Vein News

Written by Hratch L Karamanoukian MD FACS DABS DABTS RVT RPhS RPVI DABVLM An interesting and novel research paper was presented at UIP 2022 in Istanbul, Turkey regarding the use of autologous gel (Platelet Rich Plasma, PRP) for sclerotherapy of ... Read more

Katherine Kozlowski MD and Jaber Al Musri MD  Jaber Al Musri MD is a Phlebologist in Dubai, UAE Katherine Kozlowski is a medical student at University at Buffalo School of Medicine   Very intereting and clinically relevant research was ... Read more

Is there a relationship between saphenous vein size and venous reflux ?  Article written by Jean Francois Gutierrez MD Private Practice, Dubai Medical Contributor for Vein News and www.VeinsVeinsVeins.co   Study ... Read more

By Ahmad Prasad, MD, Contributor to Vein News and www.VeinsVeinsVeins.com  What is Four-layer bandaging for venous leg ulcers ?  Layer 1:  A wool bandage is applied from the base of the toes to just below the ... Read more

What is better to treat red telangiectasias in women ?  by Hratch L Karamanoukian MD FACS RVT RPVI RPhS DABVLM Researchers from the University of Medicine and Pharmacy in Craiova, Romania have done a comparative study in red ... Read more

How does Polidochanol work ?  Hratch Karamanoukian MD FACS RVT RPVI RPhS DABVLM Polidochanol is a non-ionic sclerosant in the non-ionic detergent class of sclerosant solutions.   It has local anesthetic action, meaning that ... Read more

Written by:  Hratch Karamanoukian MD FACS Rvt rPhS RPVI DABVLM Is there a relationshi between deep venous reflux and superficial vein reflux ? Researchers at the Department of Surgery, Eniwa Midorino Clinic, Eniwa, Japan and 3 ... Read more

I-VASC is doing clinical trials with novel technology that uses a balloon catheter system to drain segment of a saphenous vein or a varicose vein following which sclerosant solution is delivered to that isolated segment.  The technology falls ... Read more

By Katherine Kozlowski, Medical Author and Associate Editor at Vein News, VeinsVeinsVeins.com The anesthetic lidocaine is a cream or injection that is commonly used for surgical and non-invasive procedures. REACTIONS The most common mild ... Read more

Walid Haddad MD, Contributing author to Vein News and www.VeinsVeinsVeins.com  Fellow, King Abdl-Aziz University Hospital  Experience with Cryosurgery for Varicose Veins     What is cryosurgery? Dr. ... Read more

By Katherine Kozlowski, Associate Editor of Vein News VeinsVeinsVeins.com Venous thromboembolism is a major cause of mortality in patients with cancer. Venous thromboembolism includes deep vein thrombosis (a clot in the lower extremity) and ... Read more

Nader Samir MD, American University of Beirut (Contributor for Vein News and www.VeinsVeinsVeins.com)  Is Obesity a risk factor for developing varicose veins ?  There is evidence to suggest that obesity is a risk factor for the ... Read more

By Hratch L Karamanoukian MD FACS RVT RPhS DABVLM and Iskander Cobanoglu MBBS (United Arab Emirates)  A larger number of patients are being recognized as having pelvic congestion syndrome and are being interrogated with pelvic Doppler ... Read more

By Katherine Kozlowski, Associate Editor for Vein News and www.VeinsVeinsVeins.com    It is estimated that approximately 4-20% of cancer patients will develop deep vein thrombosis (DVT) and/or venous thromboembolism at some stage of ... Read more

By Katherine Kozlowski, Medical Author and contributor to Vein News and VeinsVeinsVeins.com Researchers from Milan, Italy completed a retrospective analysis of patients with symptomatic venous insufficiency of the small saphenous ... Read more

By Katherine Kozlowski, Associate Editor for Vein News and VeinVeinsVeins.com  A recent study looked at the association of pulmonary embolism (PE) with deep vein thrombosis (DVT) in patients with coronavirus disease 2019 (COVID-19) and the ... Read more

by Hratch Karamanoukian MD FACS DABVLM RVT RPhS A poster presentation at the 2021 AVLS Meeting showed data in surgical patients regarding venous thromboembolism in surgical patients during the Covid 19 pandemic.  The data was presented by ... Read more

By Mohammed Karzeiwi MD, Professor of Vascular Surgery, United Arab Emirates and contributor to Vein News and www.VeinsVeinsVeins.com and Katie Kozlowski (Associte Editor of Vein News at www.VeinsVeinsVeins.com  What is the most common ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com   Researchers from the United Kingdom and Europe trained an Artificial Intelligence (AI) program that is designed to diagnose DVT with the use of an ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com   Researchers from Serbia completed a literature review to determine possible correlation between various climatic factors and the pathogenesis of ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com   Guex et al completed a study determining the various adverse side-effects of polidocanol foam, the chemical often used in sclerotherapy ... Read more

By Katherine Kozlowski, Medical author and contributor to Vein News and VeinsVeinsVeins.com Clinicians from China investigated the risk factors and most likely sites of occurrence in pulmonary embolism (PE) patients caused by deep vein ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com Lipedema is a disease characterized by abnormal deposits of fat tissue in the bilateral upper and lower limbs.   Researchers from Brazil ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com    We receive a lot of queries from primary care providers regarding the issue of DVT/VTE prophylaxis for patients with varicose veins who ... Read more

Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com  Medical compression stockings and phlebologic compression stockings are off the shelf, standard stockings. They are offered in three ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com   Inflammation is the body’s defense against injury or infection. Acute inflammation occurs within the first two weeks of infection or injury, ... Read more

By Katherine Kozlowski, Medical Author and contributor to Vein News and Veinsveinsveins.com Use of cyanoacrylate glue for the ablation of saphenous veins is gaining wider use around the world. Researchers from Germany, the United Kingdom, ... Read more

By Katherine Kozlowski, Medical author and contributor to Vein News and Veinsveinsveins.com The inferior vena cava is the largest vein in the body, and it returns blood from the lower extremities back to the right atrium of the ... Read more

By Katherine Kozlowski, Medical author and contributor to Vein News and VeinsVeinsVeins.com Literature is limited with regard to the exercise capacity and physical activity level in patients with varicose veins and chronic venous ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com Researchers performed a 12-month prospective study on the Asian population in Singapore to determine the efficacy of cyanoacrylate glue (CAG) in the ... Read more

By Katherine Kozlowski, Medical Author and contributory to Vein News and VeinsVeinsVeins.com Proton-induced X-ray emission (PIXE) is a technique used to determine the composition of a material. It has been used to determine the elements in ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com External valvuloplasty (eVP) is done by implanting a U-shaped patch at the junction where the femoral and saphenous veins meet in the groin ... Read more

By Katherine Kozlowski, medicsl author and contributor to Vein News and VeinsVeinsVeins.com  Ultrasound guided sclerotherapy is done regularly in patients with chronic venous disease using a variety of FDA approved sclerosant ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com Basal Cell Carcinoma (BCC) is responsible for about 90% of skin cancers, and is the most common human malignancy.   Only 1.7-4.5% of BCC ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and Veinsveinsveins.com Popliteal venous aneurysms are a rare, but important diagnosis as they can pose a risk for pulmonary embolism and deep vein thrombosis (DVT). Popliteal ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com. Key Words: MOCA: Mechanochemical endovenous ablation: uses a rotating catheter to inject sclerosant solution to shut down a vein. Researchers in ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com. “How common is pulmonary embolism (PE) among patients with chronic obstructive pulmonary disease (COPD)?” METHODS: In France, 7 ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and veinsveinsveins.com Key Words:   biomarkers = substance that can be measured in the body which is related to a specific disease, infection, etc. In this case, ... Read more

By Katherine Kozlowski, medical author and contributor to VeinsVeinsVeins.com Based on previous research, it is known that the atrium plays a part in venous blood flow from the lower extremities. The goal of this study was to assess the ... Read more

By Samir ibn Bikfaya MD  (fellow, American University)  What is the inflammatory stage of venous leg ulcer healing ? Phagocytosis Inflammation Clearance of bacteria from the tissue  Preseence of MMP >>> ... Read more

By Katherine Kozlowski, Medical Contributor to Vein News What is Warfarin? Warfarin (a.k.a. Coumadin) is an anticoagulant (blood thinner) used to treat or prevent blood clots. One rare, but debilitating complication is warfarin-induced ... Read more

By Katherine Kozlowski, contributor to Vein News and Veinsveinsveins.com   With summer coming and warm weather around the corner, how can you minimize leg swelling if you are not wearing your compression stockings? Water immersion ... Read more

By Katherine Kozlowski, Medical Contributor to VeinsVeinsVeins.com    The 19th Annual International Vein Congress will be conducted live at Loews Miami Beach Hotel from April 22 - April 24, 2021.  As well, it will transmitted live ... Read more

By Walid Hammoudi MD DABVLM Venous Symposium 2021 is available online for virtual education.  The annual symposium ended on Sunday April 18, 2021 and immediately went online for on demand education.  Course Directors for Venous ... Read more

By Katherine Kozlowski, Contributor to Vein News and VeinsVeinsVeins.com  Is smoking linked to developing spider veins ?  Some evidence suggests that smoking is linked to spider veins as spider veins are a consequence of venous ... Read more

  By Katherine Kozloski, Contributor to Vein Bews and www.VeinsVeinsVeins.com and and Jorge Santiago Dominguez, MD, Contributor to Vein News  Tissue-engineered transcatheter vein valve Researchers from The ... Read more

Katherine Kozlowski, Medical Contributor to Vein News and www.VeinsVeinsVeins.com Zi-Chan Wang and colleagues from Department of Thoracic Surgery, Ningbo First Hospital, Zhejiang, China and Department of Radiology, Xuzhou Central ... Read more

  Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com   Mondor’s disease is a rare, benign condition characterized by thrombophlebitis (inflammation of vein(s) caused by a ... Read more

Adam Karalus, Physician Assistant Student at Daemen College (contributor to Vein News and www.VeinsVeinsVeins.com) Water immersion is used in some countries to reduce leg swelling as an alternative to medical therapy.  In mineral spas, ... Read more

By Julio Gutierrez Alvarado, MD, Contributor to Vein News and www.VeinsVeinsVeins.com Orhan Rodoplu have published a study investigsting the role of a rotational thrombectomy device for the pharmaco-mechanical thrombolysis for symptomatic acute ... Read more

by Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com What are the effects of compression stockings on the lymphatic system in the lower extremities? 1) Reduces capillary filtration 2) Increases ... Read more

By Katherine kozowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com The first medical image of an individual who used compresion garments on the legs, presumably for leg wounds, is from the Neolithic era (5,000 BC - ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVensVeins.com  Medical compression is used to help heal venous leg ulcers. What is a long stretch bandage?  A long stretch bandage stretches to 140% ... Read more

By Ahmad Prasad, MD, Contributor to Vein News and www.VeinsVeinsVeins.com  What is Four-layer bandaging for venous leg ulcers ?  Layer 1:  A wool bandage is applied from the base of the toes to just below the ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com After the initial approval of Oxford’s AstraZeneca COVID-19 vaccine, its use has since been suspended after reports of blood clots across Europe and ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com Randomised controlled study to compare radiofrequency ablation with minimally invasive ultrasound-guided non-flush ligation and stripping of great ... Read more

By Katherine Kozlowski, Medical Author and Writer for Veins News and www.VeinsVeinsVeins.com   What is a varicocele?  A varicocele is a term that is used to describe abnormally dilated (varicose) veins in the scrotum,  ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com   What are the initial management strategies for a patient who has been diagnosed with new venous thromboembolism, meaning deep vein ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www. VeinsVeinsVeins.com   What are chronic (persistent) risk factors for the development of venous thromboembolism?  According to the American College of ... Read more

By Hratch L Karamanoukian MD FACS RVT RPhS RPVI DABVLM What is the incidence for developing deep vein thrombosis (DVT) in the U.S. population ? DVT affects 1 to 3 of 1000 people in the general population every year.  What ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com  A randomized controlled trial of extended anticoagulation treatment versus standard treatment for the prevention of recurrent venous ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com Development of a clinical prediction model for the postthrombotic syndrome in a prospective cohort of patients with proximal deep vein ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com   What is the Klippel Trenaunay Syndrome ?  The Klippel Trenaunay syndrome (KTS) is a rare and sporadic congenital disorder, ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www. VeinsVeinsVeins.com Compression stockings attenuate the expression of proteins associated with vascular damage in human varicose veins There are ... Read more

  By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com   Cancer associated thrombosis in everyday practice: perspectives from GARFIELD-VTE Researchers from the ... Read more

By Damien Jordan, Medical Author  ​ A nice review of the superior vena cava (SVC) syndrome was published recently In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan. 2020 Jul 13 (see link below for ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com    What are other terms for telangiectasia ? Telangiectasias are also known as thread veins, venous flare, sunburst veins, stellate ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com The word telangiectasia is a term used to denote spider veins.  The word originates from 3 Greek words: Telos = end Angeion = ... Read more

By Hratch L Karamanoukian, MD FACS RVT RPVI RPhS DABVLM   The Venous Forum of the Royal Society of Medicine (RSMVF) has recently produced Advice on Venous ThromboEmbolism (VTE) Prophylaxis for patients who have Varicose Vein ... Read more

  By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins. com   The prevalence of venous thromboembolism (VTE) in patients undergoing chemotherapy has not been fully elucidated. ... Read more

  By Katherine Kozlowski, Medical Author and Contributor to Vein News and VeinsVeinsVeins.com   As the COVID-19 pandemic spread internationally, medical resources were diverted to care for patients infected with the ... Read more

By Hratch L Karamanoukian MD FACS RVT RPVI RPhS DABVLM What is the mechanism of action for leg edema in patients who take calcium channel blockers ? Calcium channel blockers blunt postural skin vasoconstriction, an autoregulatory mechanism ... Read more

By Katherine Kozlowski, Contributor to Vein News and www.VeinsVeinsVeins.com Patients with venous insufficiency can vary in age as the disease has a high prevalence in Western society.  The elderly patient with venous insufficiency is ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and VeinsVeinsVeins.com What is the difference between arterial and venous ulcers? Chronic lower extremity ulcers can have several etiologies, and wound characteristics can ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Veins News and www.VeinsVeinsVeins.com As I have applied to medical school this year, I have been asked by friends and family members about the impact of the Covid-19 Pandemic on ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com  I am reviewing an article that is of importance to the medical community and to patients in general who are diagnosed with Covid-19 infections ... Read more

By Hratch L Karamanoukian MD FACS RVT RPVI RPHS DABVLM I am reviewing an article regarding endovascular venous stenting with dedicated venous stents for the treatment of chronic venous outflow obstruction. The article was published by ... Read more

By Katherine Kozlowski, medical author and contributor to Vein News and www.VeinsVeinsVeins.com The 2020 update for the CEAP classification has added new coding guidelines including, among others, the “r” nomenclature for recurrent ... Read more

  By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com    What is a Marjolin's Ulcer? A Marjolin’s Ulcer is a tumor that most often arises from areas of ... Read more

Tyrell Wadsworth, Medical Writer and Contributor to Vein News and www. VeinsVeinsVeins.com  Is there a role for aspirin therapy in the prevention of recurrent venous thromboembolism in patients with first episode of unprovoked DVT or ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VensVeinsVeins.com A recent study published by Ozen and colleagues showed that D-Dimer levels in patients with COVID-19 correlate with the outcome, but further studies ... Read more

  By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com  What is the D-Dimer?  D-dimers are fibrin degradation products. Are D-Dimer levels increased in venous ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVensVeins.com What is a venocompressive disorder ? Venocompressive syndromes predispose patients to venous stasis and an increased risk of deep vein thrombosis ... Read more

By Katherine Kozlowski, Author and Contributor to Vein News and VeinsVeinsVeins.com An increasing number of interventionalists are deploying venous stents for iliac vein obstruction related with iliac vein compression syndrome. I am ... Read more

By Juan ALmeida, Medical Author and Contributor to Vein News and www. VeinsVeinsVeins.com  There is a burgeoning clinical interest in treating iliocaval venous obstruction with venous stents. I am reviewing the results of a study ... Read more

By Hratch L Karamanoukian MD FACS RVT RPVI RPhS DABVLM (2009) Iliac vein stenting After catheter directed thrombolysis for iliac vein thrombosis, iliac vein stenting is performed to treat venous outflow obstruction. I am reviewing an ... Read more

  By Katherine Kozlowski, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com  Examining risk factors and preventative treatments for first venous leg ulceration: A cohort Study Darwin et al ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Ven News and www.VeinsVeinsVeins.com Imaging findings of pelvic venous insufficiency in patients with postural orthostatic tachycardia syndrome What is POTS ... Read more

By Katherine Kozlowski, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com  Investigators have looked at skin morphology in patients with CEAP clinical stage 2 disease (C2). How was the investigation done ... Read more

By Katherine Kozlowski, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com What is isolated calf vein thrombosis ? Calf vein thrombi are defined by involvement of the axial veins (peroneal, posterior ... Read more

By Katherine Kozlowski, medical writer and contributor to Vein News COVID-19 is an endothelial disease   Libby et al (2020) investigated COVID-19 as an endothelial disease because SARS-Cov-2 (the agent causing COVID-19) ... Read more

By Hratch Karamanoukian MD FACS RVT RPVI RPhS  DABVLM (2009)   There has been intense interest in finding a biomarker that prognosticates the severity of disease in patients who get the Covid-19 infection.  This is important, as ... Read more

By Hratch L Karamanoukian MD FACS RVT RPVI RPhS DABVLM (2009) I recently saw a young female patient who was diagnosed with polycythemia and she came to see me because of concern for developing thromboembolism. I forwarded her this nice ... Read more

By Hratch Karamanoukian MD FACS RVT RPVI RPhS DABVLM (2009) In this retrospective cohort study (see reference below), hospitalized patients with confirmed Covid-19 infections that were not in intensive care unitswere studied.  Mathieu ... Read more

By Adam Karalus, Physician Assitant Student at Daemen College What is Virchow's triad ?    Venous stasis:  immobility, congestive heart failure Endothelial injury:  post surgery and ... Read more

Juan Almeida, Author and Contributor to Vein News and www.VeinsVeinsVeins.com Achilles tendon repair is an orthopediatic procedure that is associated with an increased risk for developing deep vein thrombosis (DVT). Makhdom et al. have ... Read more

By Jose Rodriguez, Contributor to Vein News and www.VeinsVeinsVeins.com    What is a vena cava filter? An inferior vena cava (IVC) filter is a small device that can stop blood clots from going up into the lungs. It is implanted ... Read more

By Raul Fernandes, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com What is the femoral vein ? The femoral vein is a direct continuation of the popliteal vein just proximal to the knee. ... Read more

By Javier Rodriguez, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com  What is Sulodexide ?   S​ulodexide is a highly purified glycosaminoglycan (GAG) obtained from porcine digestive mucosa and is composed ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com A recent study highlights the psychological aspects of having telangiectasias in the legs.  The study is entitled "Body Dysmorphic ... Read more

By Tim Liu, Medical Author and contributor to Vein News and www.VeinsVeinsVens.com  A recent study from teh Department of Surgery at the American University of Beirut investigated the long term outcomes of endovenous laser ablation ... Read more

By Adam Karalus, Physician Assistant Student at Daemen College, Writer and Contributor for Vein News and www.VeinsVeinsVeins.com   What is Rivaroxaban ?  Rivaroxaban is classified as an anticoagulant (blood ... Read more

By Adam Karalus, Physician Assistant Student at Daemen College, Writer and Contributor to Vein News and www.VeinsVeinsVeins.com Patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA) are at high risk of deep vein ... Read more

By Katherine Kozlowski, Medical Author and Contribitor to Vein News and www.VeinsVeinsVeins.com Lowell S Kabnick MD and colleagues have updated the classification of endothermal heat-induced thrombosis and have published. The recommendations ... Read more

By Satoshi Ben Porat, Author and Contract Writer for Vein News and www.VeinsVeinsVeins.com  There is a lot of clinical interest in deploying stents in iliac veins for thrombotic and non thrombotic disorders. Stent failure is a major ... Read more

By Hiroshi  Watanabe, MD (Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com) The emergency room specialist sees many patients with Covid-19 infections along with comorbidities that are associated with this infection ... Read more

By Adam Karalus, Physician Assistant student at Daemen College, Writer and Contributor to Vein News and www.VeinsVeinsVeins.com  Many disease processes cause foot pain and plantar vein thrombosis is an uncommon and under diagnosed cause of ... Read more

Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com  It is well known tha the size of the great saphenous vein generally increases with venous reflux.  Invetigators at the Department of ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com It is well known now that infection with the coronavirus disease 2019 (COVID-19) can lead to systemic coagulation activation and thrombotic ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVeins.com   Tinelli et al investigated the effect of the COVID-19 pandemic on vascular surgery education. 100 subjects were included in the ... Read more

By Katherine Kozlowski, Medical Writer and Contributor to Vein News and www.VeinsVeinsVeins.com Intrinsic risk factors associated with first episode of venous thromboembolism (VTE).   Those with a BMI greater than 30 have 2.3 times ... Read more

By Katherine Kozlowski, Medical Author and Contributor to Vein News and www.VeinsVeinsVens.com Plasminogen activator inhibitor type 1 (PA1) is a protein in the body necessary for normal blood clotting. PA1 deficiency is a rare blood ... Read more

By Adam Karalus, Physician Assistant Student at Daemen College and Contributor for Vein News and www.VeinsVeinsVeins.com It is well known that harboring Factor V Leiden mutations increases risk for developing venous thromboembolism ... Read more

By Adam Karalus (Physician Assistant Student, Daemen College and Contributor to Vein News and VeinsVeinsVeins.com) Deep vein thrombosis in plastic surgery and reconstructive surgery patients.  A study was done to determine those at risk ... Read more

By Katherine Kozlowski (Medical Writer and Contributor to Vein News and VeinsVeinsVens.com) What is the prevalence of the most common thrombophlia mutations ? The most common thrombophilic disorder is the heterozygous factor V Leiden ... Read more

By Katherine Kozlowski (Medical Author and Contributor to Vein News and VeinsVeinsVeins.com) Pediatric Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) Is deep vein thrombosis common in the pediatric population? The short answer is ... Read more

By Katherine Kozlowski (Medical Author and Contributor, Vein News and VeinsVeinsVeins.com) What is the endothelial glycocalyx?  The endothelium is the largest organ in the body and recent studies have shown that the endothelial ... Read more

An article published by M von Ludinghausen from the Institut für Anatomie und Zellbiologie, Universität Würzburg, Koellikerstr. 6, 97070 Würzburg, Germany described the two principal and one compound cardiac venous ... Read more

Calculate your Caprini Score for Risk of Developing Venous Thromboembolism Click the link below to go to the Caprini website to calculate your score.  Print the results and show it to your physician if you are having a surgical procedure ... Read more

Researchers have investigated the association between venous thromboembolism and prolonged work and computer-related seated immobility. Irene Braithwaite and colleagies from the Medical Research Institute of New Zealand, Wellington 6242, New ... Read more

Epidemiology of deep vein thrombosis from a summary put together by the European Society of Vascular Surgery in their guidelines staement published in 2021 (see reference below).  These key points are summarized and some are taken verbtim ... Read more

By Katherine Kozlowski, Medical Author and Contributor to www.VeinsVeinsVeins.com What is the annual incidence of first episode of symptomatic deep vein thrombosis ? The annual incidence of first episode of symptomatic DVT in the adult ... Read more

Class of recommendation Definition Class I Evidence and/or general agreement that a given treatment or procedure is beneficial, useful, and effective Class II Conflicting evidence and/or a ... Read more

Levels of evidence Level of evidence A Data derived from multiple randomised clinical trials or meta-analyses Level of evidence B Data derived from a single randomised clinical trial or large non-randomised ... Read more

Abbreviations in venous disease APC -  Activated protein C aPL -  Antiphospholipid APS - Antiphospholipid syndrome APTT - Activated partial thromboplastin time AT - Antithrombin ATTRACT Trial - Acute Venous ... Read more

What is isolated calf vein thrombosis ? Isolated gastrocnemial and soleal vein thrombosis (IGSVT) is also known as isolated calf vein thrombosis.  The clinical relevance of isolated calf vein thrombosis is uncertain.  Some recommend ... Read more

What is the relative incidence of pulmonary embolism versus deep vein thrombosis (DVT) with pulmonary embolism (PE)? Nicholson M, Chan N, Bhagirath V and Ginsberg J report on this in their manuscript published in the Journal Clinical medicine ... Read more

Covid 19 related cases, hospitalization rates and death are varied amongst the different race and ethnicity groups in the United States. This data below is from the National Institutes of Health (NIH) Centers for Disease Control and ... Read more

New research published by DP Oran MD and Eric Topol MD conculde that 1) one-in-three individuals with the SARS-CoV-2 infections remain asymptomatic. 2) nearly three-quarters of people without symptoms who receive a positive PCR test will ... Read more

Mark H. Meissner, MD, Seattle, WA, USA Peter Gloviczki Professor of Venous and Lymphatic Disease, University of Washington, Seattle President-elect, American Vein & Lymphatic Society President-elect, Intersocietal Accreditation Commission ... Read more

Marlin Schul, Lafayette, IN, USA Past President, American Vein & Lymphatic Society Fellow, American Vein & Lymphatic Society Distinguished Fellow, American Venous Forum Diplomate, American Board Venous & Lymphatic ... Read more

The 35th Annual Congress of the American Vein and Lymphatic Sociatey starts on October 7, 2021 and ends on October 10, 2021. President:  Mark A Meissner, MD Secretary:  Kathleen D Gibson, MD  Treasurer:  ... Read more

Are teachers more likely to have varicose veins than non teachers? A study in Saudi Arabia investigated the prevalence of varicose veins and self awareness of the health concerns of having varicose veins in school ... Read more

It is rare for vein procedures to be performed in the hospital setting.  The American College of Surgeons National Surgical Quality Initiative Program database was queried by Tanner I Kim and colleagues to see whether there is a trend for ... Read more

Researchers have looked into race as a factor in patient outcomes for those with venous stasis ulcers.  The research sample was queried from all Caucasian and African American patients with ICD-9 diagnosis code for venous stasis with venous ... Read more

Does metformin use reduce the risk of developing varicose veins in patients with Type 2 diabetes mellitus ?  A recent study has investigated this in a population-based retrospective cohort study.  The study was performed in Taiwan ... Read more

Compression stockings are recommended by most vein specialists following sclerotherapy. However, there is no standard therapy with some phlebologists (vein specialists) recommending 2 weeks of compression therapy and others 3 or more months of ... Read more

What are risk factors for venous insufficiency ? Family history  Female sex Increased age Multiple pregnancies Standing for long periods Obesity History of DVT The article is published by Meghal R Antani and Jeffrey B ... Read more

Oxandrolone has been used in a case report to treat lipodermatosclerosis. The study was published by Leonardo Amedee Peret, Helolsa Malaquias Vidal, Gabriele Alves Cardoso Gomes, Lainara Magalhaes Aguiar. J Vasc Brasil 2019; ... Read more

The American Vein and Lymphatic Society offers a Registered Phlebology Review Course.  RPhS credential is the Regeistered Phlebology Sonography credential.  You can earn 10 AMA PRA CME credits if you complete the onlive review ... Read more

According to the task force that developed the SVP instrument, "the use of historical nomenclature for pelvic venous disorders fails to recognize the complex and interrelated pelvic venous circulation; contributes to misdiagnosis and poor ... Read more

Hratch Karamanoukian MD FACS DABVLM was the Featured Member of the Month (December 2020) for the American Vein and Lymphatic Society.  www.myavls.org/hratch-karamanoukian.html   ... Read more

What is the "EAP" components of the 2020 CEAP Classification for venus disease ? "E" for Etiologic classification is based on congenital (Ec), primary (Ep), secondary (Es), or unknown (En). Es is further differentiated into ... Read more

Chronic venous disease is classified based on CEAP (clinical, etiologic, anatomic, and pathophysiologic) criteria: Updated 2020 CEAP classification guidelines are as follows: C0: Without any visible or palpable signs of ... Read more

Here are excerpts from the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) clinical practice guidelines for the care of patients with varicose veins of the lower limbs. Recommendations of the Venous Guideline Committee ... Read more

The CEAP (Clinical-Etiology-Anatomy-Pathophysiology) classification is an internationally accepted standard for describing patients with chronic venous disorders. It has been updated to include some new clinical categories, classified under the ... Read more

The Bernoulli Prionciple explains how varicose veis are more likely to form clots.  When a river is wide, velocity of the water is failrly low. Similarly, when a river narrows, the velocity increases. So, when a vein is healthy and ... Read more

Is there a role for adjunctive therapy for patients with venous stasis ulcers ? Varatharajan and colleeagues performed a literature search to determine if pharmacologic adjuncts are helpful in healing venous stasis ulceers. "Ten relevant ... Read more

by Katherine Kozlowski (Medical Writer) The methylenetetrahydrofolate reductase (MTHFR) mutation is a polymorphism mapped on the first chromosome. Mutations on the MTHFR gene disrupt the conversion of homocysteine to methionine in the presence of ... Read more

by Katherine Kozlowski (Medical Writer) Mutations on the MTHFR gene disrupt the conversion of homocysteine to methionine in the presence of Vitamin B12 and folic acid; Therefore,  serum (blood) levels of Vitamin B12 and folic ... Read more

Are there histologic studies in humans of saphenous veins treated with cyanoacrylate glue for the VenaSeeal procedure ? Yes.  There is a single case reports that looked at the outcome 2 years after ablation of the great saphenous vein with ... Read more

by Hratch Karamanoukian MD FACS RVT RPhS RPVI DABVLM What are the physical features of venous stasis ulcers ?  This was reviewed nicely by Bonkemeyer Milan ad colleagues and recently published.  On physical examination, ... Read more

by Hratch Karamanoukian MD FACS RVT RPhS RPVI DABVLM What are known risk factors for theee developent of venous stasis ulcers ? The primary underlying mechanism for venous ulcer formation isnvenous reflux (incompetence) or ... Read more

by Adam Karalus (Physician Assistant Student at Daemen College) Hemorrhage from varicose veins is another variant for presentation in chronic venous insufficiency.  The classic end results of venous insufficiency are recognized as ... Read more

by Katherine Kozlowski (Medical Writer for www.VeinsVeinsVeins.com)  Our colleague, Naomi Schwaitz receently reported on a study done by Karaali and colleagues in Turkey who compared the number of deep vein thrombosis (DVT) cases during ... Read more

by Megan Karalus (Medical Writer and RN Candidate) Some chemotherapy drugs have been associated with the development of deep vein thrombosis (DVT): Aranesp Epogen Procrit Lenalidomide Tamoxifenn Thalidoide Tamoxifen is ... Read more

by Adam Karalus (Physician Assistant Student at Daemen College) What are the recurrence rates for deep vein thrombosis (DVT) or venous thromboembolism (VTE) in provoked and unprovoked patients, i.e provoked DVT and unprovoked ... Read more

by Adam Karalus (Physician Assistant Student, Daemen College) Who gets indefinite anticoagulation following deep vein thrombosis (DVT) or venous thromboembolism (VTE)  ? 1. Patients who survive massive pulmonary embolism. 2. ... Read more

by Megan Karalus (Medical Writer, RN candidate) The most frequent manifestations of venous thromboembolism in women taking oral contraceptivess are superficial vein thrombosis in the upper or lower extremities, deep vein thrombosis (DVT) and ... Read more

 by Megan Karalus (Medical Writer, RN Candidate) What is the risk for deep vein thrombosis in women taking oral contraceptives ? Researchers at the Department of Clinical Pathology, La Fe University Hospital, Avda. Campanar 21, 46009 ... Read more

What is chronic venus insufficiency ? Chronic venous insufficiency is characterised by valvular incompetence, reflux, venous obstruction, or a combination of the above.  What are the consequences of chronic venous insufficiency ... Read more

by Naomi Schwaitz (Medical Contributor to www,VeinsVeinsVeins.com) Researchers have done a meta-analysis of randomized controlled trials to determine the efficacy and safety of rivaroxaban (Xarelto) after total hip arthroplasty (THA) and total ... Read more

by Aaron Hoffman (Medical Writer) A systematic review and meta-analysis of randomized controlled trials wa conducted by researchers at the Musculoskeletal Research Unit, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, ... Read more

 by Naomi Schwaitz (Medical Writer for www.VeinsVeinsVeins.com)  There are ample articles in the lay media about increasing prevalence of deep vein thrombosis and pulmonary embolism during the Covid Pandemic. However, the reality ... Read more

by Jans Ulin, MBBS (Medical Author) Superficial thrombophlebitis is an inflammatory disorder of superficial veins with coexistent venous thrombosis. "Thrombo" or thrombus means clot.  "Itis" means ... Read more

What is post thrombotic syndrome ?   Venous insufficiency following deep venous thrombosis is known as the post thrombotic syndrome. Whilst its presentation and symptoms can vary slightly between individuals, it can have a profound ... Read more

Dr Gabriella Lucchi and colleagues from the J. F. Merlen Research Center for Vascular Diseases, Frosinone, Italy have investigated the prevalence of thrombophilic disorders in patients with non varicose vein thrombophlebitis. An observational ... Read more

Katie Kozlowski   Sally et al (2020) investigated VenaSeal™ closure techniques to induce endovenous closure in the great saphenous vein. The instructions for use (IFU) antegrade technique (insertion of the introducer wire in a cranial ... Read more

Do vein valves matter ? A study by Sales CM and colleagues counted the number of valves in saphenectomy specimens to determine if patients with documented venous insufficiency of the great saphenous vein have a lower number of vein valves than ... Read more

By Katie Kozlowski The great saphenous vein (GSV) is a large, superficial vein arising from the dorsal pedal venous arch on the dorsal (top) aspect of the foot. It runs medially along the inside of the leg and thigh to join the common femoral ... Read more

Aquatic therapy for patients with venous insufficiency was trialed in a randomized controlled manner in the ATLANTIS trial.  A total of 201 patients were randomized to receive aquatic therapy or no therapy at all.  Objective ... Read more

You can calculate your Caprini Score for DVT risk:  Copy and paste the following link on your browser to calculate your DVT risk score.  www.venousdisease.com ... Read more

The National Institutes of Health (NIH) tackles varicose veins in their newsletter, called 'NIH News in Health'.  The article called "Bulging Veins:  What To Do About Varicose Veins" is published online on the NIH ... Read more

The aim of this study called "Compression stockings with 100% Donning and Doffing Success" was published by CS Buset and colleagues in the European Journal of Vascular and Endovascular Surgery.  The study tested "whether an ... Read more

Vascular Barcelona Devices (VB Devices) recently announced that its Varixio Pod Air product received CE mark approval as a Class 1s medical device. Varixio is a novel, patent-protected system that automates the preparation of foam for sclerotherapy ... Read more

Yolgosteren et al (Bursa Uldulag University) have vestigated chronic venous insufficiency (CVI) in patients with sleep disorder. Chronic venous insufficiency was diagnosed in almost half of the patients having a sleep disorder due to restless ... Read more

According to a study done by Danielsson, Eklof and Grandinetti, overweight patients are more likely to have skin changes and ulceration (p < 0.001) than patients with a body mass index less than 25 kg/m2 (BMI < 25)  despite similar values ... Read more

What triggers the developemt of venous stasis ulcers ? An article by Raffetto JD and colleagues at Harvard Medical School summarized the reasons for the developemtn of venous stasis ulcers, also known as venous leg ulcers (VLU): "Several ... Read more

Are there absolute contraindications for compression stockings in patients with venous stasis ulcers ?  Yes.  1. Arterial occlusive disease 2. Heart failure 3. Ankle brachial index < 0.5  Guarnera G, Zamboni P. Nelzen O, ... Read more

Sulodexide, a highly purified glycosaminoglycan (a naturally occurring molecule) has antithrombotic and profibrinolytic properties (it reduces the formation of blood clots) as well as anti-inflammatory effects. Sulodexide has been studied as a ... Read more

Pentoxifylline increases red blood cell flexibility by increasing erythrocyte ATP and cyclic nucleotide levels. It reduces the viscosity of blood by decreasing erythrocyte aggregation and stimulating fibrinolysis to reduce plasma fibrinogen ... Read more

ECPR can be defined as the implantation of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in a patient who experienced a sudden and unexpected pulseless condition attributable to cessation of cardiac mechanical activity.  ECPR is ... Read more

CEAP is the acronym for the Clinical-EtiologyAnatomy-Pathophysiology, an international standard for classification of limbs affected with chronic venous disease (CVD). Originally developed in 1993 it has undergone three revisions, the most recent ... Read more

Neil Khilnanin and Alun Davies have published a summary of the CEAP Classification revision for 2020: The article was published in Phlebology 2020: 35(10): 745-748. Clinical domain The most important change to the C domain is the introduction ... Read more

Researchers examined whether there are differences in venous anatomy in the lower extremities of patients with venous disease. Drs Chandrashekar, Gasparis and Labropoulos looked at 100 patients (200 limbs) presenting with chronic venous diseae ... Read more

Intrinsic Factors affecting venous blod return: The calf muscle pump  Abdomino-thoracic Pump The heart Venous gradient betwen the ankle and right side of the heart  Vein valve Integrity Sympathetic tome  Extrinsic Factors ... Read more

"When standing from a supine position, gravitational forces “pull” venous blood to the lower limbs (this also occurs on the arterial side). Due to the high compliance of veins, ~500 ml of blood can be redistributed to peripheral ... Read more

The European College of Phlebology guidelines published in 2020 give the highest grade for treatment of great saphenous vein and short sapheenous vein refux with endovenous laser therapy (EVLA) and RFA.  Class of recommendation for EVLA ... Read more

A receent article by Paolo Prandoni questions whether there is a risk between arterial clots and venous clots.   The article is published in the journal International Emergency Medicine 2020; 15(1): 33-36.  Dr Prandoni states that ... Read more

The wavelengths used to target hemoglobin (810 nm, 940 nm , 980 nm, 1064 nm) or water (1320 nmm, 1470 nm, 1500 nm, 1927 nm and 2100 nm).  Hemmoglobin targeted laser wavelengths lead to steam bubble formatioon which causes thermmal damage to ... Read more

  Researchers from Stanford University have discovered a novel pathway for pharmaceutical drug intervention for patients with lymphedema and lymphatic ... Read more

  New oral anticoagulants (NOAC)   This is a little summary of some of the new oral anticoagulants which have replaced warfarin. The summary points are from an article in Canadian Family Medicine, volume 60 (11): pages ... Read more

  Xcenda Healthcare has published its data in 144,098 patients in their database with varicose veins.   The study is published in American Health Drug Benefits, November 2016.   In a retrospective analysis, they have shown ... Read more

    The authors of this study state, as is well known to vein specialists, that "there are a number of proven interventions to treat varicose veins and to improve patients' life quality, but these interventions are often ... Read more

Beijing, China   This reasearch is from the following institutions in Beijing China.    Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China Department of Vascular Surgery, ... Read more

  Sodium Tetradecyl Sulfate (STS) : A Review of Clinical Uses   An article published by Jenkinson HA, Wilmas KM, Silapunt S from the Department of Dermatology, University of Texas McGovern Medical School at Houston, ... Read more

    What is the pathophysiology of varicose veins? What causes varicose veins?    A new study published in th Journal of Vascular Surgery Venous and Lymphatic Disorderse 2017 May;5(3):460-467 looked into this topic by ... Read more

    Stockholm, Sweden   Researchers at the Department of Vascular Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden have published a research article entitled "Mid-term outcome of endovenous ... Read more

    This is an interesting study looking at a 12 month follow-up for patients with postpartum varicose veins that were treated with either Pycnogenol supplements or compression stockings.    A recent study, published ... Read more

    Boersma D, Vink A,  Moll FL,  de Borst G have published an article evaluating a vein valve system for deep veins.  The article was published in the Journal of Endovascular Therapy.; 2017 ... Read more

    The Vein Treatment Center and VeinsVeinsVeins.com has an active Facebook Page.    The Vein Treatment Center and VeinsVeinsVeins.com has a new office in Orchard Park, NY.   The brand new office with state of the art ... Read more

  An extended 5 year follow up of a randomized controlled trial (RCT) was published by researchers at The Danish Vein Centers and Surgical Center Roskilde, Naestved, Denmark.   Lawaetz M, Serup J, Lawaetz B, Bjoern ... Read more

    Researchers from Sweden and Germany have published an article regarding the use of compression garments among runners and whether or not there is evidence to support their utility.     Engel FA, Holmberg ... Read more

    I have only summarized the non-infectious cutaneous changes during pregnancy from the following study which was published in the Journal of Epidemiologic Global Health, published March 2017;  7(1): pages 63-70. The authors ... Read more

    Orthopedic surgery of the lower extremity including total knee arthroplasty (TKA), total hip arthroplasty (THA), and hip fracture surgery (HFS) are widely considered to carry a high risk of developing deep venous thrombosis ... Read more

    Mosmiller LT, Steele KN, Shrader CD, and Petrone AB from West Virginia University, Morgantown, WV have published a paer called Evaluation of nflammatory biomarkers in chronic venous insufficiency in the ... Read more

    N Kemp has published an article called A synopsis of current internation guidelines for the treatment of varicose veins in the  Aust Fam Physician. 2017;46(4):229-233.     The author states that the UK ... Read more

  The UK National Institute for Health and Care Excellence released new guidelines in 2013 recommending that endovenous thermal ablation (laser or radiofrequency) and ultrasound-guided foam sclerotherapy should be offered before ... Read more

    A gropu of researchers have looked at the incidence of postpartum venous thromboembolism along with risk factors.     PJ Galambosi and colleagues published the manuscript in Acta Obstet Gynecol Scand. 2017 Mar ... Read more

  Augusta, Georgia     Researchers at the Medical College of Georgia at Augusta University, Augusta, Georgia have published a review article manuscript  about vulvar varicosities in Dermatologic Surgery 43(3):351-356, Mar ... Read more

  Williamsville, NY    CDT Catheter Directed Thrombolysis for Proximal Deep Vein Thrombosis has been popularized lately as a means to dissolve clots and to potentially reduce the late sequelae including post thrombotic syndrome ... Read more

  Ontario, Canada     An evidence based analysis for endovenous laser ablation versus traditional vein stripping in the province of Ontario, Canada shows a 40% cost saving in favor of endovenous laser therapy.     The ... Read more

    YouTube as a source of patient information for varicose vein treatment options. Journal of Vascular Surgery: Venous and Lymphatic Disorders, Volume 5, Issue 2, Pages 238-243   The authors, lead by MY Trevor have ... Read more

  Naples, Italy     Authors from the University of Naples, Italy have pubslished an interesting artice regarding the usefulness of performing prophylactic ablation of the great saphenous vein or prophylactic stripping of the great ... Read more

    Orchard Park, NY     PhlebologyExam.com is an online resource for vein specialists certifying for the ABVLM credential.      PhlebologyExam.com was developed by Dr. Hratch Karamanoukian MD FACS RVT RPVI ... Read more

  Williamsville, NY Vein Treatment Center and www.VeinsVeinsVeins.com   Summary of published research regarding the role of obesity in developing venous stasis ulcers in patients with venous insufficiency.   The article was ... Read more

  Montpellier, France     What is the risk of deep vein thrombosis and venous thromboembolism after an episode of isolated superficial vein thrombosis?      This is a question which has needed an answer and ... Read more

  The author of this report discusses the inherent challenges of treating chronic venous ulcers.   RG Bush describes a technique which he coins as terminal interruption of the reflux source (TIRS) which targets the terminal source of ... Read more

  Stony Brook, NY   Labropoulos has published an article delineating the patterns and types of nonsaphenous venous reflux disease.    The article is published in Phlebology.    The authors report ... Read more

  Los Angeles, California   A study published in Lymphatic Research Biology March 27, 2017 resports an analysis of risk factors related to lower lim edema, compression and physical activity during pregnancy.    Study authors ... Read more

  Orchard Park, NY (www.VenaSmart.com) and Beverly Hills, CA (www.KareSkin.com)      Plato's Medicinals has reintroduced a great product which they have manufactured for > 5 years: Omega Vein Cream.   Omega Vein ... Read more

  Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, South Wing, 14th Floor K Block, Pokfulam Road, Hong Kong, Hong Kong. Electronic address: ... Read more

  VenaSmart compression stockings are durable, comfortable and affordable. Since many insurances, including Medicare and IHA are no longer paying for 20-30 mm Hg compression stockings, we have decided to carry a line of compression stockings ... Read more

  The Rotterdam Study was published. The title of the published study Dermatological screening of an elderly population says it all. The study was published in Dermatology Online Journal 2016 Sep 15;22(9). In regards to patients with ... Read more

    A new Video about superficial venous reflux disease by Dr Hratch Karamanoukian of the Vein Treatment Center and www.VeinsVeinsVeins.com   Click here to view video ... Read more

  The Vein Treatment Center and VeinsVeinsVeins.com will soon open its new office in Orchard Park, NY.   The brand new office with state of the art technologies to treat varicose veins, spider veins, venous insufficiency will open in ... Read more

  Dr. Hratch Karamanoukian's credentials:   Dr Hratch Karamanoukian is the Medical Director of the Vein Treatment Center and VeinsVeinsVeins.com. He is Board Certified in general surgery (ABS), thoracic surgery (ABTS) and is a Diplomate ... Read more

  The Vein Treatment Center and VeinsVeinsVeins.com will soon open its new office in Orchard Park, NY.   The brand new office with state of the art technologies to treat varicose veins, spider veins, venous insufficiency will open in ... Read more

  At the Vein Treatment Center, we use laser technology (EVLT and EVLA), radiofrequency technology (VNUS Closure and Veneft) and mechanochemical technology (ClariVein) to treat venous insufficiency.    The Vein Treatment Center and ... Read more

VNUS Closure and EVLT in Armenia, Egypt, Lebanon, Israel, Nigeria, South Africa, England, UK, Scotland, Ireland, France, Italy, Switzerland, Monaco, Serbia, Bosnia, Greece, Canada, Mexico, Japan, Chile, China, Vietnam, Cambodia, Australia, New ... Read more

Video showing microphlebectomy by Dr Karamanoukian of www.VeinsVeinsVeins.com Click here to Watch the video clip ... Read more

A new video about venous stasis ulcers by Dr Hratch Karamanoukian of www.VeinsVeinsVeins.com http://www.youtube.com/watch?v=Si8rR93U04Y # # # For more information about varicose veins, spider veins, venous ... Read more

A New Video about sclerotherapy to help heal a venous stasis ulcer - by Dr Hratch Karamanoukian http://www.youtube.com/watch?v=KTLyG9PqyIU&feature=related   # # # For more ... Read more

Cockett's perforator venous reflux disease as demonstrated by venous doppler study and ultrasound imaging - by Dr Karamanoukian of www.VeinsVeinsVeins.com http://www.youtube.com/watch?v=poZroy8cj74&feature=related # # ... Read more

Are your kids giving you heart disease? A study published in the journal Circulation asked this fascinating question: does the number of children you have increase your risk for heart disease? Researchers Lawlor et al studied 4286 women and ... Read more

An article in the Journal of the National Cancer Institute in 1999 looked at the epidemiologic data regarding the intake of tomato based products and the risks of developing various forms of cancer. The researchers at the Department of Medicine, ... Read more

The Yale University School of Medicine Heart Book has a nice chapter about the heart and circulatory system. Although the book has some outdated features and sections (published in 1994), it has a very nice chapter regarding cardiac ... Read more

What is Lycopene? Lycopene is an unsaturated carotenoid that imparts red color to tomatoes, guava, watermelon and pink grapefruit. It is an antioxidant that neutralizes the negative effects of free radicals in the body which are injurious ... Read more

Obstructive sleep apnea is a common cause of daytime sleepiness, yet 80% of the people who have it don’t even know it! Could you be one of them? What is obstructive sleep apnea? Obstructive sleep apnea (OSA) refers to recurrent ... Read more