Efficacy and safety of interventional sclerotherapy for intraorbital venous malformation in children
10.3760/cma.j.issn.1005-1201.2015.06.016
- VernacularTitle:儿童眼眶内静脉畸形介入硬化疗法的疗效和安全性
- Author:
Yizhou JIANG
;
Gang SHEN
;
Lang LIU
;
Shaoyi ZHOU
;
Kunshan CHEN
;
Haibo LI
;
Chuanqiang NIU
;
Xiaoyun TAN
;
Jing ZHANG
- Publication Type:Journal Article
- Keywords:
Intraorbital venous malformation;
Interventional;
Sclerotherapy;
Children
- From:
Chinese Journal of Radiology
2015;(6):469-472
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of interventional sclerotherapy for intraorbital venous malformation in children. Methods A retrospective analysis of 12 cases with intraorbital venous malformation from March 2007 to July 2013 in our department was made. Twelve lesions including 7 in left eyes and 5 in right eyes were evaluated. Three patients had surgical resection before interventional treatment. Sclerosing agent such as sclerosant foam or pingyangmycin was injected into the lesions guided by DSA. Interventional sclerotherapy was performed once every month until no blood return was observed. Then MRI was used to detect the lesions 1 month after operation. If there were residual lesions in MRI images, then repeat treatment was performed. Postoperative observation included patients' general situation and adverse reactions of eye after each treatment. Results Interventional sclerotherapy were performed to all patients for a total of 42 times (mean time 3.5 ± 1.0 per patient). After a follow?up of 24months, 7 cases were cured, 3 cases improved significantly and 2 cases with partial remission. Postoperative adverse reactions: transient exophthalmos in 39 case?times , peri?orbital and maxillofacial tissue swelling in 32 case?times. No severe complications were observed. Conclusion Interventional sclerotherapy is an easy, safe and effective method for treatment of intraorbital venous malformation.
