Portal de Periódicos da CAPES

Introduction to vascular ultrasonography

2005; Elsevier BV; Volume: 42; Issue: 1 Linguagem: Inglês

10.1016/j.jvs.2005.03.026

1097-6809

Ryan T. Hagino,

Cerebrovascular and Carotid Artery Diseases

The continued evolution of vascular surgery and vascular peripheral intervention has expanded the application of pre-existing imaging modalities such as duplex ultrasonography. 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 fifth addition of Zwiebel and Pellerito’s textbook reminds the reader of why this book remains a leading textbook on the subject of vascular ultrasonography and why vascular ultrasonography is critical to the treatment of vascular disease. 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. At first glance, the new edition is clearly a new and different textbook from previous additions. A concerted effort has been made to link visual tools such as color photographs, tables and graphs with the text in a very user-friendly manner. Unlike previous additions, the reader does not have to interrupt reading to search for visual aides listed in the text yet found on another page. This is particularly helpful when trying to assimilate the occasionally mysterious secrets and pitfalls of ultrasound physics. The consistent readability of all of the chapters is remarkable, and the authors and editors should be commended on their efforts. The textbook has expanded considerably with the addition of several new chapters and rewritten and updated old chapters with new authors. There is a clear intent to expand the text to encompass a variety of practical clinical scenarios and the relevant application of duplex ultrasonography. The text is designed to provide both practical scanning techniques for technologists and specific, relevant data from current references in a manner that admirably educate the reader in a sound logical format. For instance, the chapter on ultrasound assessment of carotid stenosis now includes discussion about important areas of relevance such as surveillance of asymptomatic disease, recurrent stenosis, bilateral high-grade stenoses and proximal common carotid occlusive disease. Some of the new chapters include: •Ultrasound Assessment Before and After Hemodialysis Access,•Ultrasound Assessment During and After Peripheral Intervention,•Ultrasound in the Diagnosis and Management of Arterial Emergencies,•Nonvascular Pathology Encountered During Venous Sonography, and•Ultrasound Assessment Following Endovascular Aortic Aneurysm Repair. The absence of discussion of the use of intravascular ultrasound is unfortunate, but overall, these newer chapters provide valuable insight into specific clinical problems encountered on a daily basis in a busy vascular laboratory. In summary, the textbook presents a comprehensive overview of vascular ultrasound that is very readable, clear, and coherent. The authors have quite successfully encompassed the breadth of the clinical applications of vascular ultrasonography available today. This textbook would be an indispensable reference for any vascular laboratory.