Renal vascular disease. A. Novick, J. Scoble and G. Hamilton (eds). 260 × 192 mm. Pp. 539. Illustrated. 1995. London: W. B. Saunders. £75
✍ Scribed by R. N. Baird
- Book ID
- 101749864
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 137 KB
- Volume
- 83
- Category
- Article
- ISSN
- 0007-1323
No coin nor oath required. For personal study only.
✦ Synopsis
Our perception of renal arterial disease is like a view of an iceberg. Glimpses come our way, but there is a great deal more that we do not see. For example, we encounter a renal artery stenosis on an arteriogram and debate whether it should be bypassed, dilated, stented, or left untreated. A physician discovers a shrunken kidney in a difficult hypertensive and wonders whether it should be removed. A nephrologist demonstrates narrowed renal arteries in a patient approaching end-stage renal failure and considers revascularization as a lastditch effort to keep dialysis at bay. The editors' chapters are on the progressive nature of atherosclerotic renal artery stenosis (J. Scoble), extra-anatomical renal revascularization of ischaemic nephropathy (A. Novick), and fibrinolytic therapy and secondary revascularization (G. Hamilton). The international cast of contributors includes Richard Dean on screening by duplex renal sonography and Sven-Eric Bergentz on renal artery endarterectomy. This comprehensive volume has illustrations of new magnetic resonance and spiral computed tomography angiography, and advice on such rarities as renal aneurysm and Takayasu's arteritis. However, we do not yet see all of the iceberg and a full-scale therapeutic assault on renal arterial disease remains around the corner. For the time being, interventions continue to be highly selected. The insights provided by this book help in the difficult choices faced on behalf of renovascular patients.