venous-interventional-radiology-with-clinical-perspectives-2nd-editionEditors: Scott J. Salvader, MD; and Scott O. Trerotola, MD
Publisher: Thieme – 645 pages
Book Review by: Nano Khilnani

Only a few books on veins have been reviewed in our Books section. Those that have been featured are as components of the entire circulatory system of the human body. This is a book primarily on veins. This is a fairly comprehensive textbook on the subject of venous intervention.

It is important to note, as the editors wrote in the Preface of its first edition, that “the venous system is very different from the arterial system in ways beyond their physiologic function and relative compliance. Although veins are considered somewhat fragile and must be treated as such, venous stenoses may require upwards of 15 atmospheres to dilate…In addition, the flow dynamics, response to injury, and tolerance to interventional techniques is different than that seen with arteries.”

The first edition of this book published in 1996 was received with “surprisingly widespread interest,” and “it was a success,” the editors point out in the Preface to this second edition, even though in the two years prior to its release, percutaneous venous intervention was being practiced around the country “just sporadically.”

Less than three years after the release of the first edition, the editors began working on this updated second edition which was released in 2000. The percentage of venous interventional cases has grown steadily, and now constitute anywhere from 20 percent to 75 percent of any day’s cases. This is based on their conversations with colleagues in this specialty in meetings, journal clubs, visiting lectures, and less formal gatherings.

Fifty-six specialists, including the editors, mainly in radiology (diagnostic imaging and interventional) as well as in various fields including cardiology, gastroenterology, nephrology, neurology, oncology, pediatrics, pulmonary medicine, surgeries of various kinds, and urology, from all around the United States and two other countries – Canada, and France – authored the 52 chapters contained in 10 Sections of this book.

Below, to give you an overview of the contents of this large book of nearly 650 pages, we mention the topics covered in each section.

  1. Section 1. Portal Hypertension – Angiographic, hemodynamic and venographic evaluation of portal hypertension; a surgeon’s perspective on the role of interventional radiology in the management of portal hypertension; coronary vein embolization; etiology; portal hypertension: complications and medical management; randomized trials and basic research; the Budd-Chiari syndrome; and trans-intrahepatic portosystemic shunts (TIPS).
  2. Section 2. Venous Embolization – Diagnosis and management of venous malformations; ovarian and pelvic varices in the female patient; PAVMs: a pulmonologist’s perspective; pulmonary arteriovenous malformations; testicular varioceles; and varioceles: a pediatric urologist’s perspective.
  3. Section 3. Hemodialysis Access Management – Hemodialysis vascular access: a transplant surgeon’s perspective; percutaneous placement and management of hemodialysis catheters; percutaneous radiologic approach to the management of the native dialysis fistula; physical examination of hemodialysis access; treatment of the failing hemodialysis graft; treatment of the thrombosed hemodialysis graft; and vascular access for hemodialysis: a nephrologist’s perspective.
  4. Section 4. Chronic Infusion Catheters – Chronic infusion catheters: an oncologist’s perspective; interventional radiologic placement and management of infusion catheters; percutaneous trans-lumbar inferior vena cava cannulation and other alternative vascular access techniques; peripherally inserted central infusion catheters; and ports
  5. Section 5. Central Venous Stenosis and Occlusion – Inferior vena cava; superior central venous stenosis and occlusion; and venous stenosis in the hemodialysis patient: a transplant surgeon’s perspective.
  6. Section 6. Venous Thromboembolic Disease – A hematologist’s perspective on the treatment of venous thrombosis; ovarian vein thrombosis; percutaneous intervention for deep vein thrombosis; peripheral and central deep venous thrombosis; pulmonary embolism; diagnosis and interventional options for treatment; pulmonary thromboembolic disease: noninvasive treatment; and renal vein thrombosis.
  7. Section 7. Inferior Vena Cava Filters – Inferior vena cava filters: a surgeon’s perspective; permanent inferior vena cava filters; and temporary and retrievable inferior vena cava filters.
  8. Section 8. Chronic Venous Insufficiency – Assaying venous function and anatomy from the surgical perspective; descending venography; and surgical options for venous insufficiency: banding, valvuloplasty, ligation, and venous transposition.
  9. Section 9. Venous Sampling – A surgeon’s perspective on portal venous sampling (and selective arterial provocative testing) for islet cell tumors; adrenal vein sampling; parathyroid vein sampling; portal vein sampling; renal and adrenal vein sampling: a nephrologist’s perspective; and renal vein sampling: technique and case scenarios.
  10. Section 10. Foreign Body Retrieval and Central Venous Catheter Repositioning Techniques–Central venous catheter reposition techniques; foreign body retrieval.

 

Editors:

Scott J. Salvador, MD is with the Department of Radiology at Methodist Hospital in Indianapolis, Indiana.

Scott O. Trerotola, MD is Associate Professor of Radiology and Director of Interventional Radiology at Indiana University School of Medicine in Indianapolis, Indiana.