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Spider Vein and Varicose Vein Treatment with Lasers in Williamsville, NY at - Truncal venous insufficiency in patients with telangiectasias (CEAP C1 venous disease)
Friday, September 13, 2013



Patients with telangiectasias have intradermal dilatations of the subpapillary venous plexus.  These veins are less than 1 mm in diameter.  They present with starburst or arborizing patterns and are related to underlying venous insufficiency involving the axial veins, perforator veins, feeding reticular veins, or deep venous insufficiency, among others.


Multiple studies have shown that patients with telangiectasias have venous insufficiency involving both great saphenous and short saphenous veins in 1 in 20 cases (5%).  Nearly 40% of patients with telangiectasias have reflux in the great saphenous system and less than 2% have isolated reflux in the short saphenous system on color flow duplex imaging studies.


Duplex ultrasonography is the gold standard in the evaluation of patients with venous insufficiency.


Based on these studies, it is imperative that patients who present with isolated telangiectasias and with CEAP classification C0 (telangiectasias only) be evaluated with color flow duplex imaging to determine if they have underlying venous insufficiency.  Venous insufficiency should be treated with modern ablation techniques using VNUS closure, EVLT, or ClariVein procedures.


VNUS closure, EVLT, and ClariVein procedures are all available at the Vein Treatment Center with offices in Williamsville, New York and Clarence, New York.  Hratch Karamanoukian, MD FACS is triple board certified in surgery, thoracic surgery (cardiovascular surgery), and phlebology (diseases of the venous system and lymphatic system).


Call 716-839-3638 to schedule a consultation with Dr. Karamanoukian.  and are partners with



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