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Doody's Review ServiceReviewer: Albert Devon Sam, II , MD (Vascular Surgery Associates)
Description: This book presents in a practical, descriptive manner ways of performing catheter-based, endoluminal interventions for various peripheral vascular lesions. Using a case-by-case manner, the author has assembled experts in various disciplines to offer their method of performing specific procedures.
Purpose: The author's broadly stated purpose is to provide endovascular practitioners with a book that will assist in expanding their fund of knowledge in treating peripheral vascular lesions. This goal is indeed timely as more endovascular procedures are being used to address lesions traditionally approached in an open surgical fashion.
Audience: As chairman of a respected, clinically active vascular institute, the author is targeting an audience of experienced endovascular practitioners. This book is not for the uninitiated as the succinct nature of each case description affords little basic instruction or theory.
Features: Each case gives a brief statement of the clinical problem. Each procedure is described in dictation-like fashion and painstakingly identifies all catheters, wires, and balloons used for a given intervention. The quality of each case presentation with step-by-step descriptions of devices and anticoagulation methods clearly is the strength of this text. Where special devices are employed (distal protection catheter, Eximer-laser catheter), their use is also described.
Assessment: Although helpful to the experienced practitioner, caution in extrapolating every case to a clinical problem must be used. Many of the cases described do not necessarily adhere to certain widely practiced standards and represent the methods of experienced high-end specialists in a discipline during its formative phases. While acknowledging that some of the treatment methods are controversial, there is much technical information to be taken from the descriptions.