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Applications of noninvasive vascular techniques
BOOK RJXIEWS John
M. Porter,
The ICU book Paul L. Marino, 713 pages.
MD, Book Review Section Editor
Philadelphia,
1991, Lea & Febiger,
The ICU Book is a single author paperback text that summarizes the fundamental concepts of critical care management in a succinct readable format. Dr. Marino is to be congratulated for producing a current state of the art text reviewing basic principles that are required knowledge for all physicians who care for critically ill patients. This book does not aim to be a detailed, comprehensive text in critical care medicine, but instead clearly summarizes the important aspects of the field. Although the specialty of critical care has become fragmented with the development of separate medical, surgical, and coronary care units, there are fundamental concepts and principles that are common to all intensive care units. This book succeeds in its goal to emphasize a basic understanding of these essential principles of the growing field of critical care medicine. The text is divided into 12 sections that are further subdivided into a total of 47 small chapters. Each chapter is 8 to 17 pages in length. The text is extremely well organized, and all illustrations are original work (line drawings). Each chapter is outlined in a uniform cohesive format that makes the text easily readable. References are provided at the end of each chapter that include both general reviews about the subject and very current detailed citations. Section III, “Invasive Hemodynamic Monitoring” and Section IV, “Clinical Shock Syndromes” are both excellent features of this text, and promote a clear comprehensive understanding of these topics. One noted omission was a section on coagulation abnormalities. Since coagulation disorders are common in all intensive care unit settings, and especially frequent in vascular surgery patients, a separate chapter on this topic would be a useful addition to this text. This compact, concise text should be required reading for surgical residents or fellows in training and is especially recommended to vascular trainees. Since vascular patients frequently require the intensive care unit setting after operation, this succinct text on critical care medicine is a must for vascular residents and fellows and would also provide an excellent review for practicing vascular surgeons. Lena Napolitam, MD University of North Carolina at Chapel
Donald
Silver, MD
Cbaimzan and W Alton Jones Distinguished Professor University of Missouri-Columbia
Hill
Venous thromboembolic disorders Jacques R. Leclerc, Philadelphia, 1991, Lea & Febiger, 448 pages, $69.50. This book presents a comprehensive, yet concise, summary of the information concerning venous throm770
boembolism. The contributors from McGill, McMaster, and Montreal Universities have prepared a book that was obviously “. . . written for clinicians who care for patients with venous thromboembolic disease.” The material is factual and current, and the book is easy to read and nicely illustrated. It is recommended to all students of venous thromboembolic disorders. The text may be divided into three sections. The first nine chapters review the basic principles of blood coagulation, the pathophysiology of deep venous thrombosis, and the characteristics of venous thromboembolism as well as pulmonary embolism. A review of the chronic venous insufficiency syndrome is followed by a chapter on the mechanisms of unfractionated heparin and low molecular weight heparin. The next chapter is devoted to a discussion of the mechanism of action, clinical usage, and complications of the oral anticoagulants. The physiologic and biochemical basis of thromboembolic therapy is reviewed. The next three chapters review the epidemiology and natural history of venous thromboembolism. The final nine chapters are clinically oriented and include the diagnosis of deep vein thrombosis and pulmonary embolism; the prophylaxis of venous thromboembolism; the management of venous thromboembolism including special circumstances of venous thromboembolism during pregnancy, in pediatric patients, during cerebral thrombosis, with retinal vein occlusion, and in the superficial venous system. The appropriate labeling of the components of the chapters allows the readers to obtain selected information with ease. The book provides a natural transition as one progresses from chapter to chapter and from section to section. This is an excellent text. The forward by Dr. Gold states that he has “. . little doubt that this text will become the standard against which all other in the field will be measured. . . .” This assessment is accurate. This reviewer feels that this text will indeed earn a place in the libraries of medical schools, vascular surgeons, hematologists, and all others interested in venous thromboembolic disorders. It is an excellent contribution to the medical literature.
Applications of noninvasive vascular techniques Amil J. Gerlock, Vishan L. Giyanani, Carol Krebs, Philadelphia, 1988, W. B. Saunders, 541 pages, $68.00. This text divides the applications of noninvasive vascular techniques into six sections. The first provides a brief overview of the principles of Doppler ultrasonogra-
Volume 13 Number 5 May 1991
Book revGws
phy and sound spectral analysis. Subsequent chapters discuss the assessmentof cerebrovascular, venous, lower extremity arterial, and upper extremity vascularlesions.The book concludes with a miscellaneous section that includes duplex sonography of the superficial mass and calculations to determine test accuracy. The strength of this work lies in the numerous excellent correlations between noninvasive results and angiographic findings. This approach is used to illustrate the technique and interpretation of carotid duplex ultrasonography, the periorbital Doppler examination, Doppler evaluation of superficial temporal artery- middlecerebral artery (ECAICA) bypass surgery, strain gauge plethysmography, venous Doppler examination, photoplethysmography, venous duplex imaging, segmental Doppler pressures,and Doppler waveform analysis. Unfortunately, the quality of the text does not maintain the consistently high level exhibited in the arteriographic, venographic, and noninvasive images. The two chapters presenting the hemodynamic anatomy of the lower extremity venous and arterial circulation are well written and well illustrated. By comparison, other material is clearlyinferior. The chapter dealing with the principles of sound spectral analysisis brief and simplistic. The Doppler formula is not presented. Basicconcepts of Fourier analysis,including the Nyquist limit and aliasing, are not discussed.Despite the fact that much of the book deals with the applications of duplex ultrasonography, the authors ignore completely principles of B-mode imaging.
BOOKS
771
Ten of the 25 chapters are devoted to noninvasive cerebrovasculartechniques. Three of the 10 contain tables predicting percent stenosis of occlusive lesions at the carotid bifurcation based on peak frequency measurements of Doppler spectral recordings; all three tables present different diagnostic criteria. Inadequate reference is made to the transmitting frequency of the Doppler transducer. No mention is made of the role of velocity measurements, internal carotid artery (ICA)/common carotid artery (CCA) ratios, ICA end-diastolic measurements, or velocity measurements, all widely used in many diagnostic laboratories. This work is not a comprehensive review of noninvasive vascular techniques. Entire chapters are devoted to some indirect techniques, such as the periorbital Doppler examination, whereas others such as oculopneumoplethysmography (OPG-GEE) are ignored. In other instances, most notably the use of photoplethysmography in the evaluation of chronic venous insufficiency, identical material and figures appear in multiple chapters. Numerous figures contain inappropriate references to commercial manufacturers. Newer indications for duplex imaging, including abdominal applications, evaluation of distal bypassgrafts, and color flow techniques are not discussed. Despite the high technical quality of the diagnostic images included in the book, this work cannot be recommended as a suitable reference for the noninvasive vascular laboratory. Paul Card&o, BS, RVT Universi2y of Massacbusettx
Medical
Center
RECEIVED
The receipt of the books l&ed below is acknowl&ed. This listing is regarded as appropriate return fbr the courtesy of the sender. The books that are ofparticular interest will be reviewed and the review published as space permits.
Essentials
of clinical
surgery
John H. Davis, Roger S. Foster, Jr, Richard L. Gamelli, eds. St. Louis, 1991, Mosby-Year Book, Inc., 611 pages. Cardiovascular
pathology
Renu Virmani, James B. Atkinson, John J. Fenoglio, eds. Philadelphia, 1991, W. B. Saunders, 480 pages, $65.00.
Cardiac disease
imaging:
A companion
to Braunwald’s
heart
Melvin L. Marcus, Heinrich R. Schelbert, David J.
Skorton, Gerald L. Wolf, eds. Philadelphia, 1991, W. B. Saunders, 1344 pages, $110.00. Venous
disorders
John J. Bergan, James S. T. Yao, eds. Philadelphia, 1991, W. B. Saunders, 600 pages, $125.00. Oxford
handbook
of clinical
surgery
G. R. McLatchie, ed. New York, 1990, Oxford University Press,878 pages, $29.95. Microsurgery:
Transplantation
- replantation
Harry J. Buncke, ed. Philadelphia, 1991, Lea and Febiger, 812 pages, $250.00.
M. Porter,
The ICU book Paul L. Marino, 713 pages.
MD, Book Review Section Editor
Philadelphia,
1991, Lea & Febiger,
The ICU Book is a single author paperback text that summarizes the fundamental concepts of critical care management in a succinct readable format. Dr. Marino is to be congratulated for producing a current state of the art text reviewing basic principles that are required knowledge for all physicians who care for critically ill patients. This book does not aim to be a detailed, comprehensive text in critical care medicine, but instead clearly summarizes the important aspects of the field. Although the specialty of critical care has become fragmented with the development of separate medical, surgical, and coronary care units, there are fundamental concepts and principles that are common to all intensive care units. This book succeeds in its goal to emphasize a basic understanding of these essential principles of the growing field of critical care medicine. The text is divided into 12 sections that are further subdivided into a total of 47 small chapters. Each chapter is 8 to 17 pages in length. The text is extremely well organized, and all illustrations are original work (line drawings). Each chapter is outlined in a uniform cohesive format that makes the text easily readable. References are provided at the end of each chapter that include both general reviews about the subject and very current detailed citations. Section III, “Invasive Hemodynamic Monitoring” and Section IV, “Clinical Shock Syndromes” are both excellent features of this text, and promote a clear comprehensive understanding of these topics. One noted omission was a section on coagulation abnormalities. Since coagulation disorders are common in all intensive care unit settings, and especially frequent in vascular surgery patients, a separate chapter on this topic would be a useful addition to this text. This compact, concise text should be required reading for surgical residents or fellows in training and is especially recommended to vascular trainees. Since vascular patients frequently require the intensive care unit setting after operation, this succinct text on critical care medicine is a must for vascular residents and fellows and would also provide an excellent review for practicing vascular surgeons. Lena Napolitam, MD University of North Carolina at Chapel
Donald
Silver, MD
Cbaimzan and W Alton Jones Distinguished Professor University of Missouri-Columbia
Hill
Venous thromboembolic disorders Jacques R. Leclerc, Philadelphia, 1991, Lea & Febiger, 448 pages, $69.50. This book presents a comprehensive, yet concise, summary of the information concerning venous throm770
boembolism. The contributors from McGill, McMaster, and Montreal Universities have prepared a book that was obviously “. . . written for clinicians who care for patients with venous thromboembolic disease.” The material is factual and current, and the book is easy to read and nicely illustrated. It is recommended to all students of venous thromboembolic disorders. The text may be divided into three sections. The first nine chapters review the basic principles of blood coagulation, the pathophysiology of deep venous thrombosis, and the characteristics of venous thromboembolism as well as pulmonary embolism. A review of the chronic venous insufficiency syndrome is followed by a chapter on the mechanisms of unfractionated heparin and low molecular weight heparin. The next chapter is devoted to a discussion of the mechanism of action, clinical usage, and complications of the oral anticoagulants. The physiologic and biochemical basis of thromboembolic therapy is reviewed. The next three chapters review the epidemiology and natural history of venous thromboembolism. The final nine chapters are clinically oriented and include the diagnosis of deep vein thrombosis and pulmonary embolism; the prophylaxis of venous thromboembolism; the management of venous thromboembolism including special circumstances of venous thromboembolism during pregnancy, in pediatric patients, during cerebral thrombosis, with retinal vein occlusion, and in the superficial venous system. The appropriate labeling of the components of the chapters allows the readers to obtain selected information with ease. The book provides a natural transition as one progresses from chapter to chapter and from section to section. This is an excellent text. The forward by Dr. Gold states that he has “. . little doubt that this text will become the standard against which all other in the field will be measured. . . .” This assessment is accurate. This reviewer feels that this text will indeed earn a place in the libraries of medical schools, vascular surgeons, hematologists, and all others interested in venous thromboembolic disorders. It is an excellent contribution to the medical literature.
Applications of noninvasive vascular techniques Amil J. Gerlock, Vishan L. Giyanani, Carol Krebs, Philadelphia, 1988, W. B. Saunders, 541 pages, $68.00. This text divides the applications of noninvasive vascular techniques into six sections. The first provides a brief overview of the principles of Doppler ultrasonogra-
Volume 13 Number 5 May 1991
Book revGws
phy and sound spectral analysis. Subsequent chapters discuss the assessmentof cerebrovascular, venous, lower extremity arterial, and upper extremity vascularlesions.The book concludes with a miscellaneous section that includes duplex sonography of the superficial mass and calculations to determine test accuracy. The strength of this work lies in the numerous excellent correlations between noninvasive results and angiographic findings. This approach is used to illustrate the technique and interpretation of carotid duplex ultrasonography, the periorbital Doppler examination, Doppler evaluation of superficial temporal artery- middlecerebral artery (ECAICA) bypass surgery, strain gauge plethysmography, venous Doppler examination, photoplethysmography, venous duplex imaging, segmental Doppler pressures,and Doppler waveform analysis. Unfortunately, the quality of the text does not maintain the consistently high level exhibited in the arteriographic, venographic, and noninvasive images. The two chapters presenting the hemodynamic anatomy of the lower extremity venous and arterial circulation are well written and well illustrated. By comparison, other material is clearlyinferior. The chapter dealing with the principles of sound spectral analysisis brief and simplistic. The Doppler formula is not presented. Basicconcepts of Fourier analysis,including the Nyquist limit and aliasing, are not discussed.Despite the fact that much of the book deals with the applications of duplex ultrasonography, the authors ignore completely principles of B-mode imaging.
BOOKS
771
Ten of the 25 chapters are devoted to noninvasive cerebrovasculartechniques. Three of the 10 contain tables predicting percent stenosis of occlusive lesions at the carotid bifurcation based on peak frequency measurements of Doppler spectral recordings; all three tables present different diagnostic criteria. Inadequate reference is made to the transmitting frequency of the Doppler transducer. No mention is made of the role of velocity measurements, internal carotid artery (ICA)/common carotid artery (CCA) ratios, ICA end-diastolic measurements, or velocity measurements, all widely used in many diagnostic laboratories. This work is not a comprehensive review of noninvasive vascular techniques. Entire chapters are devoted to some indirect techniques, such as the periorbital Doppler examination, whereas others such as oculopneumoplethysmography (OPG-GEE) are ignored. In other instances, most notably the use of photoplethysmography in the evaluation of chronic venous insufficiency, identical material and figures appear in multiple chapters. Numerous figures contain inappropriate references to commercial manufacturers. Newer indications for duplex imaging, including abdominal applications, evaluation of distal bypassgrafts, and color flow techniques are not discussed. Despite the high technical quality of the diagnostic images included in the book, this work cannot be recommended as a suitable reference for the noninvasive vascular laboratory. Paul Card&o, BS, RVT Universi2y of Massacbusettx
Medical
Center
RECEIVED
The receipt of the books l&ed below is acknowl&ed. This listing is regarded as appropriate return fbr the courtesy of the sender. The books that are ofparticular interest will be reviewed and the review published as space permits.
Essentials
of clinical
surgery
John H. Davis, Roger S. Foster, Jr, Richard L. Gamelli, eds. St. Louis, 1991, Mosby-Year Book, Inc., 611 pages. Cardiovascular
pathology
Renu Virmani, James B. Atkinson, John J. Fenoglio, eds. Philadelphia, 1991, W. B. Saunders, 480 pages, $65.00.
Cardiac disease
imaging:
A companion
to Braunwald’s
heart
Melvin L. Marcus, Heinrich R. Schelbert, David J.
Skorton, Gerald L. Wolf, eds. Philadelphia, 1991, W. B. Saunders, 1344 pages, $110.00. Venous
disorders
John J. Bergan, James S. T. Yao, eds. Philadelphia, 1991, W. B. Saunders, 600 pages, $125.00. Oxford
handbook
of clinical
surgery
G. R. McLatchie, ed. New York, 1990, Oxford University Press,878 pages, $29.95. Microsurgery:
Transplantation
- replantation
Harry J. Buncke, ed. Philadelphia, 1991, Lea and Febiger, 812 pages, $250.00.