• LYMPHEDEMA

    Compression Therapy

    Compression therapy with either specialized compression stockings or bandages represents an adjunctive modality for the temporary optimization of the abnormal lymphatic circulation, rather than an independent free-standing way of medical management. As such, compression therapy plays an important role when used as an addition to other methods of treatment.

    Related Links: Anatomy, Diseases, Symptoms, Complications

  • DEEP VEIN THROMBOSIS
    • Thrombolysis
      Thrombolysis usually refers to a minimally invasive, or performed through a needle-stick, procedure of breaking down a blood clot formed within a vessel. Traditionally, thrombolysis implies the utilization of pharmacological agents called thrombolytics. There are direct and indirect methods of thrombolysis. The direct one is safer, more efficient, but technically more challenging. During direct thrombolysis, a catheter delivering thrombolytics is placed inside or near the blood clot of interest. With indirect thrombolysis, the agent is being infused through a remote from the target clot vein. This approach is easy to establish, but it is less efficient and can be complicated by bleeding from other parts of the body.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • IVC Filter
      IVC filter is a small metal mesh-looking device placed into inferior vena cava through a needle. The purpose of IVC filter is to capture blood clots traveling from leg veins (deep vein thrombosis) into the lungs (pulmonary embolism). In majority of cases, the filter is indicated when more traditional treatment with anticoagulants (blood thinners) is not efficient or contraindicated or when the lungs are already severely compromised. There are permanent and temporary, or removable, types of IVC filters. The major disadvantage of these devices is the potential for development of IVC thrombosis.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • Anticoagulation
      Anticoagulation literally means prevention of coagulation, or formation of blood clots. It is often being confused with fibrinolysis, which stands for the breaking down of already formed blood clots. Anticoagulation is performed with pharmaceutical agents called anticoagulants. There are two major types of anticoagulants: oral (taken by mouth) and parenteral (given with injections). The far most commonly used oral anticoagulant is Warfarin (Coumadin). It can be taken as a tablet, but requires several days for the production or disappearance of its effect. The main injectable anticoagulant is called Heparin. It works right away, but does not exist in the form of tablets. Anticoagulation is most often being used for deep vein thrombosis, pulmonary embolism, atrial fibrillation, congestive heart failure, mechanical cardiac valves, some forms of stroke, hypercoagulable conditions and many other disorders and diseases.

      Related Links: Anatomy, Diseases, Symptoms, Complications

  • SUPERFICIAL VENOUS INSUFFICIENCY
    • Ligation and Stripping
      The term "ligation and stripping" stands for an open surgical procedure performed to treat superficial venous insufficiency. During this operation, the diseased vein is not being cut out under direct vision with one large incision, but rather is being pulled out through several small incisions after being tired (ligated) at the source. Often, unfortunately, due to a relatively blind approach with this technique, the entire vein is not removed, which eventually leads to a recurrence of the disease.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • Endovenous Obliteration / Ablation
      Endovenous obliteration/ablation is a minimally invasive and superior alternative to surgical removal of the diseased vein, being performed for the treatment of superficial venous insufficiency. During this intervention the diseased vein, instead of being removed like it is done with open surgery, is being sealed shut from the inside with a wire delivering a microscopic thermal trauma. The above wire is placed through a needle under ultrasound guidance. The typical sources of energy needed to seal the vein are either LASER or a radiofrequency current. This procedure is much less invasive than open surgery and significantly more effective since ultrasound guidance ensures complete obliteration of the entire vein, which is crucial for the prevention of recurrence.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • Phlebectomy
      Phlebectomy refers to a surgical procedure involving the removal of the varicose veins. It is usually done through multiple very small incisions and can be performed under local anesthesia. It should not be performed as a free-standing procedure. Only after superficial venous insufficiency is eliminated, phlebectomy might be necessary to remove residual varicosities when necessary.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • Sclerotherapy
      Sclerotherapy refers to a procedure involving an injection of special pharmaceutical agents (sclerosants) into the enlarged veins, to either seal or destroy them. It can be used for varicose veins, but remains a method of choice for the treatment of spider veins. In both cases it should be used only after elimination of superficial venous insufficiency, the disease causing varicosities and spider veins.

      Related Links: Anatomy, Diseases, Symptoms, Complications

    • Compression Therapy
      Compression therapy with either specialized compression stockings or bandages represents an adjunctive modality for the temporary optimization of the abnormal venous circulation, rather than an independent free-standing way of medical management. As such, compression therapy plays an important role when used in addition to other methods of treatment.

      Related Links: Anatomy, Diseases, Symptoms, Complications


Visiting Dr. Khitin was a refreshing experience. I've visited multiple physicians and it looks like most of them treated me like a number. Dr. Khitin has an amazing ability to patiently explain all of the intricacies of the disease. Treatment went smooth. I feel 15 years younger! Thanks doc! –Anastasia L., Manhattan NY

I usually don't write reviews, but I feel that Dr. Lev literally saved my leg. I am 35 and not the typical patient for this kind of stuff, but I had an open ulcer on my leg for 3 years!!! Compression, creams, special diet - nothing helped. After Dr. K's treatment, the ulcer slowly began disappearing and it was gone in 6 weeks. If you ever had an ulcer, you know exactly how I felt! Thank You! Thank You! Thank You! – Mike B., Fair Lawn NJ

I was referred to Dr. Khitin by my primary after suffering for many years from restless leg syndrome and varicose veins. Dr. Khitin is the best! Knowledgeable, experienced, but most importantly, he cares! Relief came shortly after the very first treatment. Definitely recommend this doctor. –Samantha K., Manhattan NY

What a wonderful experience I've had! The problems with my legs are gone! I only wish I came here much earlier! Thank you, thank you, thank you! –Christine P., Manhattan NY

Thank you so much for all your terrific work. I have spent over a decade trying to find the right doctor, while my legs have been getting worse and worse. Dr. Khitin has changed my life and returned my freedom: finally, I can walk independently! –Donna W., Manhattan NY

The most outstanding treatment I have received! All questions answered, tests done, procedures performed and I feel like a new person in no time! Thank you so very much! –Peter R., Philadelphia PA

I have suffered from trophic ulcers for 28 years until I got to Dr. Khitin’s office! He has literally saved my legs! If you have problems with your legs and do not want to get an amputation, do not see any other physician: do see Dr. Khitin right away! –Bob from UPS,  NY

I have traveled thousands of miles to see Dr. Khitin, who literally returned me my health back! Thank you and all your staff for the most wonderful experience! –Dominique S., Montreal, Canada

On behalf of my father, I would like to express our sincere gratitude for your hard work and dedication: you have returned my dad his life and independence back: previously wheel-chair bound for years, now he is walking by himself! –Andre Y., Newark NJ