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Why Choose a Board Certified Phlebologist (Vein Specialist) to Evaluate and Treat your Spider Veins and Varicose Veins?
Monday, January 23, 2012

There is nothing wrong with having a general surgeon or radiologist to do your vein procedures. However, a dedicated surgeon who is also a phlebologist (vein specialist) brings a whole element of specialty care to the practice of vein disorders. At the Vein Treatment Center, the focus is not just one procedure for all patients, namely 'vein stripping', but rather a variety of procedures that are individualized and targeted to treat specific problems: varicose veins, truncal venous reflux disease, perforator venous reflux disease, vein related skin diseases, treatment of venous stasis ulcers, VNUS Closure, EVLT, topical lasers for spider and reticular veins, SEPS, etc. For a detailed evaluation, call the Vein Treatment Center for a consulation with Dr. Hratch Karamanoukian. Dr. Hratch Karamanoukian is triple board certified - in general surgery (American Board of Surgery), Cardiovascular Surgery (American Board of Thoracic Surgery) and Venous Surgery (American Board of Phlebology). We don't dabble in vein care, but treat it as a medical/surgical specialty. Ask your 'vein doctor' if he is Board Certified in Phlebology!

 

Dr. Raffy Karamanoukian is a diplomate of the American Board of Plastic Surgery (ABPS) and Diplomate of the American Board of Phlebology who collaborates with Dr. Hratch Karamanoukian at the Vein Treatment Center. Dr. Raffy Karamanoukian is Director of the Santa Monica Vein Center and is focused on the most advanced treatments for his patients with vein disorders. He also performs specialty muscle flaps and surgical wound treatments for patients with venous stasis ulcers. Dr. Raffy can be reached through his website www.SantaMonicaVeinCenter.com

 

We perform VenaCure EVLT Never Touch for perforator veins, saphenous veins, as well as VNUS Closure FAST. We also perform foam sclerotherapy, traditional sclerotherapy, ultrasound guided sclerotherapy and laser treatments for spider veins.

 

Call 716-839-3638 for Buffalo Niagara offices.

 

Call 310-998-5535 for Santa Monica and Beverly Hills, CA offices

 

What symptoms suggest venous insufficiency?
Monday, January 23, 2012

Superficial venous reflux can also cause symptoms in patients who have no obvious varicose veins. This means that there are patients who have all of the symptoms listed bloew without obvious varicose veins who may have this condition. They come in for evaluation because they have:

 

  • aching and pain in the legs
  • heaviness of the legs
  • tired legs
  • leg fatigue at the end of a work day
  • itching of the legs
  • cramping of the legs
  • throbbing of the legs
  • restless legs
  • swelling of the legs

 

Other patients have both signs of venous disease (spider veins, reticular veins and varicose veins) and symptoms suggesting venous refux disease.

 

If you suffer any of these symptoms, you should be evaluated by a vein specialist. Hratch Karamanoukian, MD FACS is a Board Certifed Vein Specialist with offices in Williamsville, NY, Clarence, NY and East Amherst, NY. Call 716-839-3638 to schedule a consultation.  

Can You Have Venous Insufficiency Without Visible Varicose Veins ?
Sunday, November 11, 2012

 

Superficial venous reflux can also cause symptoms in patients who have no obvious varicose veins. This means that there are patients who have all of the symptoms listed bloew without obvious varicose veins who may have this condition. They come in for evaluation because they have:

  • aching and pain in the legs
  • heaviness of the legs
  • tired legs
  • leg fatigue at the end of a work day
  • itching of the legs
  • cramping of the legs
  • throbbing of the legs
  • restless legs
  • swelling of the legs

 

Other patients have both signs of venous disease (spider veins, reticular veins and varicose veins) and symptoms suggesting venous refux disease.

 

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

Venous Valves of the Lower Extremities - Treatment for Venous Insufficiency Buffalo Vein Treatment Center 716-839-3638
Thursday, July 18, 2013

 

Alberto Caggiati MD has written a nice article in Phlebolymphology volume 78 about the anatomy of vein valves in the lower extremities. To access the article click on the link www.phlebolymphology.org/2013/04/the-venous-valves-of-the-lower-limbs/

 

The article describes the distribution of valves in the superficial veins, deep veins and perforating (perforator) veins of the lower extremities. The author also explains the role of these vein valves in the pathogenesis of venous insufficiency.

 

To read about superficial venous reflux disease read the following: www.veinguide.com/varicose-veins/6/venous-reflux.aspx

 

To read about perforator venous reflux read the following: www.veinsveinsveins.com/perforators.html

 

To read about treatments for venous insufficiency read the following: www.veinguide.com/varicose-veins/12/venous-reflux-procedures.aspx

 

To schedule treatments for venous insufficiency call Dr Karamanoukian at 716-839-3638 or contact us y email @ veintreatmentcenter@yahoo.com

 

 

How is venous reflux related to vein valves ? The Venefit Procedure and EVLT
Sunday, November 25, 2012

 

If the one-way vein valves malfunction, blood can leak back into a lower level and collect there. This problem is called venous insufficiency. Pooled blood enlarges the vein and over time, it becomes varicose. Mechanically minded people refer to ‘one-way’ valves as ‘check valves’.

 

In essence, vein valves are healthy when they function as one-way valves and they are considered diseased when they function like two-way valves. ‘Two-way’ valves act like ‘saloon doors’ in Western movies.

 

Venous reflux disease pushes blood from the deep veins into the superficial veins. This is called superficial venous reflux disease. Its gets more complicated as there is superficial venous reflux disease, deep venous reflux disease and perforator venous reflux disease. Deep venous reflux is leakage of valves in the deep veins. Perforator venous reflux is leakage of blood from the deep veins into the superficial veins through these perforator (or connecting) veins.

 

**The VNUS Closure Procedure is now called the Venefit Procedure. Same procedure, different name.

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

How do compression stockings work ? What is the role of the Venefit Procedure (previously called VNUS Cllosure) ?
Sunday, November 25, 2012

 

Compression stockings or compression therapy are often a first line of defense in treating venous conditions. They are commonly required by insurers prior to approval for vein procedures, including VNUS Closure® (new name Venefit Procedure) or EVLT®. Although compression stockings may alleviate  symptoms of venous disease, they do not get rid of varicose veins or directly treat venous reflux disease.

 

Gradient compression delivers a squeezing to the leg.  The degree of compression is highest at the ankle (most squeeze) and gradually decreases as one goes up to the thigh and waist. This compression, is generally expressed in mmHg (millimeters of mercury).

 

Compression is believed to increase the pressure in the tissues beneath the skin thus reducing excess leakage of fluid from the capillaries and increasing absorption of tissue fluid by the capillaries and lymphatic vessels. Compression stockings therefore reduce swelling and also prevent leg swelling.

 

Medical grade compression also limits the size (diameter) of superficial veins beneath the skin.  The stocking does not allow these superficial veins to engorge with blood. This action helps prevent "pooling" of venous blood in the superficial veins. The venous blood is able to circulate more efficiently in the lower extremities.

 

**The VNUS Closure Procedure is now called the Venefit Procedure. Same procedure, different name.

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

 

 

Aescin for venous insufficiency - Horse chestnut extact for venous insufficiency
Saturday, December 1, 2012

 

Veinamin® PM was designed by two Board Certified Phlebologists (vein specialists) as an evening dose to support symptoms associated with chronic venous insufficiency (CVI). This proprietary blend of horse chestnut extract and bilberry taken together will reduce symptoms related to CVI – leg swelling, aching and leg heaviness. Horse chestnut extract has been shown to be as effective as wearing compression stockings for the treatment of CVI. Bilberry, an anthrocyanin enhanced extract, is a potent oxygen radical scavenger (antioxidant) that protects cardiovascular tissue. This evening dose of Veinamin®PM aids in maintaining and promoting venous integrity and treating symptoms resulting from CVI. Take this product as an evening dose in conjunction with Veinamin® AM.

 

 Veinamin®AM can be purchased on www.MyVeinStore.com .

 

 

 

 

Spider Vein Removal Buffalo - Board Certified Vein Specialists Buffalo - Board Certified Phlebologist Buffalo
Sunday, December 2, 2012

 

 

We have the most advanced treatments available to treat venous insufficiency:

 

Venefit Procedure (previously called VNUS Closure)

 

EVLT Never Touch for the saphenous veins

 

EVLT Never Touch for Perforator vein reflux

 

ClariVein Procedure

 

As Board Certified vein specialists (Phlebologist), we also perform all types of vein procedures:

 

Traditional sclerotherapy

Foam sclerotheapy

Ultrasound guided foam sclerotherapy

Topical Laser treatments for spider veins

Microphlebectomy

 

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

Body Mass Index and Venous Insufficiency
Sunday, February 3, 2013

 

A study in Serbia investigated the association between venous disease and body mass index (BMI).

 

The researchers showed that the severity of venous disease, based on the CEAP classification, is associated  with the severity of venos disease.

 

"According to multivariate analysis, the CEAP C category of CVD was significantly more advanced in overweight and obese patients, the association being more pronounced in obese. Compared groups did not differ in the presence of venous reflux. In univariate analysis, venous obstruction was related to overweight and obesity but this association did not substantially affect the relationship between obesity and CEAP C categories of CVD".

 

The research was published in the Eur J Vasc Endovasc Surg. 2013 Jan 18 by Vlajinac and colleagues from the Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

 

The authors concluded that "the CEAP C categories of chronic venous disease were significantly related to overweight and obesity, and this association was independent of age, sex and some other postulated risk factors".

 

Call Dr. Karamanoukian to schedule an appointment for consultation. In Los ANgeles, call 310-998-5535 or www.SantaMonicaVeinCenter.com - In Buffalo Niagara call 716-839-3638 or www.VeinsVeinsVeins.com or www.VeinGuide.com

 

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

Olympic Athletes Get The Word Out About Venous Disease
Sunday, February 3, 2013

 

 

Patients often feel that they are the only ones out there struggling with leg pain and varicose veins. As a matter of fact, in an internal study done in our practice, one in 3 women and 1 in 2 men tell us that they have mentioned to their primary care physicians 'for years' that they have leg problems and were told "to wear stockings".

 

The fact is, however, that these patients are not alone- one in four Americans have some form of vein disorder. Some notable personalities, like an Olympic athlete have come out to tell their stories. 

 

U.S. Olympic gold medalist, Summer Sanders shares her story of suffering with varicose veins. “As a life-long athlete and Olympic swimmer, I never thought a condition like varicose veins or chronic venous insufficiency (CVI) would affect me. It soon hit me that, even though I was active, I was starting to get my mother’s legs....

 

It’s important for people to realize that varicose veins and CVI can happen to anyone and they are more than just a cosmetic issue. But you don’t have to live with the uncomfortable and painful symptoms. There are minimally-invasive treatments available that are covered U.S. by many insurance plans.

 

Call to schedule an appointment for consultation @ 716-839-3638 (Buffalo Niagara) and www.SantaMonicaVeinCenter.com (Los Angeles).

 

See different treatments for chronic venous insufficiency

 

Phlebitis and Thermography - Phlebitis, Thrombophlebitis, Superficial Vein Phebitis Buffalo, New York
Wednesday, February 20, 2013

 

 

Thermography image of phlebitis from www.vathermography.com

 

Healthy Vein Valves and Valvular insufficiency on www.VeinGuide.com, www.VeinsVeinsVeins.com and www.SantaMonicaVeinCenter.com
Sunday, February 10, 2013

 

 

How do vein valves work ? Venous insufficiency and venous valvular leaks on www.VeinGuide.com, www.VeinsVeinsVeins.com and www.SantaMonicaVeinCenter.com

 

 

 

 

 

Call Dr. Karamanoukian in Buffalo Niagara to schedule an appointment for consultation - call 716-839-3638 or www.VeinsVeinsVeins.com and www.VeinGuide.com

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

 

 

 

Doctor Karamanoukian Offers Free Copies of His Book - "Treatment Options for Chronic Venous Insufficiency" - Buffalo Vein Specialist
Friday, July 12, 2013

 

 

 

If you experience bulging leg veins, aching and pain in the legs, heaviness, tiredness of the legs, itching and burning along bulging veins, restless legs or leg swelling, you may have symptomatic varicose veins that warrant evaluation and treatment.

 

Varicose veins can become enlarged and in some cases quite prominent. They can be seen in some individuals as serpiginous (snakelike), raised lumps in the thighs, legs, calves and ankles. 

 

The first reference to the treatment of varicose veins is credited to Hippocrates in the 4th Century BC. He used a "slender piece of iron" to traumatize varicose veins and thereby cause clotting of the vein. Another description is of historical note with removal of a varicose vein in the Roman Consul member Caius Marcus by Plutarch - of note, no anesthesia was used and when the surgeon went to do the same operation on his other leg, he is noted to have said " I see the cure is not worth the pain". Things have changed a lot since that time and the procedures done today are done in the comfort of an office setting with little or no discomfort! Over 98% of patients who have vein procedures at the Vein Treatment Center return to work within 24 hours. We encourage all of our patients to resume ALL physical activities immediately, including using the treadmill, walking, jogging, running, elliptical machines, yoga (traditional and hot), zumba, bicycling and so on ...

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

Dr. Raffy Karamanoukian and Dr. Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

 

If you want a free pdf copy of this book, contact Dr. Karamanoukian via www.veinsveinsveins.com/contact.html

 

 

 

 

Treatment Options for Chronic Venous Insufficiency

 

 

Image of Venous Insufficiency Buffalo Niagara Vein Treatment Center - Welcome Canadian patients
Friday, August 30, 2013

 

 

Cartoon image of venous insufficiency

 

The cause of varicose veins, when the veins enlarge, the valves fail and blood flows backward.

 

information and treatment for venous insufficiency, venous reflux, EVLT, VNUS Closure and ClariVein, contact Hratch Karamanoukian MD FACS at the Vein Treatment Center with offices in Williamsville, NY and Clarence, NY or call 716-839-3638.

 

 

Dr. Karamanoukian has written 6 books about venous diseases and has contributed 7 chapters in the American College of Phlebology book called Healthy Veins .... Healthy Legs. Contact Dr. Karamanoukian's office for a free copy of his book (in limited quantities, while supplies last).

 

 

 

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