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This small but information-packed book is the first to focus
exclusively on iatrogenic vascular injuries. It is a timely first,
for the scope and magnitude of this subject have reached almost
epidemic proportions recently, as a result of exponential increases
in the use of invasive diagnostic and therapeutic procedures by
almost every medical and surgical speciality. The data on vascular
trauma from "civilian" experiences are becoming dominated by
injuries of iatrogenic cause. Even were it not for medical-legal
liability, the importance of prompt recognition and correct
treatment of injuries that we ourselves cause is obvious, as is the
need for preventive measures to be clearly identified and adopted.
This book serves these needs well through a nicely balanced focus
on prevention, on the one hand, with its comprehensive review of
epidemiology and etiology, and on management, on the other, with
its practical comments on diagnosis, treatment and outcome. The
organization of this book makes it very usable. After chapters on
both arterial and venous catheterization injuries, there follows a
thorough analysis of injuries associated with percutaneous
transluminal angioplasty and other endovascular procedures. Then,
after a chapter on noninvasive vascular injuries, there follows a
series of chapters dealing with vascular injuries associated with
the practice of specific specialties: radiation therapy,
orthopedics, neurosurgery (especially lumbar disc surgery),
gynecology, head and neck surgery, urology, adult general surgery,
and pediatric surgery.
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