Bruce A. Perler and Gary J. Becker
733 pp. New York, NY: Theime Medical Publishers; 1998. $139.00. ISBN 0-86577-694-6
The surge in the diagnosis and treatment of endovascular disease can be attributed to the proliferation of stents. Stents are metallic scaffolds that reduce abrupt vessel closure and provide superior long-term results. They have revolutionized the management of vascular disease, fueled the growth of endovascular procedures, led to the creation of “vascular physicians,” and provided a platform for tremendous research and development. An extension of this remarkable phenomenon is the publication of numerous textbooks that extol the benefits of vascular interventions. The quality of these texts varies from ordinary to excellent. Vascular Interventions by Perler and Becker is a commendable text. It differentiates itself from other books on the subject by providing a comprehensive, multidisciplinary approach to the management of vascular disorders.
This textbook boasts a commanding list of contributing editors from premier institutions in the United States. Importantly, some of these authors have pioneered various techniques in the specialty. Unfortunately, there are no foreign contributors. These individuals could have enriched the work by providing a unique perspective; in particular, to the issue of resource utilization. Nevertheless, the contributing authors provide an exhaustive description of the pathophysiology, diagnosis, and management of endovascular disease. Illustrations are ample, vivid, and of superior quality. The bibliography is elaborate and provides an excellent source of references. Tables make comprehension easy. The important subject of aneurysms is dealt with well in 12 substantive chapters. Advances in the applications of magnetic resonance angiography are authoritatively reviewed. For the uninitiated, a review of lipid management with simple (probably too simple) illustrations is included. The authors have taken a unique approach to content distribution by dividing the major text into acute and chronic presentations of endovascular disease. Although distinctive, this presentation is a trifle confusing and asynchronous. A few chapters are oversimplified, and some content is repetitive. Yet, despite these minor flaws, the work is praiseworthy. This textbook is recommended to the student of vascular medicine who endeavors to practice this evolving specialty in times of exciting research and development in the specialty.
William Harvey would have been pleased to see a multidisciplinary approach to his “circulatory” vision.