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CASE REPORT
Transvenous sclerotherapy of a large symptomatic orbital venous varix using a microcatheter balloon and bleomycin
  1. Venu Vadlamudi1,
  2. Joseph J Gemmete1,2,
  3. Neeraj Chaudhary1,2,
  4. Aditya S Pandey1,2,
  5. Alon Kahana3
  1. 1Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan, USA
  2. 2Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA
  3. 3Department of Ophthalmology and Visual Sciences, University of Michigan Health System, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Joseph J Gemmete, Department of Radiology, University of Michigan Health System, UH B1D 328, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA; gemmete{at}med.umich.edu

Abstract

An 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.

  • Vascular Malformation
  • Orbit
  • Balloon

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