Prevention and treatment information (HHS). Telangiectasia is the medical name for what most people refer to as spider veins, red veins or thread veins. Time off work till bandages come off is useful but not essential and should be based on work requirements. There were no episodes of cutaneous ulceration, thrombophlebitis, or other complications. Treated areas show multiple hypopigmented punctate scars with either minimum resolution of the treated vessel or neovascularization adjacent to the treatment site (Fig. Subjects in this group underwent one to five treatment sessions at 8 week intervals. PDL 5-mm diameter spots were overlapped slightly with every effort made to treat the entire vessel. Flesh-toned cover-up can immediately hide mild telangiectasia. Vessels that should respond optimally to PDL treatment are predicted to be red telangiectasia less than 0.2 mm in diameter, particularly those vessels arising as post-sclerotherapy TM. Conclusions: Treatment of facial and leg telangectasias using a true long pulse 1064 nm Nd:YAG laser is an effective and safe method. B, 3 months after treatment there is hyperpigmentation in the telangiectasia treated with the flashlamp-pumped pulsed dye laser at 15 J/cm2. Table 13.2 Thermal relaxation times of blood vessels. Treatment of leg telangiectasias using a long-pulse frequency-doubled neodymium:YAG laser at 532 nm. 13.14). Seven patients with 25 patches of TM after previous sclerotherapy were also treated. Fifteen percent of treated vessels had greater than 75% clearing, with 73% of treated areas showing little response to treatment. Pigmentation resolved over the subsequent 2 to 4 weeks. Intravascular Approaches to the Treatment of Varicose Veins: Radiofrequency and Lasers, Clinical Methods for Sclerotherapy of Telangiectasias, Clinical Methods for Sclerotherapy of Varicose Veins. Be it due to cosmetic reasons or because of the requirement to treat telangiectasia due to the underlying genetic condition, spider veins treatment is performed using various techniques to avoid bleeding and reduce the appearance of the thread veins. In addition, lasers have theoretical advantages compared with sclerotherapy for treating leg telangiectasias. Optical properties of blood are mainly determined by the absorption and scattering coefficients of its various oxyhemoglobin components. Figure 13.15 Photographic record of false resolution of flashlamp-pumped pulsed dye laser (PDL)-treated leg veins. Notice the residual hypopigmentation at the site of the superiormost reticular vein seen in A. Careers. The optimal light source would have a wavelength specific for the vessel treated and would be able to penetrate to the depth of the vessel through its entire diameter. (Hematoxylin–eosin, original magnification ×200. Trelles MA, Weiss R, Moreno-Moragas J, et al. CHAPTER 54 Lasers and Pulsed-Light Devices Leg Telangiectasia* Mitchel P. Goldman Lasers and intense pulsed light (IPL) are used to treat leg telangiectasia for various reasons. Therefore, its radiant energy level is at a much longer wavelength than that of the high-energy ionizing radiation associated with X-rays and radiation therapy; as such, it is not associated with commonly perceived radiation hazards. Epub 2013 Nov 13. It was recently suggested that cutaneous collagenous vasculopathy (CCV) is clinically identical to GET but that the 2 conditions can be distinguished by their distinctive histopathologic findings. The doctor makes an injection of sclerotherapy to the patient who has varicose veins in the legs, miniphlebectomy, copy space The doctor makes an injection of sclerotherapy to the patient who has varicose veins in the legs, miniphlebectomy, copy space, treatment telangiectasia stock pictures, royalty-free photos & images Please enable it to take advantage of the complete set of features! Do not have the leg dependent for long periods and elevate the leg when sitting. There is focal endothelial necrosis with adherence of platelets to damaged endothelium. When no apparent connection exists between deep collecting or reticular vessels, telangiectasia may arise from a terminal arteriole or arteriovenous anastomosis.11 In this latter scenario, the telangiectasia may be treated without consideration of underlying forces of hydrostatic pressure.