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image showing where perforator veins are most likely to occur in the legs - corss border healthcare for Canadian patients in the U.S. at the Buffalo Niagara Vein Treatment Center
Monday, September 2, 2013



The superficial veins communicate with the deep veins via perforator veins. If you imagine the two legs of the letter "H" , the perforator is the connection between the two legs of the letter "H". That "connection" is the part that perforates the muscle fascia and connects the deep veins to the superficial veins. 





There are many perforator systems in each extremity. Sometimes, these perforators are causes of "failure" of treatment after "successful ablation" or "successful sclerotherapy" sessions. This means that cosmetic procedures done by untrained professionals can fail if there is underlying perforator venous reflux disease. These are sometimes called 'feeder veins'. The treated varicose veins or spider veins can recur if perforator reflux is not treated (see below). Dr. Karamanoukian has expertise in treating perforator venous reflux with traditional (open surgical techniques) or with EVLT microfiber laser technology - the VenaCure EVLT perforator laser ablation system.


For the treatment of perforator veins reflux with EVLT, VNUS Closure or ClariVein, contact Hratch Karamanoukian, MD FACS at the Vein Treatment Center with offices in Williamsville, New York and Clarence, New York or call 716-839-3638.


Hratch Karamanoukian, MD FACS is triple board certified in general surgery, thoracic surgery (cardiovascular surgery), and phlebology (diseases of the venous system and lymphatic system).   and  are partners with


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