Welcome to Veins etc. at Comprehensive Cardiovascular Consultants.
We are proud to offer St. Louis the newest and most advanced technology available in the diagnosis and treatment of vein disease. Please take a few minutes to get to know Dr. Raffi Krikorian and find out how we can help you overcome the embarrassment and discomfort of varicose and spider veins. We look forward to meeting you and are committed to providing the most comprehensive vein care solutions available.
We have 6 convenient locations to serve you.
- St. Louis, MO
- Farmington, MO
- Ste. Genevieve, MO
- Perryville, MO
- Sullivan, MO
- Chester, Illinois
We also offer CareCredit for vein procedures, not covered by insurance.
Raffi K. Krikorian, MD, FACC, RVT, RPVI
Dr. Raffi Krikorian, Medical Director of Veins etc. @ Comprehensive Cardiovascular Consultants
An experienced cardiologist for 15 years, Dr. Krikorian has the training and credentials you should expect from your Vein Specialist. He holds multiple board certifications in Cardiovascular Diseases, Interventional Cardiology, Nuclear Cardiology, Echocardiography, and is a certified Registered Vascular Technician (RVT) and Registered Physician in Vascular Interpretation (RPVI), possessing the skills and knowledge to interpret vascular ultrasound in the diagnosis of venous disease. This ability is essential to the success of a patient vein treatment and demonstrates Dr. Krikorian commitment to the highest standard of vein care for his patients.
Dr. Krikorian has done research and has publications in the areas of Coronary Artery Disease, Peripheral and Lower Extremity Arterial Disease, and continuously participates in ongoing training and education in the area of Phlebology.
Higher Institute of Medicine; Varna, Bulgaria
Internal Medicine Residencies:
Oakwood Hospital; Dearbon, MI
Saint Louis University Medical Center; St. Louis, MO
University of Missouri/Mid-America Heart Institute; Kansas City, MO
Interventional Cardiology Fellowship:
Mid-America Heart Institute; Kansas City, MO
American College of Cardiology
Registered Vascular Technician (RVT)
Registered Physician Vascular Interpretation (RPVI)
Diplomat in Phlebology
Diplomat in Echocardiography
Diplomat in Cardiovascular Disease
Diplomat in Interventional Cardiology
Diplomat in Nuclear Cardiology
Compression Stockings Graduated compression stockings are a mainstay of initial/conservative management of venous disease. Graduated compression stockings are tighter around the foot and ankle and the compression decreases as it goes up the leg. This graduated compression promotes the normal flow of blood up the leg.
Radiofrequency (RF) Ablation-RF ablation is a minimally invasive procedure for treating venous reflux disease, using RF to heat and seal diseased veins thereby reducing or eliminating existing varicose veins. With the RF ablation device radiofrequency energy is delivered through a heating element seven centimeters long to heat the collagen within the vein walls and cause the shrinkage and collapse of the vessel.
The Closure® procedure is performed using mild oral sedative and local anesthesia in a physician's office. Catheter is inserted into the vein below the knee. Guided by ultrasound imaging, the physician treats each 7-cm. segment of vein with a 20-second burst of RF energy, causing the vessel to shrink around the catheter. The physician withdraws the catheter, treating each segment until the entire vessel has been sealed. An average 45-cm. length vein can be treated in this manner in three to five minutes.
Endovenous Laser Ablation (EVLT)- Using the AngioDynamics Delta 30 Laser System, a laser fiber is inserted into the vein through a small incision and, once turned on, heats the inside of the vein to seal it shut. Endovenous laser ablation takes the place of traditional vein stripping, which is performed in a hospital, and can be performed in the comfort and convenience of my office setting using only local anesthesia. The procedure can typically be performed in 45 minutes and the AngioDynamics Laser System offers the most comfortable laser treatment available with rapid relief of symptoms, no downtime, less bruising than traditional laser treatment, and minimal, if any, scarring.
Ultrasound Guided Sclerotherapy - Sclerotherapy is the treatment of varicose veins by injection of the veins with chemicals that cause destruction of the veins. Many patients who select this treatment option for cosmetic reasons notice improvement in the way that their legs feel after treatment.
Ambulatory Phlebectomy- Ambulatory Phlebectomy, microphlebectomy, or phlebectomy is a micro-extraction procedure used to remove bulging varicose veins, both large and small, which are close to the surface through very small (1/16-1/8 inch) micro-incisions. The micro-incisions are so small that they seldom require a stitch. Once healed, they are rarely visible. Bruising will occur and will take a few weeks to go away. A compression stocking is worn for 21 days after the procedure. Once removed, patients are amazed how good the leg looks with the veins gone. Patients can return to normal daily activities including work the next day and walking is encouraged.
Here are a few important aspects to remember. First, most patients require a combination of treatment options for thorough treatment. Second, if the Radiofrequency (RF) ablation and/or ambulatory phlebectomy are recommended, only one leg can be treated at one time. Third, a series of treatments over several appointments may be necessary. Finally, all treatments are performed in our office. Some procedures are performed under local anesthesia while others require none. Patients should return to normal activity the same day, or the following day.
Pelvic Congestion Syndrome Symptoms & Treatment Options
Chronic pelvic pain is a common condition. Reports indicate that more then 30% of women complain about this type of pain at some point during their lifetime. Sometimes it is also known as Pelvic Congestion Syndrome (PCS). This pain is often caused by varicose veins of the pelvis (lower abdomen and groin). The varicose vein develop during pregnancy and continue to progress in size.