The treatment of venous malformations varies according to the depth, location and extent of the lesion. Small lesions are observed over time and often do not require any treatment. Compression garments can be used to control swelling or pain in lesions found in the arms or legs. Several options exist for more serious lesions. These include:
Sclerotherapy: A scarring agent is injected into the vein in order to close it off to blood flow.
Laser therapy: A laser is used to shut off the vein from flood flow.
Embolization: This highly specialized procedure involves the injection of small particles into the blood vessel to stop the flow of blood.
Surgical excision: Venous malformations are difficult to remove surgically. But, when necessary, extensive lesions can be partially removed. The remaining lesion may be treated with another form of therapy listed above.
All of these procedures have risks that should be discussed with the physician. These risks must be weighed against the emotional and physical wellbeing of the child.