From the Research
Treatment for ruptured microvascular blood vessels should prioritize prevention of further thrombosis and promotion of microvascular health, with consideration of antithrombotic agents and good surgical technique, as evidenced by the most recent study in 2020 1. The goal of treatment is to minimize morbidity, mortality, and improve quality of life by preventing further damage to the microvasculature.
- Key considerations include:
- Prevention of thrombosis: antithrombotic agents such as aspirin, heparin, or colloids may be used, although the ideal regimen is still unclear 2.
- Good surgical technique: proper training and skill are essential to minimize damage to the microvasculature and prevent thrombosis 2.
- Management of underlying conditions: conditions such as disseminated intravascular coagulation, thrombotic microangiopathy, and sickle cell disease require specific treatment and management to prevent microvascular thrombosis 1.
- Additional measures to promote microvascular health include:
- Avoiding extreme temperatures and protecting the skin from sun damage with SPF 30+ sunscreen.
- Maintaining gentle skincare and avoiding harsh scrubbing.
- Considering supplements like vitamin C (500-1000mg daily) to support collagen production and vessel integrity. It is essential to note that the treatment approach may vary depending on the location and severity of the ruptured microvascular blood vessels, as well as the presence of underlying conditions.
- For example, laser therapy or sclerotherapy may be used to treat facial or leg vessels, respectively, while more severe cases may require surgical intervention or antithrombotic therapy 3, 4, 5. However, the most recent and highest-quality study 1 should be prioritized when making treatment decisions, and a systematic approach to prevention and treatment of microvascular obstruction-related myocardial injury and coronary no-reflow should be considered 4.