George Johnson, Jr., MD, Book Review Section Editor
Textbook of interventional cardiology Eric J. Topol, MD, ed. Philadelphia, 1990, W. B. Saunders, 1000 pages, $95.00. The Textbook ofI~tewentiond Cardiology will be of limited interest to vascular surgeons. In fact, this book contains only scattered references to angioplasty of peripheral vessels, and there is disappointingly little discussion of the arterial complications with which every vascular surgeon is becoming increasingly familiar. However, chapters on omega-3 fatty acids, the use of intraluminal stents, arterial paving, atherectomy, and the use of the excimer laser may well have future application to the treatment of peripheral occlusive disease. There are nearly 50 chapters, written by over 100 internationally recognized contributors, subdivided into seven sections. Despite the large number of authors there is little overlap or repetition between chapters. The first section is devoted to pharmacologic interventions, which illustrates the liberal definition of interventional cardiology used by the editor. Chapters within this section range from antiplatelet therapy to a discussion of free radical scavengers. In the second section the reader will find most of the material suggested by the book’s title. Here is a detailed discussion of every aspect of coronary balloon angioplasty, profusely illustrated with radiographs including an extensive review of pitfalls and complications. In most cases the individual author has included his personal results with the technique described. The next four sections are devoted to what might be termed new directions in interventional cardiology including coronary atherectomy, coronary stenting, laser augioplasty, coronary Doppler, and angioscopy. The final section reviews the European, American, and Asian experience with aortic and mitral valvuloplasty. In the preface the editor indicated his concern that the rapid evolution of interventional cardiology might outdate a textbook before it was printed. Contributors were encouraged to include the latest results of their research and to speculate as to the future of the field. Consequently, many types of interventions that have not yet reached clinical acceptance are presented along with well-established techniques. The inexperienced reader may have difficulty separating fact from fancy. Because of the high priority that the editor placed on current information, many authors have included research data which have not been subjected to peer review and therefore may be premature for inclusion in a textbook. Although interesting and informative, this approach may ultimately perpetuate misconceptions for those readers who refer to journals rather than books for the most up-to-date information. Despite the shortcoming mentioned in the previous
paragraph, this book is unique and valuable for its comprehensive collection of current information on interventional cardiology. As such, it will be of greatest interest to the practicing interventional cardiologist and to those wirh a research interest in the field. Bruce S. Cutler, MD Bonnie H. Weiner, MD Worcester, Mass. Universally of Massadwsetts Worcestw, Mass.
Le Sauvetage des Membres en Ischemie Critique Didier Melliere H. Guidicelli. Paris, 1989, Masson, 160 pages, 160 F. This book, written in French and entitled The Salvage in Ctittial Ischew+ is the report presented on the subject to the Ninety-first Congress of the French Surgical Association (Association Francaise de Chirurgie) held in Paris, France, in October 1989 and dedicated to the subject of limb salvage. The book is intended as a practical guide for the management of critically ischemic limbs. It is divided into three major sections. The firsr and second sections deal with the salvage of upper and lower limbs, respectively. Each of these two sections follows the sarre format and is divided into three parts. The first part consists of an analysis of a large personal series of patients with detailed descriptions of patients and results. This is followed by a thorough review and critical analysis of the relevant literature. The third part in each of these two series consists of what is called a therapeutic plan, which is a concise and practical condensate of the approach to, work up, and management of critical limb ischemia. In the section on lower extremities for example, practical algorithms are presented and summarized in tabular form. There is a strong emphasis on etiology and differential diagnosis with a very helpful classification of less obvious causes of ischemia. These are broken down into five major categoriez and summarized in a table. The third major section is the most interesting and makes up almost half the book. It is entitled “‘Special Problems” and deals with such situations as reperfusion injury, hypercoagulable states, in situ versus reverse saphenous veins for lower extremity bypasses, distal, tibial bypasses, percutaneous transluminal angioplasties, and the use of local fibrinolytic therapy. With the exception of the chapter on reperfusion injury, all the other topics are discussed thoroughly and very comprehensively. Of particular interest in that section was a chapter dedicated to distal arterial reconstruction of the upper extremity with of Limbs