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Book Review
July 1998

Endovascular Skills: Guidewires, Catheters, Arteriography, Balloon Angioplasty, Stents

Arch Surg. 1998;133(7):778-779. doi:

The treatment of vascular lesions by endovascular techniques is rapidly expanding. The number and character of lesions that are being treated has broadened to include the exclusion of aneurysms and the management of trauma. To cope with these complex vascular lesions, we are witnessing an explosive development of technology that includes an expanding armamentarium of balloons, stents, stent grafts, and the delivery systems required for the endoluminal deployment of these devices. Concurrent with these advances is the need for the training of surgeons in the safe and effective application of these new methods. Appropriate training materials should logically include a basic primer for those physicians who are at the threshold for developing their skills. Dr Schneider's book fulfills this need. The intimate details of the basic techniques are clearly described and well illustrated with precise drawings. The important steps required for arterial access, guidewire manipulation, branch canalization, arteriography, balloon angioplasty, and stent placement are presented in an orderly and unambiguous manner. Basic instrumentation is described appropriately for the uninitiated. Complications are fully identified and their prevention and management are reviewed in detail. Alternative techniques for dealing with complex anatomy and frequently encountered difficult situations are discussed.

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