by Pearse Morris, 408 pp, w/illus, $99, Baltimore, Md, Williams & Wilkins, 1997.
The primary purpose of this book is to help the reader become a more competent neuroangiographer and to impart a modern perspective of neurovascular anatomy and diseases needed to make clinical decisions.
The book is divided into 4 portions. The first part is devoted to the technical and safety issues regarding neuroangiography. Chapter 1 begins with a thoughtful and interesting discussion on the historical origins of neuroangiography and early contrast agents. Chapter 2 follows with a mostly excellent and extensively detailed narrative on many of the basic techniques of performing a cerebral or spinal angiogram. The information is not encyclopedic, however, and several important omissions occur. Rather than show 2 full figure pages on "how to tie a knot" or on "wire handling," it would have been useful to describe and illustrate the various catheters and guidewires available and how and when they may be used. Also, alternative routes of arterial access (brachial or axillary) with attendant catheter decisions are not covered nor is there a discussion on single- vs double-wall needle puncture. Part I is concluded by 2 complete and useful chapters: "Complications of Cerebral Angiography" and "Radiation Risks and Safety," the latter being exhaustive.
Practical Neuroangiography. Arch Neurol. 1998;55(6):879-880. doi: