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October 4, 1985

Angiography of Vascular Disease

JAMA. 1985;254(13):1827-1828. doi:10.1001/jama.1985.03360130163050

It was the editor's goal for this book to provide a source of information for both radiologists and surgeons who have an interest in vascular disease. It therefore was hoped that the sections dealing with the techniques for each procedure would be current and useful for reference and that the clinical information would reflect the mainstream of current surgical thought. Unfortunately, I was disappointed with many of the techniques that were described, which reflect older thinking.

A few examples will suffice. There is no mention of the one-wall arterial needle, which has been available from several manufacturers for more than five years,1 while the Seldinger needle is the only one illustrated in a classic two-wall puncture of the common femoral artery. No mention is made of the old and important refinement of advancing the needle in the lumen of the vessel while watching blood return to reduce the chances