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What is a telangiectasia ? Buffalo Niagara Vein Treatment Center and spider veins
Saturday, August 31, 2013

 

 

Telangiectasias are dilatations of the venous plexus and the subpapillary portion of the skin.  They are not capillary vessels and telangiectasias are not regarded as varicose veins.  The smallest telangiectasias are defined as vessels that are 1 mm in diameter or less.  They vary in color and the smallest telangiectasias (0.1mm to 0.2 mm) are frequently red in appearance and the larger ones are typically blue in appearance. 

 

Telangiectasias occur in starburst patterns and are frequently a consequence of 1) an underlying feeding reticular vein,  2) underlying varicose veins originating from a saphenous vein source, 3) underlying varicose veins originating from a non-saphenous vein source,  4) an underlying incompetent perforator vein,  and 5) result from deep venous insufficiency.

 

Telangiectasias that arborize in the gaiter area of the inner malleolus (inner ankle) take on the characteristic appearance of what is called corona phlebectasia.  When corona phlebectasia is seen on clinical examination of the patient, this pattern is highly consistent with underlying venous insufficiency.

 

For the treatment of telangiectasias with sclerotherapy or lasers, contact Hratch Karamanoukian, MD FACS at the Vein Treatment Center with offices in Williamsville, New York and Clarence, New York or call 716-839-3638.

 

Hratch Karamanoukian, MD FACS is triple board certified in general surgery, thoracic surgery (cardiovascular surgery), and phlebology (diseases of the venous system and lymphatic system).

 

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