Atlas of Interventional Radiology

Atlas of Interventional Radiology

1086 Journal of VASCULAR SURGERY Book Reviews strategies to deal with this. The chapters on decision making, unnecessary surgery, and tort reform a...

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1086

Journal of VASCULAR SURGERY

Book Reviews

strategies to deal with this. The chapters on decision making, unnecessary surgery, and tort reform are particularly noteworthy. This book has a few shortcomings. Chapter 1, which is on surgical operations and manpower, leaves a number of issues undiscussed. What will be the role of an increasing number of female surgeons? The American Board of Surgery has statistics that show only 43% of individuals finishing the certification process are staying in general surgery. What will this do to surgical manpower needs? The rural-urban maldistribution problem is not addressed. The editor has also failed to address some of the discrepancies in numbers from chapter to chapter. For example in chapter 1 it is stated that in 1985 there were 16,050,000 surgical procedures. In chapter 2, for the same year, there were 22,800,000 procedures. These are minor criticisms of a generally excellent book. Unfortunately, a book such as this will probably be out-of-date within a very short time. With next year's national elections a republican president might maintain the status quo with minimal reform for at least 4 years. A democratic president, on the other hand, will probably respond to the populist revolt that will lead to dramatic changes in health care delivery. Unfortunately, this book did not anticipate this populist revolt, which may become the most significant issue facing the socioeconomics of surgery today. In summary, this book, more than any other, prepares the surgeon with background information on many of the issues that will affect changes in health care that will likely occur over the next 8 years. All community surgeons, academic surgeons, and surgical residents should be aware of these issues, and this book is an excellent place to start to build awareness. Donald D. Trunkey, MD Department of Surgery, Oregon Health Sciences University

Diabetes: Clinical management Robert B. Tattersall, Edwin A.M. Gale, eds. New York, 1991, Churchill Livingstone, 382 pages, $49.94. Diabetes Clinical Management, edited by Robert Tattersal and Edwin Gale, is a book of approximately 375 pages directed at the comprehensive management of the diabetic patient, all ages and all types, acute and chronic complications included. The book has a list of 18 contributors, from whom the editors in the preface beg forgiveness for rewriting their compositions into a uniform style. To the extent that the contributors are offended, the reader is benefited. The style is readable, coherent, and pruned of unnecessary pedantry. The core material is hit squarely and, surprisingly for a book so short, comprehensively. The editors have tried to produce a guide to management issues in diabetes that is both practical and a pleasure to read; they have succeeded admirably. The book will be found useful

by the nurse practitioner and the specialist alike. In fact, the only person with a vested interest in diabetes who is unlikely to profit from a reading is the patient. A sound grounding in medical fimdamentals is tacitly assumed, and the material is too technical for the nonmedical patient. The specialists most likely to benefit, in my view, are those at the end of the referral pattern for the diabetic patient: the ophthalmologist, the nephrologist, the neurologist, and the vascular surgeon. The spectrum of diabetes management can be revisited efficiently in this volume with flail confidence that the material has not been trivialized. The one feature of the book that the American reader is sure to find disconcerting is the presentation of clinical laboratory data in millimoles per liter. Although the standard around the world, it has not had good acceptance in the United States. If a second edition is published, this would be the thing to fix. D. Lynn Loriaux, MD, PhD Oregon Health SciencesUniversity

Arias of Intervenfional Radiology Constantin Cope, Dana R. Burke, Steven Meranze, eds. Philadelphia, 1990, J. B. Lippincott 350 pages, $110.00. With the increased use and availability of endovascular procedures, this timely atlas of interventional radiology is usefifl for both the novice as well as for the experienced interventional radiologist. The book is logically arranged, with several introductory chapters concerning fundamentals of informed consent, quality control, and ideal requirements for a special procedures interventional suite. The remaining chapters are divided between vascular and nonvascular interventional procedures. The entire range of percutaneous vascular interventions including angioplasty, thrombolysis, embolotherapy, and various venous procedures are covered in the early chapters. The later chapters contain nonvascular interventions including percutaneous biopsy, abscess drainage, nephrostomy and ureteral steming, and percutaneous biliary procedures. The various interventional procedures are well demonstrated by abundant drawings and radiographic illustrations. These provide the reader with the basic technical details concerning performance of a specific interventional procedure and the rationale behind it. For many procedures, a list of indications, contraindications, and preprocedure and postprocedure orders are given. Many of the chapters in this book were originally published as separate monographs intended for the use of residents and fellows in interventional radiology. Although frequently several different ways exist of successfully performing an interventional procedure and achieving a successfifl clinical result, the authors limit their discussion, for the most part, to methods used or developed in their hospital. This, however, is appropriate for the format of the book. Some editing errors such as reversal of preprocedure

Volume 15 Number 6 ]'tme 1992

Book Reviews

and postprocedure radiographs or mislabeling of right and left sides are present; but, considering the large number of illustrations used, the mistakes are minor. In summary, this book is an excellent overview of most of the procedures performed by interventionalists. It is predicted that this book will eventually be found in the libraries of most academic radiology departments and on

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the shelves of many radiologists performing interventional procedures. The book is recommended to surgeons desiring a brief review source for interventional radiology. Frederick S. Keller, ME) Oregon International Institute Oregon Health Sciences University

BOOKS RECEIVED The receipt of the books listed below is acknowledged. This listing is regarded as appropriate return for the courtesy of the sender. The books that are of particular interest will be reviewed and the review published as space permits.

Atlas of surgical endoscopy Jeffrey L. Ponsky, St. Louis, 1992, Mosby-Year Book, Inc., 240 pages, $89.00. Cardiovascular diseases: Genetics, epidemiology and prevention (Oxford Monographs on Medical Genetics, No. 22) James J. Nora, Kare Berg, Audrey Hart Nora, New York, 1991, Oxford University Press, 189 pages, $39.95. Clinical application of blood gases, 4th edition Barry A. Shapiro, St. Louis, 1989, Mosby-Year Book, Inc., 379 pages, $39.95. Clinical ischemic syndromes: mechanisms and consequences of tissue injury Gerald B. Zelenock, St. Louis, 1990, Mosby-Year Book, Inc., 618 pages, $69.00.

Color Doppler flow imaging W. Dennis Foley, Boston, 1991, Andover Medical Publishers, Inc., 175 pages, $125.00. The heart and cardiovascular system: Scientific foundations, second edition (A two-volume set) Harry A. Fozzard, New York, 1991, Raven Press, 2383 pages, $340.00. Multiple organ failure: Patient care prevention Arthur E. Baue, St. Louis, 1990, Mosby-Year Book, Inc., 573 pages, S79.00. Peripheral vascular diseases Jess R. Young, St. Louis, 1991, Mosby-Year Book, Inc., 790 pages, $95.00. Physiology of the heart, 2rid edition Arnold M. Katz, New York, 1991, Raven Press, 703 pages, $55.00.