Navigation-assisted sclerotherapy of orbital venolymphatic malformation: a new guidance technique for percutaneous treatment of low-flow vascular malformations.
Percutaneous sclerotherapy of orbital low-flow vascular malformations requires precise procedural guidance. For the treatment of a patient with an orbital venolymphatic malformation, we sought to optimize guidance by combining navigation assistance for needle placement with intralesional contrast medium injection for assessment of venous drainage. By using a surgical navigation system (Vector Vision, BrainLAB, Munich, Germany), multiplanar target lesion visualization was performed after fusion of CT and MR imaging data, which allowed precise puncture planning.
Ernemann
Ulrike
U
Department of Neuroradiology, Tübingen University Hospital, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany.
Westendorff
Carsten
C
Troitzsch
Dirk
D
Hoffmann
Jürgen
J
D000328:Adult; D000792:Angiography; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008208:Lymphatic System / Q000002:abnormalities*; D008279:Magnetic Resonance Imaging; D009915:Orbit / Q000098:blood supply*; D015911:Sclerotherapy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000002:abnormalities