National Center of Excellence for Vein Disorders
Vein Videos by VeinsVeinsVeins.com
VNUS Closure and EVLT for venous reflux and insufficiencyBy: Hratch L Karamanoukian, MD August 16, 2010 |
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VNUS Closure Armenia, Egypt, Argentina, Lebanon, Nigeria, South Africa, England, UK, France, Italy, Serbia, Bosnia, Canada, Mexico, Japan, China, Vietnam, Australia, New Zealand, Brazil, Chile, Germany, Lithuania, Estonia, Latvia, Russia, Azerbeijan, Spain, Portugal
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New Video - Superficial Venous Reflux Disease by Dr KaramanoukianBy: Hratch L Karamanoukian, MD August 6, 2010 |
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See new video about superficial venous reflux disease by Dr. Hratch Karamanoukian and www.VeinsVeinsVeins.com
Click on the link below
http://www.youtube.com/watch?v=q6udzLNVzSE
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Video about microphlebectomy by Dr Hratch KaramanoukianBy: Hratch L Karamanoukian, MD August 6, 2010 |
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Video about microplebectomy by Dr Hratch Karamanoukian of www.VeinsVeinsVeins.com
http://www.youtube.com/watch?v=27Tu-th0mzY
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New Video About Venous Stasis Ulcer by Dr Karamanoukian and www.VeinsVeinsVeins.comBy: Hratch L Karamanoukian, MD August 5, 2010 |
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Watch a new video about venous stasis ulcers
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Foam Sclerotherapy Video for Venous Stasis UlcerBy: Hratch L Karamanoukian, MD August 4, 2010 |
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Foam scleroterapy to help heal venous stasis ulcer -
http://www.youtube.com/watch?v=KTLyG9PqyIU&feature=related
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Perforator Venous Reflux Disease Video - cockett's perforator veinBy: Hratch L Karamanoukian, MD August 3, 2010 |
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Cockett's perforator venous reflux disease and venous stasis ulcer - NEW VIDEO
http://www.youtube.com/watch?v=poZroy8cj74&feature=related
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Are Your Kids Giving You Heart Disease ?By: Hratch L Karamanoukian, MD December 17, 2008 |
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# Children and Risk of Heart Disease
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Lycopene and CancerBy: Hratch L Karamanoukian, MD December 16, 2008 |
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Cancers of the Prostate, Lung and stomach
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The Heart and Circulatory SystemBy: Hratch L Karamanoukian, MD December 15, 2008 |
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Heart, Circulatory System
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Rosehip and LycopeneBy: Hratch L Karamanoukian, MD December 14, 2008 |
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Lycopene - An Antioxidant
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Obstructive Sleep Apnea - Heart RiskBy: Hratch L Karamanoukian, MD December 14, 2008 |
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OSA and Heart Failure
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Stem Cell Therapy - What You Need to KnowBy: Hratch L Karamanoukian, MD December 14, 2008 |
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Stem Cells
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Heart Disease in MenBy: Hratch L Karamanoukian, MD December 14, 2008 |
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Mortality from Heart Disease - Men vs Women
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Stem Cells and Heart Attacks - Is the Future Here?By: Hratch L Karamanoukian, MD December 14, 2008 |
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Stem Cells, MI, Heart Failure
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Why Do We Get Heart Disease ?By: DiagnosisHeart.com Physician Team December 14, 2008 |
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Heart Disease, Diet
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How do I reduce my risk of developing lung cancer when I stop smoking?By: Hratch L Karamanoukian, MD December 14, 2008 |
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Smoking Cessation and Lung Cancer Risk Reduction
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PET scans and Heart DiseaseBy: Hratch L Karamanoukian, MD December 14, 2008 |
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PET scans, coronary artery disease, coronary stents, coronary artery bypass surgery
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Gunshot Wounds to the HeartDecember 14, 2008 |
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Heart Injury from Gunshot
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Natural Pacemaker of the HeartBy: Hratch L Karamanoukian, MD December 14, 2008 |
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The Pacemaker of the Heart
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Coronary Artery Calcium ScoreBy: Hratch L Karamanoukian, MD December 14, 2008 |
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Calcium Score and Coronary Artery Disease
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What is Body Mass Index, Obesity, etc ?By: Hratch L Karamanoukian, MD December 13, 2008 |
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BMI Calculator
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John Gibbon - Pioneering Heart SurgeonBy: Hratch L Karamanoukian, MD December 13, 2008 |
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John Gibbon and the Heart Lung Machine
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Children of Centenarians - 100 plus years old -By: Hratch L Karamanoukian, MD December 13, 2008 |
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Centenarians, chilcren of centenarians, life expectancy of children of centenarians
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Iron and Bacterial Resistance to InfectionBy: Hratch L Karamanoukian, MD December 12, 2008 |
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Iron, Bacteria, Wound Infection
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American Women and Heart DiseaseBy: Hratch L Karamanoukian, MD December 12, 2008 |
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Heart Disease and Women
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Gum Disease and the HeartBy: Hratch L Karamanoukian, MD December 12, 2008 |
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Gum disease, periodontal disease, heart disease
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Diastolic vs Systolic HypertensionBy: Hratch L Karamanoukian, MD December 12, 2008 |
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Diastolic Hypertension, Systolic Hypertension
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What is Claudication (leg cramping)?By: Hratch L Karamanoukian, MD December 11, 2008 |
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Claudication and PAD
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Exercise, Coronary Artery Disease and Vein HealthBy: Hratch L Karamanoukian, MD December 11, 2008 |
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CAD and Exercise
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Blood Cholesterol Levels - Desirable ValuesBy: Hratch L Karamanoukian, MD December 11, 2008 |
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HDL, LDL and Total Cholesterol
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Omega 3 Fatty Acids and the HeartBy: Hratch L Karamanoukian, MD December 11, 2008 |
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Omega 3 - AHA recommendations
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Rates of Heart Disease in Women in the WorldBy: Hratch L Karamanoukian, MD December 11, 2008 |
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Heart Disease Incidence in Japan is Lowest
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What is an Innocent Heart Murmur?By: Hratch L Karamanoukian, MD December 11, 2008 |
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Heart Murmurs
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What is C-Reactive Protein?By: Hratch L Karamanoukian, MD December 10, 2008 |
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CRP and Heart Disease
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Chlamydia and Atherosclerotic Heart Disease (CAD)By: Hratch L Karamanoukian, MD December 10, 2008 |
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Chlamydia - bacterial etiology of heart disease
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Omega 3 - Does it help the heartBy: Hratch L Karamanoukian, MD December 10, 2008 |
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Omega 3 fatty acids
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How Do Neonates with Congenital Heart Disease Fare? - You Must Read ThisBy: Hratch L Karamanoukian, MD December 10, 2008 |
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Congenital Heart Disease
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Do Fatal Heart Attacks Occur on Unlucky Days?By: Hratch L Karamanoukian, MD December 10, 2008 |
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Heart Attacks and Superstition
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Dementia and HypertensionBy: Hratch L Karamanoukian, MD December 9, 2008 |
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Dementia
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Prominent Politicians Have Atrial Fibrillation - check your pulse !By: Hratch L Karamanoukian, MD December 9, 2008 |
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Atrial Fibrillation - EKG rhythms
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What is deep vein thrombosis?By: Hratch L Karamanoukian, MD December 8, 2008 |
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DVT and Pulmonary Embolism
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The French ParadoxBy: Hratch L Karamanoukian, MD December 7, 2008 |
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What is the French Paradox?
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Dr. DeBakey - Development of Aneurysm Dacron Graft - video clipBy: Hratch L Karamanoukian, MD December 6, 2008 |
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see video below
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History of Heart Surgery and Dr. Michael DebakeyBy: Hratch L Karamanoukian, MD December 5, 2008 |
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Dr. Stephen Westaby
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Homocysteine, Folic Acid and Heart DiseaseBy: Hratch L Karamanoukian, MD December 4, 2008 |
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What is the relationship between folic acid, heart disease and homocysteine levels ?
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Aortic Dissection and High Blood Pressure (Hypertension)By: Hratch L Karamanoukian, MD December 4, 2008 |
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Aortic Tears
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How Does Stress Increase Blood Pressure?By: Hratch L Karamanoukian, MD December 4, 2008 |
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Stress and Hypertension
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How Does Exercise Help the Heart and Cardiovascular System ?By: Hratch L Karamanoukian, MD December 4, 2008 |
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HDL, LDL, Triglycerides, Calories
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Check Your Homocysteine Levels !By: Hratch L Karamanoukian, MD December 3, 2008 |
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Homocysteine levels and heart disease
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Abdominal Aortic AneurysmBy: Hratch L Karamanoukian, MD December 3, 2008 |
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AAA
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What is Wolff Parkinson White (WPW) syndrome ?By: Hratch L Karamanoukian, MD December 2, 2008 |
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WPW Syndrome
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Hospital Mortality and Educational Levels of Nurses - Implications for SurgeryBy: Hratch L Karamanoukian, MD December 1, 2008 |
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Hospital Surgery
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Alzheimer's Disease and Survival - President Reagan Beat the Odds!By: Hratch L Karamanoukian, MD November 30, 2008 |
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Alzheimer's Disease
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VNUS and EVLTBy: Hratch L Karamanoukian, MD October 5, 2008 |
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VNUS Closure for Venous Reflux Disease
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What are Perforator Veins ? www.VeinsVeinsVeins.com and Dr. Karamanoukian explain perforator vein anatomy and physiologyBy: Hratch L Karamanoukian, MD October 4, 2008 |
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Perforator vein anatomy and physiology can best be explained by using a mapping system and classification which makes it understandable to the lay person ... We have a deep venous system, a superficial venous system and perforator veins connecting these systems of veins. Often, problems with vein therapy are encountered in the short term and long term when patients are taken care of by physicians and surgeons who are NOT trained to address these problems.
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Partial List of Books Written by Dr. Hratch KaramanoukianBy: Staff at www.EliminateSweating.com October 1, 2008 |
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This is a partial list of books written by Dr. Karamanoukian of the Vein Treatment Center and www.VeinsVeinsVeins.com
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Dr. Denton Cooley, the world famous pioneer in cardiac surgery of the Texas Heart Institute reviews Dr. Karamanoukian's book ....By: Staff at www.EliminateSweating.com October 1, 2008 |
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Dr. Denton Cooley of the Texas Heart Institute reviews Dr. Karamanoukian's book - 'Intraoperative Graft Patency Verification in Cardiac and Vascular Surgery'
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Surgeon General's call for action to reduce pulmonary embolism and deep vein clotsBy: Hratch L Karamanoukian, Md October 1, 2008 |
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DVT, Pulmonary Embolism and Surgeon General of the U.S.
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Doody's Review Service Reviews Dr. Hratch Karamanoukian's book - Beating Heart Coronary Artery SurgeryBy: Staff at www.EliminateSweating.com September 30, 2008 |
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Doody's Review Service has given favorable reviews of Dr. Karamanoukian's book (coauthors Dr. D'Ancona, Salerno, Ricci and Bergsland)
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Journal of Interventional Cardiology Reviews Dr. Karamanoukian's book - Beating Heart Coronary Artery SurgeryBy: Staff at www.EliminateSweating.com September 25, 2008 |
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Review of Dr. Karamanoukian's book by the Journal of Interventional Cardiology:
"The book [Beating Heart Coronary Artery Surgery] represents a comprehensive overview of the field, and it provides excellent sections on the various surgical techniques required to perform successful off-pump surgery. It is an excellent addition to the literature and is useful for practicing surgeons. The section on outcomes after off-pump coronary surgery is excellent, and provides the justification for why surgeons are pursuing this new avenue of surgical coronary revascularization.
"This book represents a comprehensive review of beating heart surgery with particular emphasis on the technical aspects of these procedures."
--Journal of Interventional Cardiology
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Horse Chestnut Extract for Venous InsufficiencyBy: Hratch L Karamanoukian, MD and Raffy Karamanoukian, MD September 14, 2008 |
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A study published in Cochrane Database Syst Rev investigates the efficacy of oral horse chestnut extract versus compression stockings for treating venous insufficiency. It reports that horse chestnut extract is efficacious in the short term for treating venous insufficiency.
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What Do Venous Ulcers Look Like ?By: Hratch L Karamanoukian, MD and Raffy Karamanoukian, MD September 14, 2008 |
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what is a venous stasis ulcer ?
Venous stasis ulcers are primarily found on the inner part of the leg, just above the ankle. Venous stasis ulcers are common in patients who have a history of leg swelling, varicose veins or blood clots in either the superficial or the deep veins of the legs. The latter contribute to venous insufficiency and changes in the skin which result in ulceration of the skin.
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VNUS Clsoure Video - How Does VNUS Closure Work ?By: Hratch L Karamanoukian, MD and Raffy Karamanoukian, MD September 14, 2008 |
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See video of VNUS Closure procedure by clicking on the link below
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Dr. Raffy Karamanoukian of Santa Monica Vein Center Donates 25 'Heart Health' Books During National Cholesterol Awareness MonthBy: Staff at www.VeinsVeinsVeins.com September 11, 2008 |
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Dr. Raffy Karamanoukian, Director at the Santa Monica Vein Center and Kare Aesthetic and Plastic Surgery of Santa Monica, CA donates 25 'Heart Health' books during National Cholesterol Awareness Month. September is National Cholesterol Awareness Month of the American Heart Association. The books, entitled "Doctor, How Do I Live the Heart Healthy Way" is authored by Drs. Hratch Karamanoukian, Pierre Aoukar and Andrew Freeman. Dr. Raffy is proud to donate these books to patients with a family history of heart disease in memory of his father, Prof. Levon Karamanoukian, who suffered a heart attack and died unexpectedly in 1999. For more information contact Dr. Raffy Karamanoukian at www.SantaMonicaVeinCenter.com
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Dr. Karamanoukian's book, Cardiac Surgery Secrets 2nd Edition has been translated into the Turkish languageBy: Editorial Staff at www.VeinsVeinsVeins.com September 10, 2008 |
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Dr. Hratch Karamanoukian and colleagues, Drs. Tomas Salerno and Paolo Soltoski published a cardiac surgery book called Cardiac Surgery Secrets which was published by Hanley & Belfus. The Second Edition has been translated into the Turkish language and just published.
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Dr. Hratch Karamanoukian and the Vein Treatment Center Celebrate National Cholesterol Awareness Month - www.VeinsVeinsVeins.comBy: Staff at www.VeinsVeinsVeins.com September 8, 2008 |
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Dr. Hratch Karamanoukian celebrates National Cholesterol Awareness Month by donating 25 “Heart Health” books to his patients with a history of high cholesterol levels. The books, written by Dr. Karamanoukian and his colleagues, Drs. Pierre Aoukar and Andrew Freeman is called ‘Doctor, How Do I Live the Heart Healthy Way?” For more information, contact Dr. Karamanoukian at the Vein Treatment Center at www.VeinsVeinsVeins.com or by calling 716-839-3638.
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VNUS Closure Video - How Does FAST VNUS Closure Work ? www.VeinsVeinsVeins.com and www.SantaMonicaVeinCenter.comBy: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD September 2, 2008 |
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See video clip of VNUS Closure and how it obliterates the great saphenous vein to treat venous reflux disease.
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Varicose Vein Video on www.VeinsVeinsVeins.com by Carl Russo 97 Rock and 97Rock.comBy: Hratch Karamanoukian, MD September 1, 2008 |
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See video clip for varicose vein treatment at the Vein Treatment Center - call 716-839-3638 to schedule an appointent.
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Ultrasound Guided Foam Sclerotherapy of the Great Saphenous VeinBy: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD August 25, 2008 |
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Endovenous chemical ablation is a technique for treatment of great saphenous vein insufficiency and this has been performed with foam under ultrasound guidance. Dr. Hill and colleagues have reported the safety and efficacy of foam sclerotherapy of the great saphenous vein using different maneuvers on the lower extremity – that is to reduce the likelihood of foam and bubbles from embolizing to the lungs, and in one of their patients, with a patent foramen ovale, from embolizing across two chambers of the heart and traveling to the microcirculation of the brain.
Three groups of patients were studied and the authors demonstrated that foam sclerotherapy of the great saphenous vein was safest when the leg was elevated and without applied compression on the deep veins in the groin.
The authors concluded from this retrospective study that “ultrasound-guided sclerotherapy of the great saphenous vein using foam sclerosants is best performed with the leg elevated and no occlusive pressure at the saphenofemoral junction in order to reduce the risk of gas embolization to the central nervous system. [They stated further] that “study is needed to assess the midterm success of this technique and to confirm the effect of using foam produced from physiologic gases”.
Dr. Karamanoukian’s comment – ultrasound guided foam sclerotherapy is still in evolution and long term outcome is still pending when compared to endovenous obliteration of the great saphenous vein with laser or radiofrequency. It is less expensive that VNUS Closure and EVLT but is associated with gas embolization to the brain with potential TIA and stroke.
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What is a Venous Stasis Ulcer ?By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD August 24, 2008 |
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Individuals who suffer from chronic venous insufficiency, also known as venous reflux disease, are at risk of developing venous stasis ulcers. Approximately 7 million people in the United States have chronic venous insufficiency. It is calculated that one in 1,000 people in the United States have a nonhealing venous stasis ulcer.
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What is Better, Vein Stripping or Endovenous Obliteration (VNUS, EVLLT, ELVeS)By: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD August 23, 2008 |
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How effective are endovenous obliteration techniques in the treatment of lower extremity varicose veins? This is a question I often get asked when I evaluate patients with venous reflux disease and varicose veins.
A recent meta analysis of existing clinical studies looked into this topic by analyzing studies published until 2007. Dr. Van Den Bos and colleagues from the Department of Dermatology, Rotterdam, the Netherlands.published this data in the Journal of Vascular Surgery in August 2008.
The researchers found that endovenous obliteration techniques, when compared to ligation and vein stripping was superior: At 3 years follow-up, vein stripping was 78% successful, radiofrequency ablation (VNUS) was 84% successful and endovenous laser therapy (e.g. EVLT) was 94% successful.
The authors concluded that “in the absence of large, comparative randomized clinical trials, the minimally invasive techniques appear to be at least as effective as surgery in the treatment of lower extremity varicose veins
Dr. Karamanoukian’s note – There you have it, endovenous obliteration is more effective than vein stripping and it seems that endovenous laser (EVLT, ELVeS) are more effective thatn radiofrequency obliteration (e.g. VNUS).
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UK Surgeons Using More and More Endovenous Procedures for Venous Reflux DiseaseBy: Hratch Karamanoukian, MD and Raffy Karamanoukian, MD August 21, 2008 |
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A study completed by UK surgeons addresses the types of varicose vein treatments offered by surgeons in the National Health Service and in private practice. The vast majority (96%) offered conventional surgery, namely ligation and stripping and endovenous laser (EVL, ELVeS, EVLT) and radio frequency ablation (VNUS Closure) were more likely to be offered in private practice than in NHS practice. Overall, 38% of respondents for NHS practice and 45% of respondents for private practice offered two or more modalities of treatment. “When asked to consider future practice, 70% surgeons felt that surgery would remain the most commonly used treatment followede by endovenous laser (11%) and VNUS Closure (2%) procedures.
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Dr. Raffy Karamanoukian performs VNUS Closure procedure at the Santa Monica Vein Center - see video clip for VNUS ClosureBy: Hratch Karamanoukian, MD August 1, 2008 |
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Dr. Raffy Karamanoukian has been perforing VNUS Closure at the Santa Monica Vein Center since 2005. This video clip for VNUS FAST Clsoure was developed by the VNUS corporation, developers of the VNUS FAST catheter. Contact Dr. Raffy Karamanoukian at the Santa Monica Vein Center by calling 310-998-5533 or go to www.SantaMonicaVeinCenter.com
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