Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision

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dc.contributor.authorMukherjee, Ben_US
dc.contributor.authorVijay, Ven_US
dc.contributor.authorHalbe, Sen_US
dc.date.accessioned2020-04-10T01:58:01Z
dc.date.available2020-04-10T01:58:01Z
dc.date.issued2018-01
dc.description.abstractPeriorbital 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.en_US
dc.identifier.affiliationsOrbit, Oculoplasty, Reconstructive and Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Interventional Radiology, Apollo Specialty Hospitals, Chennai, Tamil Nadu, Indiaen_US
dc.identifier.citationMukherjee B, Vijay V, Halbe S. Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision. Indian Journal of Ophthalmology. 2018 Jan; 66(1): 151-154en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/196562
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber1en_US
dc.relation.volume66en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_663_17en_US
dc.subjectArteriovenous malformationen_US
dc.subjectendovascular embolizationen_US
dc.subjectsurgical excisionen_US
dc.titleCombined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excisionen_US
dc.typeJournal Articleen_US
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