Suggested Pre-Referral Evaluation and Management Guidelines
If a hemangioma or vascular malformation is expanding rapidly and/or distorting normal anatomy, especially around the facial region, please call the clinic and ask to speak to a provider about an expedited appointment.
Suggested Additional Test/Management Prior to Specialty Visit
We do not recommend imaging, such as MRI, prior to the initial visit. Although it may seem helpful to have the images at that time, MRIs for vascular anomalies often need to be ordered with very specific instructions to the radiologist to obtain a study that provides all the necessary information to make decisions about treatment. We find studies obtained prior to our office visit often are not adequate and need to be repeated. Since these studies typically require anesthesia in young children, and insurances companies may question the need for a second study, we would prefer to order the studies as needed after the initial evaluation.
Urgent if rapidly growing lesion on face
Patients should be informed that the first appointment is for a consultation only. No procedures will be performed at that visit, unless there is an emergency. They should also understand that any imaging studies that get ordered typically need to be scheduled for a subsequent visit, particularly MRIs, which are lengthy and often require anesthesia for young children, so they can’t practically be done the same day.
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit. If imaging studies have been done, patients should bring a DVD with the actual images. But see above- we prefer to order imaging studies after the initial visit.