Management Strategies for Infantile Hemangiomas

Tuesday, January 27, 2009 by Renee Lierly, RN

Laser based infrared technology may be used to perform a Laser Vein treatment to hemangiomas. Treating hemangiomas is an advanced vascular treatment and should only be attempted if the treatment provider understands the anatomy and physiology of the lesion and has performed a complete assessment.

Management Strategies for Infantile Hemangiomas
 

Hemangiomas are benign tumors in which growth of capillary blood vessels occurs through angiogenesis.2 They rarely occur in utero, but instead appear as bluish or red marks within the first 2 weeks of infancy. Following this initial stage, they show rapid growth lasting for up to 12 months, the proliferation phase. In the next phase, the involuting phase, they slowly regress until an average of 5 to 7 years, after which hemangiomas remain unchanged.3 Traditional management of hemangiomas therefore, has been to wait until involution occurs spontaneously. However, complications such as bleeding, infection, ulceration, obstruction of orifices or psychosocial distress may be cues for intervention.

Maya Barsky, BS, and Robert Buka, MD, JD

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