Schedule a Consultation
(716) 839-3638
Telangiectasias and CEAP Classification - Buffalo Niagara Vein Teatment Center and
Saturday, August 31, 2013



It has been determined that the prevalence of telangiectasias in the general population in the United States varies between 50 to 70%, depending on patient age.  Elderly patients, patients meaning patients older than 40 years have an incidence near 60 to 70%.  Telangiectasias affect woman more often than men. 





In the CEAP classification of venous disease, telangiectasias are classified as C1 disease.



It has been estimated that venous insufficiency occurs in as many as 45% of patients with telangiectasias, according to a study done by CA Engelhorn and colleagues.  This was published in Dermatologic Surgery in 2007; volume 33, pages 282 to 288. 



There is considerable debate in regards to the occurrence of symptoms in patients with telangiectasias.  Patients with telangiectasias or CEAP C1 disease often have accompanying symptoms of leg swelling, cramping in the legs, and restless legs more than patients who don’t’ have obvious venous disease (CEAP C0).



For the evaluation and treatment of telangiectasias in patients with or without symptoms, 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). and are partners with .



What is the CEAP Classification ? 

Varicose vein doctors now use the CEAP classification in order to objectively classify vein problems in patients.  In our Los Angeles vein clinic, we incorporate the CEAP classification in the management of varicose veins and vein disease.  Clinical Disease state (C), Etiology (E), Anatomic Distribution (A), and Pathophysiology (P).

Class 0 No visible signs of vein disease
Class I Telangiectasias / Spider Veins and or Reticular Veins  < 2 mm
Class II Varicose Veins, tortuous superficial veins with incompetent valves with > 4 mm
Class III Varicose Veins with Leg Edema (swelling of the leg, ankles, or feet)
Class IV Varicose Veins with advanced skin changes: dark pigmentation, eczema, lipodermatosclerosis
Class V Varicose Veins with advanced skin changes and a healed venous ulcer
Class VI Varicose Veins with advanced skin changes and an active open venous ulcer


Once patients are assessed by Dr. Karamanoukian and venous Duplex scans performed which utilizes a combination of ultrasound (B mode scanning) and Doppler scanning - together called Duplexx scanning of the venous system, the legs are mapped with both Vein Lite and Vein Viewer Infrared technology. The CEAP classification is next used to document the type of venous disease and clinical severity scores are next utilizes in addition to the morphological and pathological classification of venous diseases.

© 2012 Vein Guide, Inc. All rights reserved.