Orbital venous malformation: Percutaneous treatment using an electrolytically detachable fibred coil

Abstract

Purpose: To report the efficacy of percutaneous treatment of an orbital venous malformation with an electrolytically detachable fibred coil. Methods: We report an instance of radiography-guided percutaneous treatment with an electrolytically detachable fibred coil in a 16-year-old boy with acute, spontaneous, painless proptosis on the left side, which progressed with time. Results: Magnetic resonance imaging, angiography and orbitophlebography revealed a low-flow, intraorbital venous malformation. Percutaneous puncture and drainage were followed by a short remission. Following an acute recurrence, a single detachable fibred coil was deployed via a percutaneous approach under angiographic guidance. No radiological or clinical recurrences were observed over 4 years. Conclusions: Embolization of a deep orbital venous malformation with detachable fibred coils via a percutaneous approach can be highly effective, and may be considered before proceeding with open surgery. © 2008 Acta Ophthalmol.