The distal brachial angiogram shows the minimal staining at the left distal radius which is supplied by small branches of interosseus artery without a nidus or early opacification of draining vein. This suggests a venous malformation.
Direct percutaneous contrast Injection under ultrasound guidance reveals two lesions (one is located between radius and ulna and the other is superposing on the left distal radius). Contrast was filled into the venous pouch and small draining vein. The venous malformation type II is suggested.
A percutaneous injection was performed into the lesions with 1:1.5 ratio of glue and lipiodol mixture.
Post glue injection shows total occlusion of the venous malformation.
No immediate complication is noted.