Congenital Vascular Anomalies – The most common congenital vascular malformations are port wine stains and hemangiomas. Port wine stains are a capillary malformation that progress as a patient ages and it is important to treat these to limit their progression and associated problems including overgrowth and deformity. Treatment options include lasers such as pulse dye laser or Nd:YAG, excision, or other destruction methods. Hemangiomas arise in young children and may go away on their own. If they bleed, obstruct vision, or are rapidly enlarging, urgent treatment is indicated. Less troublesome hemangiomas can still be troublesome to patients and parents and treatment options include laser therapy, steroid injection, excision, or other destruction.
Spider veins (sunburst varicosities or telangiectasia) are tiny vessels that proliferate from a central vessel, causing the spider pattern. Forms of treatment include electrodesiccation (electrical coagulation), sclerotherapy (injection with hypertonic saline, sodium tetradecyl sulfate, or polidocanol), and lasers (Nd:YAG 1064 nm for deeper vessels, alexandrite 755 nm or diode 800nm for reticular vessels, and PDL 585 nm for superficial vessels). Dr. Park and Dr. Rebowe offer each of these services but the best treatment for you must be determined after evaluation. These treatments are only mildly uncomfortable.
Varicose veins are larger, darker, and deeper bulging vessels due to incompetence of venous valves. Isolated varicosities may be amenable to sclerotherapy. Large or extensive true varicosities are best treated surgically by direct excision or with intraluminal radiofrequency ablation through venous interventional procedures.
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