INTRODUCTION TO VASCULAR ULTRASONOGRAPHY ZWIEBEL PDF

The versatility of duplex ultrasound has allowed it to remain the primary tool for vascular surgeons and interventionalists for accurate diagnosis and treatment planning in patients with vascular disease. Despite the advent of newer vascular procedures, the value of duplex-derived anatomic and physiologic data remains a critical foundation for surveillance and guiding treatment in all of our patients. The concise, straightforward writing is thoughtfully designed to render complex and occasionally esoteric concepts in an unintimidating, understandable manner. The authors have made an obvious effort to augment the text with relevant illustrations, tables, graphs, and pictures that aid in understanding and reinforcing the points made in the text.

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On balance, the overall depth, breadth, and scope of this book make it an excellent choice for both the established and the neophyte investigator. The book is recommended without reservation for those interested in angiogenesis research. Eugene A. Two decades ago the endothelium was described simply as a biocompatible blood container, and a decade ago it might have been described by sophisticated investigators as an organ in its own right but differing from others such as the liver and kidney by being distributed throughout the entire body rather than concentrated into a single locus.

Today, as the authors state in their preface, the vascular endothelium is recognized as one of the master systems of the body. The endothelium is both a source and a target of multiple enzymes, growth factors, and hemostatic elements.

It expresses receptors for immune reactions, phagocytoses microorganisms, presents antigens, and binds complement components. Of particular interest to this reviewer are the sections that discuss the role of the endothelial cell in hypertension , hyperlipidemia, and atherosclerosis. Highlights are a review of the injury theory of atherogenesis with detailed descriptions of early artery wall interactions, lipoprotein transport, monocyte recruitment, and alterations in endothelial cell function in experimental hyperlipidemia.

O f interest to researcher and neophyte alike is a General Section that discusses endothelial cell response to normal and abnormal stimuli, modulation of cell phenotype, regrowth of endothelial cells, and the release of endothelium-derived relaxing factor. What may be of particular interest to the vascular clinician, both internist and surgeon, are the phenomena of modulation of cell phenotype whereby those functions with which the normal endothelial cell is e n d o w e d - its constitutive functions - are profoundly altered when the endothelial cell is sufficiently perturbed.

The interplay of the endothelium with the leukocyte is particularly well described. Adhesion molecules, neutrophil-mediated endothelial injury, monocyte-derived cytokines, and endothelial permeability are authoritatively discussed. State-of-the-art presentations of the endothelial cell in diabetes and in neoplasia are included. Endothelial CellDysfunctions is a collection of timely and authoritative essays by international leaders.

This book was created to fill a need. It has succeeded. It is not the proceedings of a conference. It is much more. It brings together most of what is known about the endothelial cell, and it offers directions of research for the near future. Purchase is recommended for the libraries of both clinical and research departments, by investigators in the field, and certainly by those clinicians whose practice includes the role and responses of the vascular system. Allan D. Louis, Mo. Zwiebel, Philadelphia, , W.

The science of noninvasive vascular diagnosis continues to experience major technical advances, the latest being the addition of color-flow Doppler ultrasonography to standard duplex scanning. The editor of this book has coordinated the contributions of multiple authors 20 encompassing all areas old and new of noninvasive vascular technology dependent on ultrasonography.

The text begins with four chapters that cover the basic concepts of hemodynamics, Doppler physics, and color-flow sonography. This section sets the tone for the remainder of the book, especially the well-written chapter on physics and instrumentation of Doppler and B-mode ultrasonography. The sections covering carotid artery and upper and lower extremity examinations are admirably inclusive, presenting an excellent, in-depth description of normal and anomalous anatomy and a comprehensive review of examination techniques and data interpretation, supported by up-to-date literature references.

This section appropriately emphasizes advantages and pitfalls of each technique. Each chapter is supported with excellent tables and figures. A troublesome undercurrent in parts of the text is the incorrect interpretation of physiologic data used to make diagnostic predictions. It is insufficiently emphasized that conversion of frequency data to velocity is quite inaccurate for probe angles greater than 60 degrees. The section on examination of abdominal vessels is not equal to the preceding sections.

This is disappointing, especially in view of the major advances recently achieved in this area. Again, the chapter on anatomy is excellent.

The section on renal artery evaluation is generally well written, but important diagnostic criteria used for renal artery data interpretation are merely listed with no explanation of their derivation. Books received In summary, this text provides a generally excelient overview of advances in noninvasive vascular ultrasonography, especially color-flow scanning. The text is well written, well organized, and, for the most part, well referenced, A major complaint is the abundant use of color-flow acquired images printed throughout the text in black and white, accompanied by legends that do not reflect the change from color to black and white.

For this reason, many figures lose considerable impact in the resultant confusion. Still, the book is recommended to all students of noninvasive technology who desire an up-to-date, comprehensive text on vascular ultrasonography. This listing is regarded as appropriate return for the courtesy of the sender. The books that are of particular interest will be reviewed and the review published as space permits.

Introduction to vascular ultrasonography, 3rd edition William J. Zwiebel, MD, Philadelphia, , W. Tumor necrosis factor: Structure-function relationship and clinical application T.

Osawa, B. Bonavida, Basel, , S. Problems in general surgery: Portal hypertension volume 9, number 3 Eric B. Masquelet, Vincent R. Disorders of the pancreas: Current issues in diagnosis and management Gerald P. Angiogenesis: Key principles-science-technologymedicine R. Steiner, P. Weisz, R. Clinical transesophageal echocardiography Howard C.

Dittrich, St. Louis, , Mosby-Year Book, Inc. Cardiovascular physiology Robert M. Berne, Matthew N. Levy, St. Clio: The arteries Wiley F. Barker, Austin, , R. Blood coagulation and haemostasis: A practical guide Jean M.

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