic epithelial cells in portal venous and peripheral bloo...
2311859 - Quantitation of the hepatic arterial buffer response to graded changes in portal blood ...
2244699 - A pitfall in azygos vein cannulation in cirrhotic patients: mistaken cannulation of the...
17684339 - Evolution of hemodiafiltration.
19291479 - The postmortem distribution of ketone bodies between blood, vitreous humor, spinal flui...
7484029 - Autotransfusion after open heart surgery: the oxygen delivery capacity of shed mediasti...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  27     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2008  
Date Detail:
Created Date:  2008-08-21     Completed Date:  2008-11-10     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  England    
Other Details:
Languages:  eng     Pagination:  301-3     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Ghent University Hospital, Ghent, Belgium. christian.decock@ugent.be
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction
Arteriovenous Malformations / diagnosis*,  radiography,  therapy*
Embolization, Therapeutic
Enbucrilate / analogs & derivatives,  therapeutic use
Eyelids / blood supply*
Humans
Male
Ophthalmic Artery / abnormalities*
Orbit / blood supply*
Temporal Arteries / abnormalities*
Tissue Adhesives / therapeutic use
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color
Veins / abnormalities*
Chemical
Reg. No./Substance:
0/Tissue Adhesives; 6606-65-1/Enbucrilate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A complex orbit.
Next Document:  Mature orbital teratoma presenting as a recurrent orbital cellulitis with an ectopic tooth and sphen...