Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision
Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with p...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=151;epage=154;aulast=Mukherjee |
| _version_ | 1818450032056074240 |
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| author | Bipasha Mukherjee Vathsalya Vijay Swatee Halbe |
| author_facet | Bipasha Mukherjee Vathsalya Vijay Swatee Halbe |
| author_sort | Bipasha Mukherjee |
| collection | DOAJ |
| description | Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective. |
| first_indexed | 2024-12-14T20:44:51Z |
| format | Article |
| id | doaj.art-3717284b4cfd4531a35373447bbfe2f0 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-14T20:44:51Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-3717284b4cfd4531a35373447bbfe2f02022-12-21T22:48:05ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892018-01-0166115115410.4103/ijo.IJO_663_17Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excisionBipasha MukherjeeVathsalya VijaySwatee HalbePeriorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective.http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=151;epage=154;aulast=MukherjeeArteriovenous malformationendovascular embolizationsurgical excision |
| spellingShingle | Bipasha Mukherjee Vathsalya Vijay Swatee Halbe Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision Indian Journal of Ophthalmology Arteriovenous malformation endovascular embolization surgical excision |
| title | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| title_full | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| title_fullStr | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| title_full_unstemmed | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| title_short | Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| title_sort | combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision |
| topic | Arteriovenous malformation endovascular embolization surgical excision |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2018;volume=66;issue=1;spage=151;epage=154;aulast=Mukherjee |
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