Vascular anomalies care

Your child’s first appointment starts with a conversation. Your child’s specialist may recommend tests or imaging, such as genetic tests, ultrasound, MRI and in some cases, a biopsy (tissue sampling). Then, a diagnosis is made. We take the time to explain your child’s diagnosis and answer your questions.

We diagnose and treat all types of vascular malformations and vascular tumors. These are often called birthmarks but include:

• Arteriovenous malformation (AVM)
• Capillary malformations
• Complex CLOVES (congenital lipomatous overgrowth, vascular malformations, epidermal nevus and spinal abnormalities)
• Hemangiomas
• Infantile and congenital hemangiomas
• Kaposiform hemangioendothelioma (KHE)
• Klippel-Trenaunay syndrome
• Lymphatic malformation
• PHACE (posterior fossa anomalies, hemangioma, arterial anomalies, cardiac anomalies and eye anomalies) syndrome
• Moyamoya syndrome
• Sturge-Weber syndrome
• Venous malformations
• Other vascular anomalies

At Peyton Manning Children’s Hospital, your child’s specialists collaborate to create a highly coordinated care plan for your child. Each type of vascular anomaly is treated with a personalized approach. Some conditions require immediate care, while others start with observation first and may be managed over time.

Treatment options may include:

• Catheter-directed procedures by interventional radiology (IR) (for example, embolization or sclerotherapy)
• Steroids
• Surgical excision
• Systemic therapy such as beta blockers (for example, propranolol or Hemangeol®) and immune modulation (for example, sirolimus or alpelisib)
• Topical therapy such as beta blockers (for example, timolol) and immune modulation (for example, sirolimus)