Diagnosis of Vascular Malformations:

Clinical Evaluation:

• Symptom Assessment: Dr. Nagesh evaluates symptoms associated with vascular malformations, such as pain, swelling, discoloration, or functional impairment.
• Medical History: Gathering information about the onset and progression of symptoms, family history, and any prior treatments is crucial.

Imaging Studies:

• Ultrasound: Provides real-time images to assess blood flow, identify abnormal vessels, and evaluate the extent of the malformation.
• Magnetic Resonance Imaging (MRI): Offers detailed images of soft tissues, aiding in the visualization of vascular structures and their characteristics.
• Computed Tomography (CT) Angiography: Produces detailed images of blood vessels to identify abnormalities and assess their impact on surrounding tissues.

Angiography:

• Conventional Angiography: Involves injecting a contrast dye into blood vessels and capturing X-ray images to visualize the vascular system in detail. This helps in identifying the specific type and location of the malformation.

Interventional Treatment for Vascular Malformations:

Embolization:

• Purpose: Embolization is used to block abnormal blood vessels and redirect blood flow, reducing symptoms and preventing complications.
• Procedure: Small particles or coils are injected into the abnormal vessels, causing them to clot and close off.
• Benefits: Minimally invasive, targeting specific vessels to alleviate symptoms.

Sclerotherapy:

• Purpose: Sclerotherapy is effective for certain types of vascular malformations, especially those involving veins.
• Procedure: A sclerosing agent is injected into the abnormal vessels, causing them to shrink and seal.
• Benefits: Non-surgical, suitable for certain types of malformations, particularly those involving venous structures.

Laser Therapy:

• Purpose: Laser therapy can be employed for superficial vascular malformations.
• Procedure: Laser energy is directed at the abnormal vessels, causing coagulation and closure.
• Benefits: Non-invasive, suitable for certain types of superficial malformations.

Surgical Resection:

• Purpose: In some cases, surgical removal of the malformation may be necessary.
• Procedure: Surgically excising the abnormal vessels while preserving surrounding tissues.
• Benefits: Applicable in specific situations where other interventions may not be sufficient.

Dr. Nagesh’s approach to vascular malformations combines accurate diagnosis with advanced interventional techniques, ensuring a tailored and effective treatment plan for each patient.