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Doody's Review ServiceReviewer: Ralph J. Damiano, MD (Washington University School of Medicine)
Description: This book covers the current state-of-the-art of myocardial laser revascularization, comprehensively reviewing the history, biology, clinical indications and results, and mechanisms of this technology.
Purpose: The purpose is to provide a complete understanding of myocardial laser revascularization and its clinical role in the management of coronary artery disease. This is a reasonable objective, but the book falls short of providing an objective review of this still controversial technology.
Audience: The monograph is written for surgeons interested in laser revascularization. The authors are all recognized experts in the field.
Features: The book presents a strong case for this technology and a superb review of the literature. However, it is at times one-sided in its review of the literature. The authors all have been vocal advocates of laser revascularization and the book does not focus enough on its limitations and the inability to define a mechanism of action after 15 years of clinical use.
Assessment: This is a well-written book on a technology that continues to attract interest, although not many patient referrals, after over a decade of clinical experience. It does not provide much new information to the continuing controversy regarding the mechanisms of laser revascularization. It will only be useful to surgeons with a keen interest in the subject, but they may be disappointed with the lack of objectivity.