GILROY, CA. VASCULAR SURGERY CARE

South Bay Vascular Center and Vein Institute is a full service vascular surgery clinic and accredited vascular ultrasound testing lab located at 8420 Church in Gilroy, CA. Dr. Polly Kokinos offers cutting edge care to patients suffering from vascular and arterial conditions and continue their 20 year commitment of caring for patients in the South Bay.

Patients suffering from swollen, aching legs; painful, non-healing leg wounds; blood clots (DVT); dialysis access problems; clotted grafts; varicose veins and peripheral arterial disease (PAD) no longer need to travel to the greater San Jose area as local care continues to expand into the South Bay. World class surgeons, bringing state of the art technology offer a whole new level of Vascular care to the greater Gilroy, Hollister, Salinas and Hwy 152 corridor to the Central Valley Community.

Recognized as one of the most experienced and respected vascular surgeons in Northern California, the practice of Dr. Kokinos is focused on restoring the circulatory health of their patients thereby helping them return to a normal way of life. Together, our surgeons have performed more complex vascular procedures than any other Vascular Surgeons in Northern California. Recognized as San Jose’s and Silicon Valley’s most respected varicose vein experts Dr. Kokinos has performed over 20,000 vein procedures over the past 25 years and are not only the most highly trained vein specialists in San Jose, they are also the most experienced varicose vein experts in all of San Jose, Silicon Valley and the entire San Francisco Bay Area.

Call today to schedule an appointment at 408-376-3626.

SAN JOSE’S BEST VARICOSE VEIN DOCTOR

San Jose’s most advanced vein treatment center, South Bay Vascular Center and Vein Institute invites you to

Love Your Legs Again

If you suffer from painful and unsightly varicose veins WE CAN HELP! Silicon Valley’s most trusted varicose vein clinic and treatment center.

CALL US AT 408-376-3626 TO LEARN HOW WE CAN HELP YOU GET BACK YOUR LIFE.

Actual patients from our practice.

Before After

Before After

Before After

Before After

VEINS, VEINS, VEINS…VARICOSE VEIN TREATMENT IN SAN JOSE

South Bay Vascular Center and Vein Institute is Northern California’s #1 varicose vein treatment center and vein repair clinic. Our ABMS board certified vascular surgeons have performed more successful varicose vein procedures than any other physicians in the region and are the best trained vein specialists in the area. Every vascular surgeon at South Bay Vascular Center and Vein Institute has completed a board eligible fellowship training program in both general as well as vascular surgery and has been trained to both identify and to treat any level of venous disease.

Unlike interventional radiologists, interventional cardiologists, phlebologist’s and dermatologists who perform varicose vein procedures to supplement the income from their primary speciality, VASCULAR SURGEONS have spent their entire careers treating diseases of the circulatory system. They spend all their time diagnosing and treating any venous and/or arterial abnormalities. More importantly, when the problem is more than a simple cosmetic issue (most commonly experienced as leg swelling or aching) the vascular surgeons of South Bay Vascular Center are the ones to take care of it. They have the most advanced ultrasound testing facility, angiography suite and screening protocols in the entire region to help diagnose deeper systemic circulatory diseases such as DVT’s (blood clots) and iliac vein compression.

Many of the patients who visit our clinic find us after their vein treatments at other “Vein Speciality” clinics fail to help them achieve their desired outcomes. Unfortunately, many of these same patients tell us they were led to believe that varicose vein surgery is a relatively easy procedure and can be performed by any level of licensed physician after a basic course in cosmetic vein treatment modalities.

Having served the South Bay for over 20 years, Dr. Kokinos and the staff of South Bay Vascular Center and Vein Institute have performed over 20,000 successful Varicose vein procedures. In addition to her clinical practice, Dr. Kokinos is recognized nationally as an expert in the treatment of varicose veins, peripheral arterial disease, chronic limb ischemia and iliac vein compression. Together with her partner, Dr. Carlos E Pineda, Dr. Kokinos is proud to bring this level of care and experience to every one of her patients and is honored to be entrusted with the care and treatment of them.

Understand your treatment options. Ask your “Vein Specialist” about what happens if you have a complication with your procedure. Ask your provider if they have “Admitting privileges” at the local hospital in the event something goes wrong during the procedure and what their plan is if their procedure fails. Most importantly, check the primary board speciality of your varicose vein “specialist”. If it isn’t vascular surgery, there is someone more qualified and better trained to perform the procedure.

Remember, these are your legs. You deserve the best..and you deserve to “Love Your Legs Again”.

CALL US AT SOUTH BAY VASCULAR CENTER AND VEIN INSTITUTE.

408-376-3626

DR. KOKINOS CHOSEN TO PRESENT AT 2017 OEIS MEETING

Dr. Kokinos was selected as a speaker at this years OEIS (Outpatient Endovascular and Interventional Society)meeting that will be held March 31- April 2 in San Diego California. Dr Kokinos will be presenting her expertise in the establishment and operation of cutting edge outpatient treatment facilities.

Congratulations Dr. Kokinos on this honor.

Dr. Polyxene Kokinos and her partner, Dr. Carlos E Pineda of South Bay Vascular Center and Vein Institute, operate San Jose’s leading center for the treatment of Varicose Veins. As a Board Certified Vascular and General Surgeon, Dr. Kokinos is recognized by her peers as the one of the countries leading experts on the treatment of deep venous disease and is frequently sought out as a speaker. South Bay Vascular specializes in treating peripheral arterial disease (PAD) and is the regional center of excellence for amputation prevention.

If you or anyone you know suffers from unsightly and painful varicose veins, peripheral arterial disease, non-healing wounds or is facing a diabetic amputation, please call our office at 408-376-3626 to schedule a consultation. WE CAN HELP!

LEG SWELLING CAN BE MORE THAN JUST VARICOSE VEINS

Time and again, patients come to our office following a vein procedure by local Vein “Experts”, Vein “Specialists” and Phelebologists complaining that their legs continue to hurt and to swell even after their varicose vein procedures. Disappointed and scared, many of these patients have spent thousands of dollars, have undergone multiple procedures and have endured months of pain, only to find that they have been treated for the wrong condition and have been told that there is nothing else that their doctor can do to help them. Not knowing where else to turn, patients walk into our office knowing that something is just not right and hoping that we we can help.

The question is, why is this happening?

For the past 23 years the physicians and surgeons at South Bay Vascular Center and Vein Institute have dedicated their entire practice to treating patients with the full range of venous issues–from cosmetic spider veins to non-healing venous ulcers. Since 2005 alone, we have performed over 10,000 endovenous closure procedures in our office, and have done thousands more phlebectomies and sclerotherapy sessions in an effort to help our patients return to a normal life. At South Bay Vascular, we are not just a varicose vein treatment center or vein clinic; we are a group of board certified vascular surgeons, clinically trained to treat patients with problems in any part of their circulatory system. Treating varicose veins is not something we have learned at a weekend course or seminar as a way to augment our primary practice…veins are our primary practice and that is what we have been clinically trained to do.

Unfortunately, this isn’t always the case. And that is why so many patients come to our office looking for help.

Many of our patients, having been previously treated for varicose veins by cardiologists, internists, dermatologists and phlebologists positioning themselves as Vein “Specialists” and Vein “Experts”, but have conditions far more complicated than “leaky valves” that show up as varicose veins. In most of the complications we see, patients have been treated by doctors thinking the problem could be easily fixed using a VNUS, EVLT or Sclerotherapy procedure. Unfortunately for the patient many times this simple procedure does not work because their underlying medical condition is a much more complex and difficult problem to treat. When a patients problems persists, these same doctors end up referring these patients to an emergency room or to a vascular surgeon hoping their complications can be undone. Worse yet, sometimes these same doctors simply tell their patients that there is nothing else that can be done for them.

In our years of treating patients with venous disease we have achieved a technical success rate using our endovenous VNUS and laser procedures of nearly 100%. But NEARLY 100% is a far cry from 100%. Some patients don’t feel better. Some patients, continue to have legs that ache, legs that remain swollen, and wounds that do not heal. Some of our patients were just not getting better.

Up until about two years ago, all we could do for those patients whose legs did not heal was to repeat the ultrasound and hope to find some other vein issue that we could treat. Sometimes this worked; but many times it didn’t. In the instances when we did find a secondary vein or discovered that a vein treated earlier just did not close entirely, we would proceed to treat this vein a second time; but even then, many of our patients simply did not get better. Our question continued to be Why?

After 20 years and tens of thousands of patients, we discovered that in certain patients, there was in fact, another mechanism in the venous system that was keeping our patients from getting better. It was called May-Thurners Syndrome.

What we have discovered is that in many of the cases where our patients did not heal, the problem wasn’t with the the Greater Saphenous Vein (the main vein treated in the vast majority of varicose vein procedures) but with the iliac veins; the vein between the belly button and the groin. What we discovered was that problems in the iliac vein could cause many of the same types of symptoms and problems that we saw when there were leaky valves in the leg veins. What we learned was that the problems with the iliac vein were usually the result of a compression or a scarring. What we discovered was that iliac vein compression (first identified in the early 50’s by Dr’s May and Thurner) happened because of the way the iliac vein is anatomically positioned between a beating artery and a hard pelvic bone and that often times this presented as varicose veins and swollen left legs.

Iliac Vein Compressions not only causes elevated pressure in the left leg resulting in aching, swelling, and non-healing wounds, but predisposes the left side to a much higher risk of blood clots after orthopedic surgery, long flights or drives, cancer, periods of immobility or bed rest.

Very few doctors, it turns out, are able to treat iliac vein compression, because one has to be a vascular surgeon and or an interventional radiologist to do so. Many of the so-called phlebologists, and “vein doctors”, who decided to abandon their field of training to treat varicose veins and other cosmetic issues, are not people who were trained in their residencies or fellowships to perform this type of procedure. Nor were they trained in ultrasound or in understanding the flow dynamics of the vascular system. Because of this lack of clinic training, they are unable to treat iliac vein compression, and so they ignore it, keeping many patients from options that could help improve their daily lives, relieve their leg swelling, and heal their leg wounds.

At South Bay Vascular, we have trained and have performed thousands of venus procedures and have treated hundreds of cases of iliac vein compression. We are experts in all aspects of vascular surgery, including conditions like iliac vein compression. Unlike phlebologists, we can offer all approved treatment options to patients for the treatment of their leg aching, swelling, and discoloration. Most importantly, it is our state of the art accredited vascular lab and registered ultrasound technologists who make so much of what we do at south bay vascular possible. Our advanced vein mapping and screening protocols, together with our national accreditation gives us the ability to do cutting edge surgical procedures; this is what sets us apart from nearly every other vein clinic and treatment center in the whole of Northern California.

Because of the advances in medical imaging and device technology, a large number of our procedures can be done on an outpatient basis in our office. Dr. Kokinos is a recognized leader in the area of deep venous disease and has treated more patients in northern California using Intravascular Ultrasound than any other physician in the region. As a result of her cutting edge treatment protocols and surgical techniques, Dr. Kokinos has been recognized as an international expert and has been an invited speaker at national vascular and interventional meetings in San Francisco, Miami, and Colorado over the last 6 months to discuss her findings and her treatment for patients presenting with these types of problems. Most recently she has been asked to speak at the main venous meeting in the United States, the American Venous Forum, where she will be presenting her clinical research on the use of non-invasive and minimally invasive techniques to diagnose and treat iliac vein compression.

Currently, Dr. Kokinos serves as the Medical Director of the Wound Care Centers at O’Connor and St. Louise Hospitals, and is the Chairperson of the Cardiovascular department at San Jose’s Good Samaritan Hospital. She and her partner, Dr. Carlos E. Pineda, are dedicated to offering patients suffering from both arterial and venous wounds the most cutting-edge and effective treatments available to save their legs, stop their pain, and improve their lives.

If you or anyone you know suffers from varicose veins, diabetic infections, non-healing leg wounds and or are facing an amputation, please call our office to understand your options.

We offer hope when others say there is none.

408-376-3626

PREVENTING DIABETIC AMPUTATIONS IN SAN JOSE

Every year over 160,000 amputations are performed in America. 60%-80% of Medicare patients who undergo amputation never walk again. Worse yet, there is a 30-50%, 2-year mortality rate following an amputation…meaning that between 30% and 50% of all patients undergoing an amputation die within 2 years of their procedure.

Recent advancements in both imaging and medical device technology have significantly improved a patients chances for a different outcome: avoiding amputation. Educating patients about these new procedures, however, is still very difficult because many of these new advances are known only to the surgeons and universities pioneering them. In fact, recent studies show that more than 54% of patients were not even assessed using diagnostic angiograms to determine if blood flow could be restored to their affected limbs prior to the amputation. Earlier this year, Medicare published figures showing that a full 67% of medicare patients who underwent a major amputation never even had a re-vascularization procedure in an attempt to save their limb.

Dr.’s Kokinos and Pineda are recognized as specialists in the field of lower limb re-vascularization and limb salvage. Having performed more pedal access re-vascularization cases (approaching the affected limb via the foot instead of the groin) than any other physicians in the region provides these South Bay Vascular surgeons with the experience and judgement to help patients avoid diabetic amputations and to treat patients with advanced cases of peripheral arterial disease (PAD) or what is otherwise known as Chronic Limb Ischemia (CLI).

If you or someone you know is facing the possibility of lower limb amputation, STOP! CALL US FOR A SECOND OPINION. South Bay Vascular is Taking a Stand Against Amputation and you should too. Call us at 408-376-3626 to schedule a thorough evaluation of your options. We are specialists in the area of lower limb re-vascularization and we provide hope when others say there is none.

ACHING TIRED OR HEAVY LEGS?

SOUTH BAY VASCULAR ANNOUNCES THE OPENING OF THE SOUTH BAYS ONLY DIALYSIS ACCESS CENTER WITH FULL TIME VASCULAR SURGERY COVERAGE

South Bay Vascular Center and Vein institute is pleased to announce the opening of the South Bay’s only Dialysis Access Center with full time Vascular Surgery Coverage.

The new dialysis access center is the only full service access center of its kind in the South Bay. By offering full time vascular Surgery coverage the new center provides an unmatched level of care not found anywhere else in the South Bay. Dialysis access complications are treated quickly and effectively enabling dialysis patients to return to their dialysis sessions with minimal disturbance to their lives. Complications encountered in dialysis can be completely treated by qualified surgeons without the need for secondary referrals and or delays in the treatment of clotted or failed grafts.

The new center has an on-site accredited full service vascular lab to assist patients in the rapid and accurate diagnosis and treatment of any complications associated with dialysis access.

We can be reached toll free at 1-855-WE-D-CLOT

SOUTH BAY VASCULAR PLEASED TO ANNOUNCE THE OPENING OF A NEW DIALYSIS ACCESS CENTER IN THE SOUTH BAY

South Bay Vascular Center and Vein Institute is pleased to announce the recent affiliation of Local Vascular Surgeons Dr. Polyxene Kokinos MD and Carlos E. Pineda MD with long time community Interventional Radiologists Dr. Anup Singh and Dr. Raj Tandon in the opening of a full time dialysis access center.

Dr.’s Kokinos, Pineda, Singh and Tandon will provide full time coverage in their Campbell, CA Angiography Suite and provide immediate one-call service to local dialysis centers when surgical intervention is needed to enable ongoing dialysis for their patients.

By dialing 1-855-WE-D-CLOT (1-855-933-2568) Local Dialysis centers will now have an immediate option for treating any complications associated with a patient dialysis session, enabling a quick return for patients to continue their treatments.

The new dialysis access center is the only full service dialysis access center in the South Bay with full time vascular surgery coverage.

Full time coverage and Immediate access to care by board certified vascular surgeons and interventional radiologists

Ease of use: One-call service vs being sent to a hospital emergency room

Trusted local physicians providing compassionate care in a personalized setting,

Experienced care in a state of the art facility conveniently located in Campbell, CA.

Dedicated physicians, committed to South Bay patients for over 60 years of combined service

One site accredited full service Vascular Lab

Our specialities include

Thrombosed or failing AV fistulas and grafts

Placement of temporary dialysis catheters

Surgery to place fistulas and grafts

1-855-WE-D-CLOT