Vein Treatment Center

Physicians & Surgeons, Vascular Surgery, Physicians & Surgeons, Physicians & Surgeons, Cosmetic Surgery

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Mon - Thu:	7:00 am - 6:00 pm
Fri:	7:00 am - 4:00 pm

Places Near East Amherst with Physicians & Surgeons, Vascular Surgery

Clarence (5 miles)
Clarence Center (5 miles)
Getzville (6 miles)
Pendleton (7 miles)
Bowmansville (10 miles)
Depew (14 miles)
North Tonawanda (14 miles)
Tonawanda (14 miles)
Lancaster (14 miles)
Lockport (14 miles)

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AKA: Vein Treatment Ctr
Other Link: https://www.veinsveinsveins.com/offices-annd-directions
Categories: Physicians & Surgeons, Vascular Surgery, Physicians & Surgeons, Physicians & Surgeons, Cosmetic Surgery, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Oncology, Physicians & Surgeons, Plastic & Reconstructive, Physicians & Surgeons, Surgery-General

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Phone: (716) 839-3638

Address: 9424 Transit Rd, East Amherst, NY 14051

Website: https://www.veinsveinsveins.com/offices-annd-directions

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Vein Treatment Center

General Practitioners

Cryotherapy
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
Pediatric Care
» Resident Research Award, American Academy of Pediatrics, Surgical Section, for basic science research entitled "Pulmonary Nitric Oxide Synthase Activity in the Nitrofen Induced Rat Model of Congenital Diaphragmatic Hernia", October 1995
Primary Care
In addition to symptoms (abdominal or back pain, flank pain), primary care physicians may palpate a pulsating mass in the abdomen which suggests a diagnosis of abdominal aortic aneurysm (AAA).
Sleep Disorders
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
Family Practice
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
High Cholesterol
Emergency Care
Superficial thrombophlebitis or superficial vein thrombosis with phlebitis is a condition where superficial veins thrombose or clot can cause inflammation and induration (hardening, thickening) of the overlying skin. There is also associated erythema (redness) and palpable warmth over the course of the vein. Patients complain of pain upon touching the thrombosed cords of veins and may feel warmth upon touching the area that is involved with phlebitis. They often go to emergency rooms for evaluation, believing that the redness represents infection in the lower extremity. In turn, emergency room physicians may incorrectly treat the problem with antibiotics, prolonging the duration of symptoms and skin complications that result from this inflammatory process.

Ophthalmologists

Ophthalmology
Dr. Karamanoukian has donated an EVLT machine to surgeons in the Republic of Armenia for them to perform this procedure in lieu of ligation and VEIN stripping. This has been a highly successful program. As well, he has donated surgical instruments for use in a vascular and ophthalmology center of excellence in the Republic of Armenia and the province of Nagorno Karabakh.

Pregnancy

Internal Medicine
Researchers at Harvard published a study in May 2008 in the Archives of Internal Medicine that investigated the association of particulate air pollution to deep vein thrombosis, i.e. deep vein clots). It is well accepted that air pollution is linked to heart disease and stroke but the association with deep vein clots was unknown until this study was published. Dr. Baccarelli and colleagues studied this phenomenon in subjects living in the Lombardy region in Italy. They examined the association of exposure to particulate matter of less than 10 microns. Using 870 patients and 1210 controls, they concluded that long-term exposure to particulate air pollution is associated with altered coagulation function and deep vein clot formation risk. Of note (and perhaps too detailed for this discussion), each increase of 10 microg/m3 in particular matter in air was associated with a 70% increase in deep vein clot (DVT) risk. So, avoid living in cities with a significant burden of air pollution ro reduce this risk. By the way, living in low air pollution areas will also reduce your chances of developing asthma, heart disease and stroke.

Anxiety

Endocrinologist

Diabetes Care
Thyroid
A very detailed and thorough history and examination is performed to rule out comorbid conditions that contribute to the poorly healing or non healing wound. These include conditions such as thyroid disorders, diabetes, kidney insufficiency and failure, among others. As well, coagulation factor disorders are sought out and investigated by special blood tests. The spectrum of blood tests and coagulation factor studies is determined and individualized by Dr. Karamanoukian at the time of consultation. All of these studies are covered by medical insurance.

Ultrasound
Ultrasound Guided Sclerotherapy (Ultrasound Sclerotherapy or Ultrasound Sclero) is a procedure used to treat underlying incompetent veins and varicose veins that feed surface varicose veins, reticular veins and spider veins (telangiectasias).
MRI
What are the symptoms of Chronic Venous Hypertension? Symptoms of chronic venous hypertension may include swelling, pain, tenderness, venous stasis skin changes, or venous leg ulcers. Diagnostic evaluation includes lower extremity venous color duplex ultrasound and sometimes other imaging such as CT or MRI scans specially performed to evaluate the veins of the legs, pelvis, or abdomen.
Radiology
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
X-Rays
Computed Tomography
Symptoms of May-Thurner Syndrome All people with May-Thurner syndrome will not have symptoms secondary to the compression of the left common iliac vein. Sometimes, it is discovered by accident when imaging (particularly CT scan or MRI) is performed for other reasons. Most of the time it is discovered during the work-up of a DVT of the left leg. Symptoms can include pain and/or swelling. May-Thurner syndrome occurs more commonly in women aged 20 to 50 years.
Chemotherapy
Moderate risk factors have an odds ratio between 2 and 9, indicating an increased risk by 2 to 9 fold. These include arthroscopic knee surgery, the presence of central venous lines, chemotherapy, congestive heart failure, respiratory failure, hormone replacement therapy, cancers, the use of oral contraceptive agents, paralytic stroke, being pregnant, previous episodes of venous thromboembolism and thrombophilia.
Radiation Therapy

General Surgery
Dr. Karamanoukian obtained his training at UCLA, the University of Southern California and the University at Buffalo. He has graduated from Honors Collegium at UCLA with a Bachelor's degree in Biochemistry. After obtaining his medical degree (MD) from the University of Southern California (USC), Dr. Hratch Karamanoukian completed his residency training in general surgery and thoracic surgery with highest honors from the University at Buffalo. In addition to two dozen research awards during his training as a surgical resident, Dr. Hratch Karamanoukian received the Worthington Schenck Resident Teacher of the Year Award, Dr. Rutecki Memorial Award given to one Graduating Chief Surgery Resident and Best All Around Graduating Resident Award. As such, he was awarded 3 out of 5 awards at graduation from a class of 10 chief resident peers in 1997. Dr. Hratch Karamanoukian was administrative Chief Resident in Cardiac Surgery from 1998 - 1999 and received the George Schimert award for outstanding graduating resident.
Wound Care
Very rarely are patients able to work as these open wounds require constant care and cause significant disability. Over 80 % of patients with venous stasis ulcers have limited mobility. According to studies reported in the medical literature, in terms of quality of life, the open wounds cause more concern for patients than symptoms of pain, itching, anxiety, social isolation and reduced ability to perform their daily routine. At least, these wounds require daily or twice daily wound dressing changes. In advanced healthcare environments and systems, patients with venous stasis ulcers are seen by home health care nurses at least once weekly. Physicians who are specialized in wound care also supervise the evolution of these healing wounds once monthly and more frequently when they are infected or have significant necrotic tissue. Dr. Karamanoukian has the experience to recognize and treat infections that are contributing to poorly healing or non-healing venous stasis ulcers.
Orthopedic Surgery
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
Gangrene
A marked decrease in the temperature of your lower leg or foot particularly compared to the other leg or to the rest of your body
Vascular Surgery
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
Robotic Surgery
Dr. Hratch Karamanoukian is a cardiovascular and thoracic surgeon who has specialized in minimally invasive cardiac surgery, thoracic surgery, robotic surgery and vein disorders. He is a Diplomate of the American Board of Surgery (recertified 2009), Diplomate of the American Board of Thoracic Surgery and Diplomate of the The American Board of Venous & Lymphatic Medicine (ABVLM) (formerly The American Board of Phlebology) (venous disorders and venous surgery). Dr. Karamanoukian is a Fellow of the American College of Surgeons (FACS).
Hip Replacement
Knee Replacement
Strong risk factors are factors that increase the odds ratio or the ratio of developing deep vein thrombosis and venous thromboembolism by a factor of 10. These include fracture of the hip or leg, hip or knee replacement, major general surgery, major trauma and spinal cord injury.
Reconstructive Surgery
The Vein Treatment Center is a National Center of Excellence for Vein Disorders. Hratch Karamanoukian, MD FACS RVT RPVI RPhS and Raffy Karamanoukian, MD FACS are vein specialists certified by the American Board of Venous and Lymphatic Medicine (ABVLM). Dr. Hratch Karamanoukian also holds Board Certification in Surgery (ABS, American Board of Surgery) and Cardiovascular Surgery (ABTS, American Board of Thoracic Surgery). Dr. Raffy Karamanoukian has added Board Certification in Plastic and Reconstructive Surgery. Dr. Hratch Karamanoukian and Dr. Raffy Karamanoukian are Fellows of the American College of Surgeons (FACS). Dr. Karamanoukian is the only vein specialist in Buffalo Niagara with triple certification in vascular ultrasound: RVT, RPVI and RPhS.

Plastic Surgeons

Liposuction
It is often said by plastic surgeons that "the hand is a give-way for age", meanng that even after getting a lot of cosmetic surgery such as face lift, body contouring, liposuction, breast implantation, the part of the body which gives away the patient's real age are the hands. And so, most people who are cognzant of having hand veins seek tretment for it to hide their ages. Since the hands are extended when we meet others in social settings, it becomes a cosmetic priority for both men and women as they age.
Plastic Surgery
The Vein Treatment Center is a National CEnter of Excellence for Vein Disorders. Dr. Raffy Karamanoukian is Board Certified in Phlebology and Plastic Surgery. Dr. Hratch Karamanoukian is Board Certified in Surgery, Thoracic Surgery and Phlebology. Phlebology is an American Board of Medical Specialties recognized specialty in venous diseases and venous surgery requiring special qualification. Certification in Phlebology is through the American Board of Phlebology.
Face Lift
Laparoscopic Surgery
Weak risk factors for deep vein thrombosis and venous thromboembolism are bed rest for more than three days, immobility during car or air travel, increasing age, laparoscopic surgery, obesity and the presence of varicose veins.
Body Contouring
Cosmetic Surgery

Skin Cancer
Dr. Karamanoukian's distinguished teachers that influenced his training in surgery and cardiovascular surgery were John J Ricotta (vascular surgery), Constantine Karakousis (surgical oncology and pioneer in melanoma surgery), Edward L Bradley 3rd (pancreatic surgery, pioneer), James Hassett (surgical education), Eddie Hoover (thoracic surgery), John F Gbbs (surgical oncology and liver surgery), Maciej Dryjski (vascular surgery), Joginder Bhayana (cardiac surgery), Richard M Peer (vascular surgery), Syde A Taheri (pioneer in vascular surgery and venous surgery), James Upson (vascular surgery), Fero Sadeghian (vascular surgery), Peter Pons (vascular surgery), Rajesh Shah (vascular surgery), Tomas A Salerno (cardiac surgery and pioneer in beating heart surgery), Eliot R Rosenkranz (pediatric cardiac surgery), Gerard Guiraudon (heart transplant surgery and pioneer in WPW surgery), Jacob Bergsland (cardiac surgery and pioneer in beating heart and robotic heart surgery), Tomas Lajos (cardiac surgery), Philip L Glick (pediatric surgery and pioneer in fetal surgery), Richard G Azizkhan (pediatric surgery), James E Allen (pediatric surgery, deceased), Michael G Cary (pediatric surgery), John Butsch (general surgery), Ralph J Doerr (general surgery), Roger Seibel (trauma surgery, deceased), John LaDuca (trauma surgery), John R Border (trauma surgery, deceased), Fred A Lucchette (trauma surgery), William J Flynn Jr (trauma surgery), Anthony L Panos (cardiac transplantation), Carlos Li (cardiac surgery), Mahmoud Kulaylat (colorectal surgery), Ingemar Davidson (pancreatic transplantation), Rabie N Stephan (kidney transplantation), Joseph Ralabate (general surgery), Miguel Rainstein (general surgery), John Przylucki (general surgery), Jonathan Reynhout (general surgery), Scott Tulman (vascular surgery), among others.
Dermatology
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
Ulcer
Don't suffer from venous stasis ulceration - venous stasis ulcers can be quite stubborn to heal and require a multidisciplinary approach to help them heal. The Board Certified Phlebologists at the Vein Treatment Center under the direction of Dr. Karamanoukian can help you get proper treatment of your venous stasis ulcer.
Eczema
Stasis Dermatitis is a type of dermatitis related to chronic venous reflux disease and inflamed varicose veins. It can be a blistering, weeping or scaling skin eruption and occurs in the thighs, legs and ankles. Stasis dermatitis is also called gravitational eczema and venous eczema.
Lesions
Non obstructive iliac vein lesions and post thrombotic obstructions treated with Venovoâ„¢ and Sinus Obliquusâ„¢ stents

Physical Therapists

Back Pain
Aquatic Therapy
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

Foot Pain

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