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Interventional and endovascular therapy of the nervous system. A practical guide
  1. Paul Butler

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    By Pearse Morris (Pp 318, £94.00). Published by Springer-Verlag, New York, 2002. ISBN 0-387-95193-8

    As its title implies, this is a practical guide to interventional neuroradiology. All the conditions encountered by the interventionalist are covered in the 15 well chosen chapters. The book is remarkably up to date, given the rapidity of technical change in the specialty. This is a tribute to the author and to Springer, who have produced a high quality, superbly illustrated book of the type for which the publishers are rightly renowned.

    The book is written primarily for neurointerventionalists, both those in training and those who are “trained” (if there is such a state). There is also something in the book for clinicians—neurosurgeons, neurologists, and, one must not forget, anaesthetists and intensivists, all of whom may be involved in the management of these patients. The sections on pharmacology and haemostasis are particularly useful and it is worth noting that treatment methods in neurointervention are similar worldwide. Some minor differences exist, imposed by the various national regulatory bodies concerned with drugs and devices. The book can nevertheless be studied profitably by an international readership.

    It would have been valuable to include something on the natural history of intracranial aneurysms, particularly the rather vexed question of what is to be done with the unruptured group of aneurysms. No more than a passing reference is made to Onyx, the non-adhesive liquid embolic agent, which is regularly used in the United Kingdom for cerebral arteriovenous malformations and less commonly for especially challenging aneurysms. This is a very recent development and should not detract from this being an excellent, up to date book, full of practical advice. I look forward to future editions. This book has already been discovered by our trainees. It is strongly recommended for their personal library and for inclusion in the neuroscience departmental library.

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