We therefore discuss the disganostic and therapeutic procedure with patients with vascular anomalies at the “Angiodysplasia Board” at the USZ. Where possible, patients are invited to these boards and can speak directly with the experts present.
For many patients, we have to carry out several therapy sessions or use a combination of several procedures. This is particularly true in the case of larger vascular anomalies. Often the vascular anomaly cannot be completely removed. The aim is rather to alleviate the symptoms, improve the quality of life and prevent possible damage to the tissue and thus complications. We always have to weigh up the benefits and risks of each intervention carefully.
Vascular anomalies: treatments at a glance
In the case of minor findings and complaints, we initially use conservative measures, i.e. measures without surgery. This includes the use of medications such as anticoagulants and immunosuppressants, compression therapy and physiotherapy.
If necessary, the following (minimally) invasive treatments are considered:
- Surgical removal: especially if the malformations are superficial and easily accessible
- Embolization: Closure of inflowing and outflowing vessels with coagulation-active foreign bodies (coils)
- Sclerotherapy: Closure of the affected vessels by injecting a sclerosing agent
- Laser therapy: endovenous to close the affected large vessels or cutaneous to close small skin vessels, e.g. a YAG laser
Treating hemangiomas - these options are available
A hemangioma usually does not need to be treated – unless it is located in a cosmetically or functionally unfavorable area such as the eyelid, eye socket, face or hand. Medication is used (e.g. beta blockers), less frequently surgical removal or laser therapy.