Hybrid procedure for orbital venous malformation in the endovascular operation room |
| |
| Authors: | A C O Cheng E Y M Li T C Y Chan A C W Wong P C M Chan W W L Poon D H S Fung H K L Yuen |
| |
| Institution: | 1.Hong Kong Eye Hospital, Hong Kong, China;2.Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China;3.Department of Surgery, Queen Elizabeth Hospital, Hong Kong, China;4.Department of Radiology and Imaging, Queen Elizabeth Hospital, Hong Kong, China |
| |
| Abstract: | PurposeTo describe a hybrid procedure for orbital venous malformation in the endovascular operating room (EVOR).MethodsFive consecutive patients with venous malformation in the periocular and orbital region were included. All patients received a one-stage direct puncture venogram, image-guided glue injection, and surgical resection in the EVOR equipped with a biplane digital subtraction angiography system (BDSAS).ResultsThe mean age at the time of operation was 37.4 years (range, 22–69 years). The mean operative time was 193 min (range, 138–324 min). No intraoperative complications were noted. The mean follow-up duration was 18.8 months (range, 10–24 months). Three patients had complete removal of the vascular lesions. At the latest follow-up, no recurrence of symptoms related to the lesions was noted. All patients had an uneventful recovery and satisfactory outcome.ConclusionsThe hybrid procedure of orbital venous malformation in the EVOR is a novel application in ophthalmology. It is a safe and well-controlled procedure with real-time high-quality BDSAS surveillance to facilitate surgical resection. Its success requires collaboration between the interventional radiologist, the surgeon, and the ophthalmologist. |
| |
| Keywords: | |
|
|
