ONE PATIENT, ONE DOCTOR, ONE NURSE; SOUTH BAY VASCULAR CENTER’S COMMITMENT TO PERSONALIZED CARE

Unlike so many big box medical centers (Kaiser, Sutter, PAMF, Stanford) where patients are often “overwhelmed” as soon as they get to the parking lot, South Bay Vascular Center and Vein Institue offers world class, cutting edge vascular surgical care in a kinder, gentler environment.  Individualized patient care, although talked about and marketed heavily by these corporate health systems,  more often than not falls far short of patient expectations as higher order operational efficiencies and profitability concerns impact the kind of care patients actually experience in these larger health care systems.

ONE PATIENT; ONE DOCTOR; ONE NURSE. 

Putting patients at the center of everything that a physician does is a philosophy that sounds obvious…but is that always the case? At South Bay Vascular Center we are honored by the chance to earn your trust and to serve as your physicians; BUT, we also know that we must EARN the trust of every patient that we see.  That’s why our CREDENTIALS are NOT Enough…That’s why our REPUTATION is NOT enough. That’s why unmatched patient care is at the center of everything that we do. That’s why when patients come to our facility for a procedure each patient has their own nurse from start to finish to ensure the greatest patient care experience from start to finish. 

We know patients have options for their vascular care and that’s why we work hard to ensure that any patient referred to us by another doctor or that comes to us on their own has the confidence to know they’ve made the right choice of doctor to help them with their vascular related illnesses. ONE PATIENT; ONE DOCTOR; ONE NURSE is just one of the many ways that South Bay Vascular Center demonstrates our commitment to our patients in our efforts to provide the most advanced vascular care options offered anywhere in the world.

OUR TEAM

Together with her full time, highly skilled team of critical care and surgical nurses, radiological technicians, RVT certified Ultrasound Technologists and scrub assistants, Dr Kokinos provides unmatched peripheral vascular surgical care in her Nationally Accredited Surgical Facility. As diverse as Silicon Valley is, our staff reflects this same diversity as we have native speaking staff fluent in over 10 different languages. Be it Vietnamese, Mandarin, Korean, Russian, Tagalog, Hindi, Spanish, French, Greek or English, we have staff to make our patients comfortable in their native tongue.

OUR FACILITY

The South Bay Vascular Ambulatory Surgery facility is one dedicated entirely to the practice of Vascular Surgery and houses a specialized inventory of vascular medical devices and imaging equipment that surpasses the number of vascular medical devices and imaging equipment at Good Samaritan and O’Connor Hospitals combined. Together with her highly trained and specialized team,  Dr Kokinos brings over 30 years of surgical experience and 7 years of specialized surgical experience operating in a specially built vascular surgery outpatient facility to her patients.  Other physicians may claim to have the kind of training and experience that Dr Kokinos has in the outpatient environment, but NO other Vascular Surgeon in Silicon Valley comes anywhere close to having the kind of experience and outcomes Dr Kokinos does when it comes to providing care to the patients who come to her for the treatments and care of their vascular disease.

Put another way, for 25 years Dr Kokinos and her team at South Bay Vascular Center and Vein Institute have provided unmatched,  compassionate and individualized vascular surgical care to South Bay communities. It is why more independent physicians refer their vascular patients to Dr Kokinos than to all the other silicon valley vascular surgeons combined. When it comes to your health, we know that it’s not just our credentials and our experience that count.  It’s not about just having an accredited facility or a staff of travelling specialists to help when needed…   It’s about the RIGHT KIND OF EXPERIENCE EVERY TIME YOU NEED IT.

RESULTS matter when it comes to your health because sometimes you don’t get a second chance.

South Bay Vascular Center and Vein Institute: We Offer Hope When Others Say there Is None.

Call us at 408-376-3626. We Can Help

FOOT PAIN AT NIGHT: IT MIGHT BE MORE SERIOUS THAN YOU THINK

Many patients over the age of 65 who have a history of smoking, diabetes, high blood pressure, and/or high cholesterol wake up at night with pain in their foot or toes. Some believe this is arthritis or gout; others think it is the result of just spending too much time on their feet during the day.  Patients often self-adapt to this problem, as it usually develops slowly over time, but when questioned about their sleep habits, they will sometimes tell you that they sleep in a recliner or they sleep with their leg hanging over the side of the bed to make their pain go away.

It is very common for elderly patients to get up at night to go to the bathroom. Sometimes, however, it’s actually foot pain that wakes them up.  Once up, they get out of bed because that makes their feet feel better (again due to gravity) and after walking to the bathroom they can go back to sleep, pain -free for a couple of hours.  Even that small amount of walking helps to get their blood flowing again and makes it easier for them to go back to sleep.

Sometimes, foot pain at night is the sign of a more serious condition.

  • Foot pain at night may be related to having poor circulation in the foot. The name for this in medical terms is “rest pain”. This is not “pain at rest” but rather pain that happens because the circulation cannot support the tissues even when they are at rest.

Foot pain at night may be an early warning sign of critical limb ischemia.

  • Chronic Limb Ischemia is another term for lack of blood flow;  if you experience this rest pain at night and it goes away after hanging your foot over the side of the bed or chair you are sleeping in, immediately call and speak with your doctor to set up an appointment for them to evaluate your symptoms. Although it may come on slowly, the arteries in your feet may be so blocked that they cannot even deliver the minimal amount of oxygen the tissues in the foot and toes need to keep them nourished. Left untreated, this blockage can lead to a more serious problem, amputation or even death.

What’s important for the patient to realize is that chronic limb ischemia causes the foot and leg to get swollen, so the patient is often MIS-DIAGNOSED with a vein problem, not an arterial problem

If this sounds like something you or someone you love is experiencing, it is important to tell your primary care doctor OR schedule an appointment DIRECTLY with a vascular surgeon. These symptoms are a sign that your body is giving you that you may need immediate help. This truly is a sign that your foot is starving for oxygen and blood and that if left untreated, might lead to an unnecessary amputation. Help is possible, however and if treated early enough, those suffering from these symptoms can be helped significantly.

If you suffer from painful feet in the middle of the night, WE CAN HELP

contact us today  at 408-376-3626 to learn more about PAD and how Dr. Kokinos can help, click here.

South Bay Vascular Center and Vein Institute: We Offer Hope When Others Say There Is None.

 

 

NOT JUST VASCULAR CARE, EXCEPTIONAL VASCULAR CARE

Your health care is complicated enough… finding the right Vascular Surgeon shouldn’t be!

Experience counts when it comes to your health

Polyxene (Polly) Kokinos MD. RPVI. Board Certified in Vascular and General Surgery

Silicon Valley’s Most Trusted Vascular Surgeon.

Dr Kokinos…The Confidence of knowing you made the Right choice for your Vascular care.

  • The confidence of knowing that your vascular surgeon has been taking care of South Bay patients with vascular disease for almost 30 years.
  • The confidence of knowing that your surgeon built her private practice one patient at a time for almost a quarter of a century…BECAUSE referring PHYSICIANS TRUST Dr Kokinos to deliver the best possible outcomes for their patients: even in the most difficult of circumstances.
  • The confidence of knowing that your surgeon delivers both world class and compassionate care. That Dr Kokinos is the only Vascular surgeon in the South Bay who has built an independent, nationally accredited, state of the art Vascular Surgery Center of Excellence where SHE takes care of her patients…where cutting edge care is at the heart of everything that she does.
  • The confidence of knowing that your surgeon has earned the trust of local physicians. More independent local physicians refer their vascular patients to Dr Kokinos than to any other vascular surgeon in Silicon Valley.
  • The confidence of knowing you will receive the most Advanced and Innovative Care found anywhere in the world…No other vascular surgery practice in Silicon Valley offers a combination of the imaging, device and care options that South Bay Vascular Center can offer to their patients in their private, AAAASF nationally accredited ambulatory surgery center dedicated entirely to the treatment of complex vascular disease. “We offer hope when others say there is none”
  • The confidence of knowing you will receive Personalized Care…” One Doctor, One Patient, One Nurse” …We’re NOT a hospital; we are more. That’s why we provide individualized care. At South Bay Vascular Center, we care for you as a person, not just as another patient. Our job is to understand the “why” so that you have real solutions to living a healthy life.
  • The confidence of knowing you will receive Simplified Care: ALL your vascular care under one roof. Clinical care, Vascular Ultrasound care, and Surgical care. All your care in a single facility.

South Bay Vascular Center and Vein Institute. Silicon Valley’s Vascular Surgeon.

A SWOLLEN LEG IS NOT NORMAL

Leg Swelling: Iliac Vein Compression
Chronic pain and swelling in one leg, (especially the left side) may be caused by iliac Vein Compression. This is a little-known but fairly common condition that can greatly impact your quality of life – and may lead to more serious complications. Leg swelling is NOT a normal part of aging or weight gain. And it’s NOT something you have to “just live with.”

Leg swelling is a special area of interest of Dr. Polly Kokinos, and she has been active in doing clinical research to find better ways to diagnose and to treat this condition. South Bay Vascular Center and Vein Institute is recognized as the leading treatment center for evaluating and treating left leg swelling. If you have been told there is nothing to do for your leg swelling, call us at 408-376-3626 for an evaluation. We offer hope when others say there is none!

About Iliac Vein Compression:
Iliac vein compression (also known as May-Thurner Symptom) is an anatomic condition that occurs when the left iliac vein gets squeezed and compressed between the lumbar spine and the right iliac artery. This compression prevents the adequate drainage of blood from the leg, which can cause serious problems such as swelling, aching, blood clots, and non-healihg ulcerations. (See Diagram)

Symptoms:

  • Swelling, heaviness and aching in one leg, especially the left leg
  • Recurrent blood clots, especially in the left leg
  • Non healing wounds or dark dry skin in the ankle or shin

Solutions
South Bay Vascular Center and Vein Institute is the leading leg swelling clininc in Northern California offering cutting-edge treatment options that very few other facilities can deliver. We are at the forefront of diagnosing Iliac Vein Compression using regular vascular ultrasound and in treating it with the newest endovascuar techniques using IVUS (intravascular ultrasound) and stents in an outpationt office setting.

If you or a loved one are suffering from leg swelling or any other vascular problems, please call our office today at 408-376-3626 to schedule an appointment. Our offices in Campbell and Gilroy remain open to safely treat patients even during the COVID-19 crisis.

DO YOU SUFFER FROM SWOLLEN LEGS? WE CAN HELP!

Do you Suffer From Iliac Vein Compression?

To answer that question, take a few seconds to consider the following:

▪ Are your legs swollen? Is your left leg larger than your right?
▪ Is it harder to slip one shoe on in the morning than the other?
▪ Have you had cosmetic or other surgical procedure done and not gotten the outcome you wanted?
▪ Are you a cancer patient undergoing treatment or procedures?
▪ Have you ever suffered from a blood clot or (DVT) in your leg
▪ Do you visit a wound care clinic with little to no success?

If you’ve answered yes to any of these questions, you MAY be suffering from a well known, but previously difficult to diagnose problem called May-Thurner’s Syndrome.

May Thurner’s Syndrome, also known as iliac Vein Compression, is a condition where the main artery supplying blood to the leg pushes down or compresses the main vein taking blood back to your heart. Previously undiagnosed, major advances in medical imaging technology have given vascular surgeons the tools needed to demonstrate that May Thurner’s syndrome is directly responsible for the slowing of blood going back to ones heart resulting in the swelling and or edema of the leg. These same studies have shown that in a full 30% of all people, the left iliac vein can be significantly compressed by the right iliac artery resulting in some kind of leg symptom….aching, heaviness, and most commonly, swelling or non-healing of wounds in the leg veins.

The Physicians and Surgeons at South Bay Vascular Center and Vein Institute specialize in treating Iliac Vein Compression. To diagnose and to treat this condition and the potentially deadly side effects caused by it (Blood Clots or Deep Venous Thrombosis) Dr. Kokinos has assembled a highly skilled team of vascular ultrasonographer’s who have developed a specialized screening protocol to evaluate for Iliac Vein Compression. Using state of the art ultrasonic imaging technology Registered Vascular Ultrasonographer’s use this new protocol and ultrasonic sound waves to scan up into the abdomen of their patients to examine the physics of the blood flow in this area. If a patient is found to have iliac vein compression, and is symptomatic for this condition, we then recommend IVUS–intravascular ultrasound and iliac vein stenting to re-establish blood flow in this area by opening up the compressed blood vessel in this area.

South Bay Vascular Center is a specialized vascular surgical facility dedicated entirely to treating vascular related illnesses. Unlike in a traditional hospital operating room, South Bay Vascular’s nationally accredited ambulatory surgery center is designed specifically to treat this kind of circulatory disease. Using advanced imaging equipment and device technology designed specifically for vascular related illnesses Dr. Kokinos is able to treat IVC disease in her outpatient surgery center setting in Campbell, CA. Treating her patients in this kinder and gentler environment Dr. Kokinos simplifies what has traditionally been the difficult, unfriendly and often times complicated admissions process of a traditional hospital. To date, Dr. Kokinos has successfully performed over 200 of these iliac vein stent procedures in her out-patient angiography suite and has lectured extensively at major vascular surgery meetings on her approach and success helping patients reduce leg swelling, increase the rate of wound healing and return to a normal way of living.

If you are currently experiencing a swollen leg, have a non healing leg, foot,or ankle wounds or have ever suffered a blood clot (DVT) please contact our office at 408-376-3626 to schedule an appointment.

Don’t suffer from swollen legs or non-healing leg ulcers any longer.

We can help!

408-376-3626

WWW.SOUTHBAYVASCULAR.COM

WHEN HIP PAIN MAY BE MORE THAN JUST ARTHRITIS

Do your legs hurt when you walk? Can you only walk a block or two before you start experiencing cramping in your hip or buttock? Often times, patients are told this is just a normal part of getting older and probably due to arthritis. But sometimes it isn’t. If your pain only happens when you walk a certain distance and stops when you stop walking, it may be a circulation issue known as claudication. Claudication is a vascular condition that occurs when your leg muscles do not get enough blood flow while they are being used. This is generally caused by a build-up of plaque in the arteries–known as atherosclerosis–in your abdomen or legs. This build-up of plaque on the inside of the arteries, which carry oxygen and nutrients to your organs and muscles, restricts how much blood and therefore oxygen can get to the muscles. When you walk, you use energy, and your muscle requires more oxygen and nutrients to work. If the muscle does not get this needed oxygen, it begins to cramp up. This causes pain, and ultimately causes you to stop walking. Those at risk for this happening are people over the age of 60, those who smoke or were smokers in the past, those with high cholesterol or high blood pressure, and those who have heart disease or have had an ischemic stroke.

This problem can occur in one or multiple arteries from your belly button to your knee. It can be easily diagnosed on exam by simply feeling pulses in the patient’s groin, behind their knees, and at their ankles to check for blood flow. We can also listen for an abnormal sound called a “bruit” in the abdomen or the groin with a stethoscope. Where the pain is in your leg gives a clue as to where the problem is in your arteries. If there is a problem in the arteries in your abdomen or pelvis (the aorta and iliac arteries), it will cause buttock or hip pain with walking. This is often confused as hip arthritis or bursitis by medical doctors and patients. At SBVC, we have seen many patients who have had multiple injections into their backs or hip joints with no relief. On exam, we find they do not have pulses in their groin. An ultrasound done by specialized vascular technologists checking blood flow in the arteries will confirm this exam finding and can help plan treatment. Most treatments today are directed at opening the blood vessels up with surgery or a stent procedure. These are very safe and can immediately provide relief from pain and allow the patient to walk much longer distances than before. If you believe you are suffering from claudication, please talk to your doctor about your options. You may benefit from seeing a vascular surgeon for ultrasound and possible treatment.

BLOOD CLOTS (DEEP VENOUS THROMBOSIS‐DVT) A SILENT KILLER

Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in your body, usually in your legs. Deep vein thrombosis can cause leg pain or swelling, but may occur without any symptoms. DVT is a very feared complication of venous disease because it can lead to a pulmonary embolus, a clot in the lung that can be deadly.

There are several symptoms to DVT but the most common are the sudden onset of pain and swelling in your leg. This does not happen in your foot, but happens, most commonly in the back of your calf or your entire thigh. Usually, the painful part of your leg is also swollen. This comes on abruptly and generally does not go away even after a few days. It is very important to go to your regular doctor and get an ultrasound of your leg. If this is “normal” but the swelling or pain persists, then you should go see a vascular surgeon as more testing (such as CT scan or specialized ultrasound) may need to be done. This is quite important to do quickly as some treatments only work if they are done within a week of the development of symptoms.

If you are diagnosed with a DVT, you should be treated with blood thinners immediately. The role of blood thinners is not to actually “dissolve” the clot in your leg, but rather to prevent it from travelling to your lung and causing a Pulmonary Embolus. The blood thinners also work to prevent the clot from becoming more extensive. If this is your first blood clot, you should be treated for 6 weeks to 3 months with blood thinners depending on why the blood clot occurred. The risk factors for developing blood clots include long plane or car rides, immobility (after an operation or injury), obesity, being very sedentary, pregnancy, having had an orthopedic or gynecologic procedure, some genetic factors (hypercoagulable syndromes), dehydration, and cancer. It is important if there if there is not a clear reason for the blood clot, that a search for a hidden cause be done.

Dr. Kokinos and the staff at South Bay Vascular Center and Vein Institute are experts in the identification of and treatment of blood clots. If you or anyone you know suffers from the rapid onset of pain and or swelling following a medical procedure and or long trip (most common on long airplane flights) please contact your primary physician immediately or call us at 408-376-3626 to discuss your treatment options.

TREATMENT OF VARICOSE VEINS IN LOS GATOS

WE CAN TREAT YOUR VARICOSE VEINS, SWOLLEN, ACHING LEGS, NON HEALING LEG WOUNDS, AND PERIPHERAL ARTERIAL DISEASE

For 20 years, the physicians and staff of South Bay Vascular Center and Vein Institute have successfully treated tens of thousands of patients in the Silicon Valley communities of Los Gatos, San Jose, Campbell, Los Altos, Palo Alto, Morgan Hill, Gilroy and the greater South Bay. Our ABMS Boarded Vascular Surgeons are experts in the treatment of varicose veins and swollen legs and can help patients get their lives back by successfully treating these conditions.

Spider and varicose veins are a common problem that many men and women have to confront. Spider veins are small, reddish veins that appear on the surface on the skin, while varicose veins are blue, tangled, bulging, knotted vessels that are much larger. Women are more likely to experience varicose veins than men, but they are common among both genders.

Aside from their unsightly appearance, varicose veins can cause a feeling of heaviness or tiredness in the leg, swelling, tenderness or pain when touched, and a general sense of restlessness. Age and family history are two major factors in a person’s risk of varicose or spider veins, but lifestyle also has a role to play. People who do not exercise regularly, are overweight or obese, or who sit or stand for long periods of time have a higher risk of varicose veins and venous insufficiency. Women who are pregnant also have a higher chance of these issues.

Varicose and spider veins are most common among people who are middle­aged, but even those in their teens and twenties can have this problem. No matter what a person’s age, there is no reason to wait to have these issues examined.

Vein issues can occur if a vein becomes weakened. Elastic vein walls and tiny one­way valves help send blood back to the heart, but if they lose their strength blood can start to pool backwards into the vein. Varicose veins may not be symptomatic at first, but many patients eventually report achiness and a sense of heaviness in their legs. Often accompanying these symptoms are ankle and lower leg swelling, cramps, a sense of restlessness, and an irritated or itchy rash around the ankles. The area around the vein may become numb or tender to the touch.

Varicose vein symptoms can also be aesthetic. Bulging, twisted, or knotted veins can form over the ankle and foot while the skin around them becomes discolored, leathery, and thick. In advanced stages this skin may begin to break down, leading to ulceration.

Spider veins are similar to varicosities, but they are smaller and appear closer to the skin’s surface. As their name suggest, they often form in patterns similar to spider webs. They are often red in color and may be a sign of more serious ​vein disease​ under the skin

Varicose veins can lead to more serious conditions, including:
● Thromboses – blood clots that form in an enlarged vein
● Phlebitis – vein inflammation
● Venous Stasis Ulcers – Ulcers that form due to a lack of proper drainage in an enlarged vein

Lots of centers treat the complications of poor flow through the venous system when it shows up as spider veins, varicose veins, and other cosmetic issues. Fast cosmetic fixes, however, can often mask more serious underlying circulation issues that only a vascular surgeon is trained to address. At South Bay Vascular Center and Vein Institute our goal is simple: to ensure the best possible outcomes in the safest and most comfortable environment possible.

If you suffer from varicose veins, leg swelling, especially Left Leg Swelling, after cosmetic vein treatments, please call our office at 408-376-3626 to discuss how we can treat your varicose vein and other circulatory issues. We Can Help!

HOW ARE VARICOSE VEINS TREATED?

Both invasive and non-invasive (i.e surgical and non-surgical) methods are available to treat varicose veins. Non-invasive methods include wearing compression stockings, exercising, leg elevation, losing weight, not wearing tight clothes, avoiding long periods of standing or sitting and not crossing your legs while seated. Invasive treatments include endovenous therapy, ligation, and phlebectomy.

Endovenous therapy is treatment from inside the vein using heat generated by lasers, radiofrequency devices or chemicals to irritate the vein walls and cause the vein to close and then be reabsorbed by the body. Ligation is tying off a vein to cause it to shrink. Phlebectomy is removal of varicose veins. Only after your physician evaluates a patients vascular ultrasound study are they in a position to discuss the best treatment option for their patients. The vascular surgeons of South Bay Vascular Center and Vein Institute have successfully treated tens of thousands of varicose vein patients in their 20 year history of serving the silicon valley community. With offices in Campbell and Morgan Hill, Dr. Kokinos and her staff are honored to meet with you to discuss any questions you may have regarding varicose veins or any other circulatory related medical condition. Please call our office today to schedule an appointment to help us evaluate your treatment options. 408-376-3626