Children and adolescents treated in our Vascular Anomalies Program will receive care from an experienced team of plastic surgeons, interventional radiologists and nurse practitioners, as well as experts from a wide variety of pediatric specialties across The Children's Hospital of Philadelphia.
Our clinic meets on the first and third Friday of each month in the Division of Plastic and Reconstructive Surgery, located on the first floor of the Wood Ambulatory Care Building.
Your child's care team will depend on the cause, extent and location of his condition. For example, your child may be referred to one of the following specialists in addition to a plastic surgeon and interventional radiologist:
- Orthopaedic surgery: for the treatment of vascular anomalies affecting the extremities, hands and feet, particularly when overgrowth of the involved area occurs.
- Oculoplastic surgery: for the treatment of vascular anomalies affecting the eye.
- Dermatology: for the treatment of the many vascular anomalies that affect the skin. Hemangiomas may benefit from beta blocker therapy, which is directed by our Dermatology Section. Rare genetic conditions may also benefit from evaluation by a dermatologist.
- Genetics: for the treatment of vascular conditions with a hereditary risk.
- Otolaryngology: for the treatment of vascular anomalies involving the head and neck, especially when the airway is involved.
- Pediatric General Surgery: for the treatment of vascular anomalies involving the trunk and extremities, especially when the abdominal organs and intestines are involved.
- Urology: for the treatment of vascular anomalies involving the kidneys and genitourinary system.
- Neurosurgery: for the treatment of vascular anomalies involving the central nervous system and spinal cord.
- Hematology: for the treatment of vascular anomalies that may cause bleeding or clotting problems, when anticoagulation may be a treatment option.
- Oncology: for the treatment of rare vascular tumors, both benign and malignant, and complex vascular malformations that may respond to chemotherapy.
We use a variety of state-of-the-art diagnostic tools to help us diagnose the type and extent of the blood vessel abnormality and determine the best treatment options. Diagnostic testing may include ultrasound, MRI imaging, arterial or venous MR imaging, venograms, arteriograms and blood tests.
If your child has had an ultrasound, MRI scan, or CT scan at CHOP, the imaging study and report will be available electronically at the time of your clinic visit. If your child has had a study at another institution, it is important to bring a copy of the scan to the clinic. If available, a written report can also be useful, but it is less important than the study itself.
We offer a variety of treatment options for vascular tumors and vascular malformations, including surgical procedures and minimally invasive treatments. In many cases, non-surgical therapy is highly effective and may include sclerotherapy, embolization, and endovascular laser by interventional radiology. Surgery may include complete or partial excision, laser therapy, and superficial sclerotherapy.