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Fluoroscopic Intralesional Injection with Pingyangmycin Lipiodol Emulsion for the Treatment of Orbital Venous Malformations

Yong Chen1, Yanhao Li1, Qiaohua Zhu1, Qingle Zeng1, Jianbo Zhao1, Xiaofeng He1 and Quelin Mei1

1 All authors: Department of Interventional Radiology, Nanfang Hospital, 1838 N Guangzhou Ave., Guangzhou, Guandong 510515, China.


Figure 1
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  		Fig. 1A —34-year-old woman with orbital venous malformation in right inferior orbit (patient 2 in Table 1). Photograph taken before procedure shows proptosis, swelling of lower lid, restricted motility, and dysraphism.

 

Figure 2
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  		Fig. 1B —34-year-old woman with orbital venous malformation in right inferior orbit (patient 2 in Table 1). Photograph taken 5 days after procedure shows orbital swelling at its peak.

 

Figure 3
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  		Fig. 1C —34-year-old woman with orbital venous malformation in right inferior orbit (patient 2 in Table 1). Photograph taken 3 months after procedure shows proptosis and orbital swelling have decreased dramatically.

 

Figure 4
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  		Fig. 2A —26-year-old woman with left orbital venous malformation (patient 15 in Table 1). Percutaneous puncture of lesion under fluoroscopic guidance. Venous malformation (arrowheads) is filled with nonionic contrast material (black arrows) in medial left orbit and drainage is shown. White arrow = puncture needle.

 

Figure 5
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  		Fig. 2B —26-year-old woman with left orbital venous malformation (patient 15 in Table 1). Five minutes after procedure, pingyangmycin Lipiodol emulsion (black arrows) has distributed well in lesions. White arrow = puncture needle.

 

Figure 6
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  		Fig. 3A —17-year-old boy with orbital venous malformation who had proptosis (approximately 7 mm) (patient 5 in Table 1). CT scan obtained before sclerotherapy shows mass in right orbit.

 

Figure 7
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  		Fig. 3B —17-year-old boy with orbital venous malformation who had proptosis (approximately 7 mm) (patient 5 in Table 1). Nine months after sclerotherapy, CT scan shows proptosis has disappeared and there are few pingyangmycin Lipiodol emulsion deposits in lesion.

 

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