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Rutherford Vascular Surgery 6th Edition, Elsevier Saunders (2005) 2736 pages, £210.00

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Jan Brunkwall at University of Cologne
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Book Review
Rutherford Vascular Surgery 6th Edition,Elsevier
Saunders 2005, 2736 pages, £210.00.
The new Edition of Vascular surgery with 2736 pages
has expanded substantially and is recently updated
with several new chapters. The book is divided into
23 chapters with overwhelmingly North-American
contributors. Several of the chapters are completely
re-written by new authors, whereas others are up-
dates of previous chapters.
The particular strength of this book, and also being
the first of its kind, is that in the online version, there
are regular updates retrievable through the world-
wide web, which makes the book outstanding in its
field. For those who would look for updates in a spe-
cific field and who prefer to get ‘‘filtered’’ or
previewed information this is possible to get through
these updates, which are like a condensed abstract,
resulting in a good opportunity to get such
information.
The present edition is like previous ones, systemat-
ically dealing with basic considerations diagnostic
tools, physiology as well as the non-operative man-
agement of patients with vascular diseases. These
chapters are very well written and also with necessary
updates resulting in a book with a very short time-
delay between the appearance of original publications
and the manifestation in the textbook, which is not
always the case in medical textbooks.
The chapter on the generalised arteriosclerosis of
the vascular patient is extensively described also
presenting a pathway for drug-treatment, helping
the vascular surgeon without an angiologist on his
side to effectively treat his patient. The chapter on
vascular pain is very useful too, especially for youn-
ger colleagues trying to correlate the patient’s symp-
toms with clinical findings. The chapter on
abdominal aortic and iliac aneurysms is very well
written with fresh updates of all the latest rando-
mised trials and dealing with such important topics
like decision making when to operatively treat an
elective aortic aneurysm. The complete chapter on
the endovascular treatment of aortic aneurysms is
also well written including coverage of various stent
grafts.
‘‘Fundamentals in endovascular surgery’’ has got
its own chapter and is very constructive for those vas-
cular surgeons, who have not yet entered the endo-
vascular arena.
The results of such endovascular techniques, in-
cluding thrombolytic therapy are well addressed
in the chapters on acute limb ischemia, and intra-
arterially catheter directed thrombolysis.
The chapter on venous malformation is too very
well written and divided in such a way that it is
easy to specifically find answers to narrow questions
and rarely appearing diseases.
The chapter on vascular thoracic trauma, though, is
almost only dealing with open techniques in the arse-
nal for managing these injuries, and very little is high-
lighted on the new endovascular management, which
at least in the present time in Europe, has been shown
to produce good results. It would have been prefer-
able to have this chapter being expanded with the
results using these modalities.
The chapter on venous access and its complications
is well written but I am missing some of the unusually
shunts like subclavian to subclavian or subclavian to
jugular just to mention a few. This is especially impor-
tant since venous access is becoming increasingly
important for the vascular surgeon.
This bible in Vascular Surgery should be in the
library of every vascular department and it is of
a great value for a fulltime vascular and endovascular
surgeon, but could be used by general surgeons who
want to be updated in the vascular field. This book is
highly recommended, and with all its figures and il-
lustrations it is easy to read and can also be used for
students with specific or special interest of vascular
surgery.
J. Brunkwall
Department of Vascular Surgery,
University of Cologne,
Joseph Stelzmannstrasse 9,
D-50931 Cologne, NRW, Germany
E-mail address: jan.brunkwall@uk-koeln.de
Accepted 23 April 2006
Available online 13 June 2006
Eur J Vasc Endovasc Surg 32, 337 (2006)
doi:10.1016/j.ejvs.2006.04.025, available online at http://www.sciencedirect.com on
1078–5884/000337 + 01 $35.00/0 Ó2006 Published by Elsevier Ltd.
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