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We report a case of a patient with a high flow arteriovenous malformation (AVM)i n the orbit, who developed a severe compartment syndrome, and was successfully treated with manual carotid compressions. The patient suffered a progressive proptosis, restriction of ocular motility and decreased of the visual acuity of the right eye. Embolization had a high risk of serious complications due to fistula location, so an alternative treatment consisting in carotid compressions was prescribed. Manual carotid compression is a non-invasive alternative technique to treat AVMs in patients with high risk of embolization episodes.

Citation

Javier Coca, Ricardo Romero, Margarita Sanchez-Orgaz, Alvaro Arbizu, Ramon Frutos-Martinez, Arancha Fernandez-Prieto, Begona Marin-Aguilera. Use of carotid compression in a patient with arteriovenous malformation. Orbit (Amsterdam, Netherlands). 2013 Feb;32(1):63-6

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PMID: 23387461

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