September 1995

Carotid Endarterectomy: Principles and Techniques

Author Affiliations

Little Rock, Ark


by Christopher M. Loftus, 242 pp, $130, St Louis, Mo, Quality Medical Publishing Inc, 1995.

Arch Surg. 1995;130(9):1021. doi:10.1001/archsurg.1995.01430090107031

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This book is about my favorite operation, carotid endarterectomy. The author has provided us with a very personal how-to expository atlas of step-by-step details in the performance of an operation that is regaining favor after its exoneration by recent multicenter randomized clinical trials. The text is divided into three sections. First is a narrative overview of fundamentals, including indications and contraindications for carotid endarterectomy, basic operative techniques (including anesthesia, monitoring, shunting, and endarterectomy details), postoperative management, and complications. A second section depicts a wide range of carotid lesions on conventional cut-film four-vessel arteriograms of high quality. The final section consists of a detailed series of color intraoperative photographs and accompanying line drawings that, along with generous narrative comments, describe in great detail the sequential steps in performing a standard carotid endarterectomy and its several variations.

Despite the readability of the personal, anecdotal style of the narrative, there are a number

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