January 1968

Peripheral Arterial Disease.

Author Affiliations



By Wiley F. Barker, MD. Price, $8.50. Pp 229, with many illustrations. W. B. Saunders, Co., 218 W Washington Sq, Philadelphia 19105, 1966.

Arch Intern Med. 1968;121(1):109-110. doi:10.1001/archinte.1968.03640010111028

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This monograph by one of the pioneer vascular surgeons is a most excellent primer of peripheral vascular disease. It is lucidly written, generously referenced, well organized, and illustrated with an abundance of exceptionally clear diagrams, graphs, and photographs. Consideration is given to historical aspects throughout, and separate chapters are devoted to the anatomy, physiology, pathology, and diagnosis of peripheral vascular disease.

In subsequent chapters dealing with clinical management, the author expresses personal preference without neglecting other points of view. For instance, in the matter of femoropopliteal reconstruction, the author summarizes arguments and evidence regarding the use of autogenous saphenous vein synthetic grafts for bypass procedures. He declares firmly in favor of the vein while doing full justice to the excellent results with synthetic grafts reported from Houston and Detroit. A concluding chapter on the complications of vascular surgery is especially valuable. An awareness of potential iatrogenic insult must be developed

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